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Understanding Stomach Arterial Supply

Apr 16, 2025

Stomach Arterial Supply Lecture

Overview

  • The stomach receives arterial supply from the celiac trunk and its branches.
  • Key organs involved: stomach, first and second parts of the duodenum, spleen, liver, and gallbladder.

Celiac Trunk

  • Length: ~1 cm
  • Origin: Aorta, between the right and left crura of the diaphragm.
  • Branches:
    • Left Gastric Artery
    • Splenic Artery
    • Common Hepatic Artery

Left Gastric Artery

  • Smallest branch of the celiac trunk.
  • Pathway: Runs down the lesser curvature of the stomach.
  • Characteristics:
    • Describes a convexity oriented superiorly.
    • Gives off esophageal branches (supplying the lower esophagus).
    • May give rise to an accessory hepatic artery (variable anatomical feature).
    • Provides gastric branches along the lesser curvature.

Common Hepatic Artery

  • Splits into:
    • Gastroduodenal Artery
    • Hepatic Artery Proper

Hepatic Artery Proper

  • Gives off:
    • Right Gastric Artery (anastomoses with left gastric artery around the midpoint of the lesser curvature).
    • Supplies the liver via left and right branches.
    • Right branch gives rise to the cystic artery for the gallbladder.

Gastroduodenal Artery

  • Relations: Posterior to the first part of the duodenum.
  • Branches:
    • Right Gastroepiploic Artery (supplies the greater curvature in the lower part and gives off epiploic branches).
    • Superior Pancreaticoduodenal Artery (splits into anterior and posterior branches, supplying the duodenum and pancreas).
    • Retro-duodenal artery (supplies the posterior surface of the duodenum).

Splenic Artery

  • Largest branch of the celiac trunk.
  • Pathway: Behind the stomach, along the superior margin of the pancreas, reaching the hilum of the spleen.
  • Branches:
    • Short Gastric Arteries (supply the fundus of the stomach close to the spleen hilum).
    • Left Gastroepiploic Artery (runs along the greater curvature, anastomoses with the right gastroepiploic artery).
    • Occasionally gives off a posterior gastric artery (supplies the fundus of the stomach).

Conclusion

  • These arteries ensure the stomach and associated organs are well-supplied with blood.
  • Understanding these details is crucial for medical professionals dealing with gastrointestinal health.

End of Lecture

  • Thank you for attending, and see you next time!