Unit:
Κατεύθυνση Χειρουργική ΑνατομίαLibrary of the School of Health Sciences
Author:
Filippou Nikolaos
Supervisors info:
Παναγιώτης Σκανδαλάκης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Αντώνιος Μαζαράκης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μαρία Πιάγκου, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Η χειρουργική ανατομία των αναστομωτικών δικτύων του παχέος εντέρου και η κλινική τους σημασία
Translated title:
Surgical Anatomy of Collateral Arterial Pathways of the Colon and Clinical Significance
Summary:
The arterial vascularization of the gastrointestinal tract is arising from the abdominal aorta in three different levels; the coeliac trunk, the superior and inferior mesenteric arteries. These three arterial systems are joined together via arterial trunk anastomoses.
A systematic review of the literature (including studies between 1900 and 2019) was performed in order to clarify the arterial arches and connections mainly between the superior and inferior mesenteric arteries as far as the colon vascularization is concerned.
The right colon collateral vasculature is composed of the Marginal Vascular Arcade. At the level of the left colic angle there are three arterial axes permitting collateral communication between the superior and inferior mesenteric artery; 1) the Marginal Artery, 2) the ‘’V’’ termination of the ascending branch of the left colic artery, 3) the inter- mesenteric trunk. At the level of the rectosigmoid junction the Internal Iliac Arteries play an important role in collateral arterial circulation.
Main subject category:
Health Sciences
Keywords:
Digestive arterial collateral pathways, Arterial trunk anastomoses, Marginal artery, Riolan’s arch, Moscowitz artery, Inter-mesenteric trunk, Ascending branch of left colic artery
