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Surgery

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Surgery

All18 General surgery3 Colorectal2 HPB2 Upper GI6 Surgical oncology3 Emergency and trauma3 Clinical signs and scores2 Operative techniques3

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Stomach: surgical anatomy

J-shaped foregut organ from the cardia (T11) to the pylorus (L1); antrum lacks parietal and chief cells.

Surgery · Upper GI

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Blood supply of the stomach

Five named arteries from the coeliac trunk form lesser and greater curvature arcades; veins drain to the portal system.

Surgery · Upper GI

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Vagal innervation of the stomach

Anterior (left) and posterior (right) vagal trunks give hepatic, coeliac and gastric divisions; nerves of Latarjet supply the antrum.

Surgery · Upper GI

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Duodenum: surgical anatomy

C-shaped, 25–30 cm, from pylorus to duodenojejunal flexure around the pancreatic head; retroperitoneal except the first 2.5 cm.

Surgery · Upper GI

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Blood supply of the duodenum

Anterior and posterior pancreaticoduodenal arcades join the gastroduodenal artery (coeliac) to the superior mesenteric artery.

Surgery · Upper GI

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Lymphatic drainage of the stomach and duodenum

Gastric lymph follows the arteries through 20 numbered stations to the coeliac nodes; duodenal lymph drains to pancreaticoduodenal nodes.

Surgery · Upper GI

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