The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Mariyko V.A.

Tula State University

Tretyakov V.O.

Tula State University

Mariyko A.V.

Tula State University

Golovin K.A.

Tula State University

Hemodynamics in the right gastroepiploic artery and its practical application

Authors:

Mariyko V.A., Tretyakov V.O., Mariyko A.V., Golovin K.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(4): 12‑18

DOI: 10.17116/hirurgia202304112

Views: 806

Downloaded: 18

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Mariyko VA, Tretyakov VO, Mariyko AV, Golovin KA. Hemodynamics in the right gastroepiploic artery and its practical application. Pirogov Russian Journal of Surgery. 2023;(4):12‑18. (In Russ.)
https://doi.org/10.17116/hirurgia202304112

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Close metadata

OBJECTIVE

To study functional anatomy of the right gastroepiploic artery (RGEA), its gastric and omental branches and practical significance of these anatomical features.

MATERIAL AND METHODS

We analyzed 20 cadaveric organ complexes (11 men and 9 women, aged 49—85 years) between 2018 and 2019. The organ complexes consisted of the stomach, proximal duodenum and large omentum. RGEA catheterization at the level of pylorus was followed by selective real time angiography. We assessed the following parameters of RGEA: total length, diameter at the level of pylorus, number and diameter of gastric and omental branches. To objectify the study, we visually divided RGEA into 5 equal segments between pylorus and the last branch arising from this artery.

RESULTS

The RGEA looks like a gradually and evenly narrowing tube. Mean diameter of the artery at the level of pylorus was 2.2±0.68 mm, mean length — 23.6±3.7 cm. Mean number of gastric and omental branches was 16.2±4.8 and 8.6±2.6, respectively. The number of gastric branches in the distal part of the RGEA increased, while the diameters of the gastric branches did not significantly differ. The number of gastric branches in distal RGEA increased, while diameters of gastric branches were similar. The greatest number of omental branches with the largest diameter was observed in the 2nd and 3rd segments of the artery. Considering these data, we formulated the equation for RGEA hemodynamics and developed the technique for optimal blood supply to proximal part of the gastric transplant during esophagogastroplasty.

CONCLUSION

Anatomical features of the right gastroepiploic artery can be used in reconstructive surgery of abdominal cavity and chest.

Keywords:

right gastroepiploic artery
esophagogastroplasty
hemodynamics equation

Authors:

Mariyko V.A.

Tula State University

Tretyakov V.O.

Tula State University

Mariyko A.V.

Tula State University

Golovin K.A.

Tula State University

Received:

14.07.2022

Accepted:

16.08.2022

List of references:

  1. Ndoye JM, Dia A, Ndiaye A, Fall B, Diop M, Ndiaye A, Sow ML. Arteriography of three models of gastric oesophagoplasty: the whole stomach, a wide gastric tube and a narrow gastric tube. Surg Radiol Anat. 2006;28(5):429-437.  https://doi.org/10.1007/s00276-006-0129-5
  2. Guseinov TS, Guseinova ST, Suleimanova RT, Ataeva DA, Khalilov MA. Osobennosti anatomii bol’shogo sal’nika. Vestnik novykh meditsinskikh tekhnologii. Elektronnyi zhurnal. 2018;6:16-18. (In Russ.). https://doi.org/10.24411/2075-4094-2018-16276
  3. Settembre N, Labrousse M, Magnan PE, Branchereau A, Champsaur P, Bussani R, Braun M, Malikov S. Surgical anatomy of the right gastro-omental artery: a study on 100 cadaver dissections. Surg Radiol Anat. 2018;40(4):415-422.  https://doi.org/10.1007/s00276-017-1951-7
  4. Buunen M, Rooijens PP, Smaal HJ, Kleinrensink GJ, van der Harst E, Tilanus HW, Lange JF. Vascular anatomy of the stomach related to gastric tube construction. Dis Esophagus. 2008;21(3):272-274.  https://doi.org/10.1111/j.1442-2050.2007.00771.x
  5. Chernyavskii AA, Ryazanov MK. Vybor sposoba zaversheniya izoperistal’ticheskoi trubchatoi ezofagogastroplastiki na osnovanii intra-operatsionnoi otsenki krovosnabzheniya zheludochnogo transplantata. Khirurgiya. Zhurnal im. N.I. Pirogova. 2008;2:26-32. (In Russ.).
  6. Chernousov AF, Bogopol’skii PM, Kurbanov FS. Khirurgiya pishchevoda. M.: Moskva; 2000. (In Russ.).
  7. Chernousov AF, Ruchkin DV, Chernousov FA, Balalykin DA. Bolezni iskusstvennogo pishchevoda. M.: Izdatel’skii dom Vidar-M; 2008. (In Russ.).
  8. Chichevatov DA. Diafragmal’nyi i sal’nikovyi loskuty v grudnoi khirurgii. SPb.: Medkniga «ELBI-SPb»; 2012. (In Russ.).
  9. Shevchenko AA, Topalov KP, Zhila NG, Kashkarov EA. Khirurgicheskoe lechenie osteomielita grudiny i sternomediastinita vsledstvie kardiokhirurgicheskikh operatsii. Khirurgiya. Zhurnal im. N.I. Pirogova. 2021;9:34-39. (In Russ.). https://doi.org/10.17116/hirurgia202109134
  10. Pechetov AA, Zotikov AE, Karmazanovskii GG, Volchanskii DA, Kul’bak VA. Mammaro-gastroepiploichnoe shuntirovanie kak sposob dopolnitel’noi vaskulyarizatsii transplantata pri torakoomentoplastiki u patsienta so sternomediastinitom. Khirurgiya. Zhurnal im. N.I. Pirogova. 2021;12:104-110. (In Russ.). https://doi.org/10.17116/hirurgia2021121104
  11. Chernyak BB, Chupin AV, Briginevich TA. Ispol’zovanie pravoi zheludochno-sal’nikovoi arterii v revaskulyarizatsii miokarda. (obzor literatury). Vestnik novykh meditsinskikh tekhnologii. Elektronnyi zhurnal. 2013;1:244-246. (In Russ.).
  12. Akchurin RS, Shiryaev AA, Vasil’ev VP, Galyautdinov DM, Vlasova EE. Sovremennye tendentsii v koronarnoi khirurgii. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2017;21(35):34-44. (In Russ.). https://doi.org/10.21688/1681-3472-2017-3S-34-44
  13. Suma H, Tanabe H, Takahashi A, Horii T, Isomura T, Hirose H, Amano A. Twenty years’ experience with the gastroepiploic artery graft for CABG. Circulation. 2007;116(11):I188-I191. https://doi.org/10.1161/CIRCULATIONAHA.106.678813
  14. Koskas F, Gayet B. Anatomical study of retrosternal gastric esophagoplasties. Anat Clin. 1985;7(4):237-256.  https://doi.org/10.1007/BF01784641
  15. Patent RF na izobretenie №2614213/23.03.2017. Byul. №9. Mariyko VA, Dorofeev DA, Popov SV. Sposob uluchsheniya krovosnabzheniya proksimal’nogo otdela zheludochnogo transplantata pri ezofagoplastike. https://patenton.ru/patent/RU2614213C1
  16. Mariyko VA, Dorofeev DA, Nechai VS, Petnyunas AS. Lazernaya dopplerovskaya floumetriya pri ezofagogastroplastike. Khirurgiya. Zhurnal im. N.I. Pirogova. 2015;9:63-67. (In Russ.). https://doi.org/10.17116/hirurgia2015963-67

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.