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The left gastric vein runs from right to left along the lesser curvature of the stomach. [2] It passes to the esophageal opening of the stomach, where it receives some esophageal veins. [2] It then turns backward and passes from left to right behind the omental bursa. It drains into the portal vein near the superior border of the pancreas. [2]
Splenectomy is then performed. The abdominal esophagus is devascularized from the stomach. The posterior gastric vagus nerve requires ligation due to its close proximity. The lesser curvature of the stomach and abdominal esophagus are then devascularized, and the cardioesophageal branches of the left gastric vessels are ligated and divided.
Gastric varices are dilated submucosal veins in the lining of the stomach, which can be a life-threatening cause of bleeding in the upper gastrointestinal tract.They are most commonly found in patients with portal hypertension, or elevated pressure in the portal vein system, which may be a complication of cirrhosis.
These veins have no part in the development of esophageal varices. The lower one third of the esophagus is drained into the superficial veins lining the esophageal mucosa, which drain into the left gastric vein, which in turn drains directly into the portal vein. These superficial veins (normally only approximately 1 mm in diameter) become ...
The esophageal veins drain blood from the esophagus to the azygos vein, in the thorax, and to the inferior thyroid vein in the neck. It also drains, although with less significance, to the hemiazygos vein, posterior intercostal vein and bronchial veins. [citation needed] In the abdomen, some drain to the left gastric vein which drains into the ...
The left gastroepiploic vein (left gastro-omental vein) receives branches from the antero-superior and postero-inferior surfaces of the stomach and from the greater omentum; it runs from right to left along the greater curvature of the stomach and ends in the commencement of the splenic vein.
The short gastric veins, four or five in number, drain the fundus and left part of the greater curvature of the stomach, and pass between the two layers of the gastrolienal ligament to end in the splenic vein or in one of its large tributaries.
Splenic vein; Superior mesenteric vein; Inferior mesenteric vein; The superior mesenteric vein and the splenic vein come together to form the actual hepatic portal vein. The inferior mesenteric vein connects in the majority of people on the splenic vein, but in some people, it is known to connect on the portal vein or the superior mesenteric vein.