Abstract
The mesentery is a single and continuous organ. All abdominal digestive organs are directly connected to the mesenteric frame, which in turn collectively connects the abdominal digestive system to the body. It has a defined arterial inflow (via the coeliac trunk and superior and inferior mesenteric arteries) and venous drainage (at hepatic veins). Once the arterial trunks enter the mesentery they subdivide into major branches that remain intra-mesenteric until target organs are reached. The entirety of the portal venous system is intra-mesenteric in location. Mesenteric continuity and contiguity with abdominal digestive organs enables us subdivide the abdomen into mesenteric and non-mesenteric domains. This model (the mesenteric model) reconciles anatomical, embryological, surgical and radiological approaches to the abdomen. It explains how all abdominal digestive organs are centrally connected and it explains the peritoneal landscape.
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Byrnes KG, Walsh D, Dockery P, McDermott K, Coffey JC. Anatomy of the mesentery: current understanding and mechanisms of attachment. Semin Cell Dev Biol. 2018. pii: S1084–9521(18)30205–2. https://doi.org/10.1016/j.semcdb.2018.10.004. [Epub ahead of print].
Treves F. Lectures on the anatomy of the intestinal canal and peritoneum in man. Br Med J. 1885;1(1264):580–3.
Standring S. Gray’s anatomy: the anatomical basis of clinical practice. London, U.K.: Elsevier Health Sciences;2015. pp. 1098–111, 1124–60.
Blackburn SC, Stanton MP. Anatomy and physiology of the peritoneum. Semin Pediatr Surg. 2014;23(6):326–30.
Sinnatamby CS. Last’s anatomy: regional and applied. London, U.K.: Elsevier Health Sciences;2011. pp. 234–8, 247–59.
Snell RS. Clinical anatomy by regions. Lippincott Williams & Wilkins;2008. pp. 216, 226, 228, 233, 237, 240.
Byrnes KG, Walsh D, Lewton-Brain P, McDermott K, Coffey JC. Anatomy of the mesentery: historical development and recent advances. Semin Cell Dev Biol. 2018. pii: S1084–9521(18)30204–0. https://doi.org/10.1016/j.semcdb.2018.10.003. [Epub ahead of print].
Coffey JC, O’Leary DP. The mesentery: structure, function, and role in disease. Lancet Gastroenterol Hepatol. 2016;1(3):238–47.
Byrnes KG, McDermott K, Coffey JC. Development of mesenteric tissues. Semin Cell Dev Biol. 2018. pii: S1084–9521(18)30234–9. https://doi.org/10.1016/j.semcdb.2018.10.005. [Epub ahead of print] Review.
Coffey JC. Surgical anatomy and anatomic surgery—clinical and scientific mutualism. Surgeon. 2013;11(4):177–82.
Coffey JC, et al. Mesenteric-based surgery exploits gastrointestinal, peritoneal, mesenteric and fascial continuity from duodenojejunal flexure to the anorectal junction—a review. Dig Surg. 2015;32(4):291–300.
Coffey JC, Lavery I, Sehgal R. Mesenteric principles of gastroinstestinal surgery. CRC Press, FL, 2017. ISBN 9781498711227.
Byrnes KG, McDermott KW, Coffey JC. Mesenteric organogenesis. Semin Cell Dev Biol. 2018. pii: S1084–9521(18)30246–5. https://doi.org/10.1016/j.semcdb.2018.10.006. [Epub ahead of print].
Culligan K, et al. The mesocolon: a histological and electron microscopic characterization of the mesenteric attachment of the colon prior to and after surgical mobilization. Ann Surg. 2014;260(6):1048–56.
Culligan K, et al. Review of nomenclature in colonic surgery—proposal of a standardised nomenclature based on mesocolic anatomy. Surgeon. 2013;11(1):1–5.
Coffey JC, et al. Terminology and nomenclature in colonic surgery: universal application of a rule-based approach derived from updates on mesenteric anatomy. Tech Coloproctol. 2014;18(9):789–94.
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Fleming, C.A., Walsh, D., Coffey, J.C. (2021). General Anatomy of the Mesentery. In: Ehrenpreis, E.D., Alverdy, J.C., Wexner, S.D. (eds) The Mesenteric Organ in Health and Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-71963-0_3
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DOI: https://doi.org/10.1007/978-3-030-71963-0_3
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