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The anterior gastric branches of anterior vagal trunk are branches of the anterior vagal trunk which supply the stomach. [1]One long branch of it runs from the lesser curvature or parallel to it in lesser omentum as far as the pyloric antrum to fan out into branches in a way like the digits of a crow's foot to supply the pyloric antrum and the anterior wall of pyloric canal.
The incision follows at an angle of 45 degrees to the lesser curvature. [9] The staple line can, but need not, be oversewn. [9] After removal of the distal portion (including the antrum and the pylorus) of the stomach, a clamp is fitted at right angles to the greater curvature. [9]
The lesser curvature of the stomach forms the upper right or medial border of the stomach. [3] The lesser curvature of the stomach travels between the cardiac and pyloric orifices . It descends as a continuation of the right margin of the esophagus in front of the fibers of the right crus of the diaphragm , and then, turning to the right, it ...
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The antrum rotates in opposite direction to the fundus of the stomach. This is the most common type of gastric volvulus, occurring in approximately 59% of cases, and it is usually associated with diaphragmatic defects. Strangulation and necrosis commonly occur with organoaxial gastric volvulus and have been reported in 5–28% of cases.
Lordosis is historically defined as an abnormal inward curvature of the lumbar spine. [1] [2] However, the terms lordosis and lordotic are also used to refer to the normal inward curvature of the lumbar and cervical regions of the human spine. [3] [4] Similarly, kyphosis historically refers to abnormal convex curvature of the spine
The approach is mainly from the anterior wall of the maxilla bone. It was introduced by George Caldwell (1893)and Henry Luc (1897). The maxillary sinus is entered from two separate openings, one in the canine fossa to gain access to the antrum and other in the naso antral wall for drainage. [1]
Patients who do not seek medical treatment such anti-ulcer medication have high rate of recurrence and death secondary to ulcer disease. The prognosis of gastrinoma depends on the level of metastases of the tumor. If patients present with hepatic metastases they might have remaining life span of one year with a five-year survival rate of 20–30%.