Skip to main content
SpringerLink
Log in

Relevance of Posterior Gastric Vessel in Bariatric Surgery

  • Brief Communication
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Posterior gastric vessel is commonly encountered (4–99%) during surgery of the stomach, spleen, and pancreas. Due to high variations in its origin, and course, it has not been unanimously described in literature. Its significance in bariatric surgery is largely neglected. We reviewed videos of 100 bariatric surgery cases done in our institute. This vessel was noted in 88 cases. We could identify the vessel in 54/63 LSG cases and all cases required division to free the fundus. It was identified in 34/37 RYGB cases. Thirty-one cases required lateralization while 3 cases required division due to more medial origin of the vessel. Its division or lateralization facilitates adequate mobilization of fundus to achieve the ideal configuration of sleeve in LSG and pouch in LRYGB.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Suzuki K, Prates JC, Didio LJA. Incidence and surgical importance of the posterior gastric artery. Ann Surg. 1978;187(2):134–6.

    Article  CAS  Google Scholar 

  2. Loukas M, Wartmann CT, Louis RG, et al. The clinical anatomy of the posterior gastric artery revisited. Surg Radiol Anat. 2007;29(5):361–6.

    Article  Google Scholar 

  3. Perez M, Brunaud L, Kedaifa S, Guillotin C, Gerardin A, Quilliot D, et al. Does anatomy explain the origin of a leak after sleeve gastrectomy? Obes Surg [Internet]. 2014 [cited 2020 Jul 27];24(10):1717–23. Available from: https://pubmed.ncbi.nlm.nih.gov/24777560//

  4. DiDio LJA, Christoforidis AJ, Chandnani PC. Posterior gastric artery and its significance as seen in angiograms. Am J Surg [Internet]. 1980 Mar [cited 2020 May 7];139(3):333–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/0002961080902883

  5. Klingler CH, Remzi M, Marberger M, Janetschek G. Haemostasis in laparoscopy [Internet]. Vol. 50, European Urology. 2006 [cited 2020 May 7]. p. 948–57. Available from: https://linkinghub.elsevier.com/retrieve/pii/S030228380600159X

  6. Ferrer-Márquez M, Belda-Lozano R, Ferrer-Ayza M. Technical controversies in laparoscopic sleeve gastrectomy [Internet]. Vol. 22, Obesity Surgery. 2012 [cited 2020 May 7]. p. 182–7. Available from: http://link.springer.com/10.1007/s11695-011-0492-0

  7. Yu W, Whang I. Surgical implications of the posterior gastric artery. Am J Surg [Internet]. 1990 Apr [cited 2020 May 7];159(4):420–2. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002961005812887

Download references

Author information

Authors and Affiliations

  1. Department of Bariatric Surgery, GEM Hospital and Research Center, Coimbatore, Tamil Nadu, India

    Prakhar Gupta, Shivanshu Misra, S. Saravana Kumar & P. Praveen Raj

Authors
  1. Prakhar Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shivanshu Misra
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Saravana Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Praveen Raj
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to P. Praveen Raj.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Clearance

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gupta, P., Misra, S., Kumar, S.S. et al. Relevance of Posterior Gastric Vessel in Bariatric Surgery. OBES SURG 30, 5167–5169 (2020). https://doi.org/10.1007/s11695-020-04949-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-020-04949-8

Keywords

Search

Navigation