Skip to main content

General Anatomy of the Mesentery

  • Chapter
  • First Online:
The Mesenteric Organ in Health and Disease

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. 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].

  2. Treves F. Lectures on the anatomy of the intestinal canal and peritoneum in man. Br Med J. 1885;1(1264):580–3.

    Article  CAS  Google Scholar 

  3. Standring S. Gray’s anatomy: the anatomical basis of clinical practice. London, U.K.: Elsevier Health Sciences;2015. pp. 1098–111, 1124–60.

    Google Scholar 

  4. Blackburn SC, Stanton MP. Anatomy and physiology of the peritoneum. Semin Pediatr Surg. 2014;23(6):326–30.

    Article  Google Scholar 

  5. Sinnatamby CS. Last’s anatomy: regional and applied. London, U.K.: Elsevier Health Sciences;2011. pp. 234–8, 247–59.

    Google Scholar 

  6. Snell RS. Clinical anatomy by regions. Lippincott Williams & Wilkins;2008. pp. 216, 226, 228, 233, 237, 240.

    Google Scholar 

  7. 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].

  8. Coffey JC, O’Leary DP. The mesentery: structure, function, and role in disease. Lancet Gastroenterol Hepatol. 2016;1(3):238–47.

    Article  Google Scholar 

  9. 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.

  10. Coffey JC. Surgical anatomy and anatomic surgery—clinical and scientific mutualism. Surgeon. 2013;11(4):177–82.

    Article  CAS  Google Scholar 

  11. 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.

    Article  Google Scholar 

  12. Coffey JC, Lavery I, Sehgal R. Mesenteric principles of gastroinstestinal surgery. CRC Press, FL, 2017. ISBN 9781498711227.

    Google Scholar 

  13. 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].

  14. 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.

    Article  Google Scholar 

  15. 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.

    Article  CAS  Google Scholar 

  16. 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.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. Calvin Coffey .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-71963-0_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71962-3

  • Online ISBN: 978-3-030-71963-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics