Anatomo-clinical considerations regarding the celiac-mesenteric junction
Păduraru, D.; Zamfir, M.; Stan, C.I.; Luncă, S.; Stoica, L.; Motaş, O.I.; Indrei, A.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 112(1): 220-223
2008
ISSN/ISBN: 0048-7848 PMID: 18677930 Document Number: 615621
This work points out the access ways - both the classical ones and the ones less known and used - to the origin and the first centimeters of the superior mesenteric artery (SMA), underlining the advantages and disadvantages of each of them. Our work is based on dissection of 30 human bodies and 200 selective arteriographies. There are two classical ways to access the first part of SMA: inter-duodeno-pancreatic and the left thoraco-abdominal ways. An access way to the origin of the SMA is necessary for the revascularisation through different techniques of the visceral territory depending on the SMA, taking into account the fact that at this level we have the most frequent localization of the atheroma plaques, which leads to acute or chronic intestinal ischemia (manifest in the form of postprandial abdominal 'angor').