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Collateral mesenteric circulation.

D F Fisher, W J Fry

Surgery, Gynecology & Obstetrics

|May 1, 1987

Summary

This summary is machine-generated.

This study clarifies confusing historical terms for mesenteric arteries and highlights the meandering mesenteric artery

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Area of Science:

Vascular anatomy
Surgical anatomy
Gastrointestinal surgery

Background:

Historical terminology for mesenteric arteries, including the Arc of Riolan and marginal artery of Drummond, causes confusion.
Atherosclerosis can alter mesenteric blood flow patterns, impacting collateral circulation.
The meandering mesenteric artery is a crucial collateral between the superior and inferior mesenteric arteries.

Purpose of the Study:

To clarify the origins and nomenclature of historical mesenteric artery terms.
To emphasize the role of the meandering mesenteric artery in collateral circulation.
To discuss methods for assessing the safety of ligating the inferior mesenteric artery origin and preventing intestinal necrosis during surgery.

Main Methods:

Review of historical anatomical terminology.

Related Experiment Videos

Discussion of mesenteric anatomy and pathophysiology.

Analysis of surgical procedures affecting mesenteric blood flow.

Main Results:

The study traces the origins of terms like "Arc of Riolan" and "marginal artery of Drummond," noting inherent confusion.
It stresses the importance of the meandering mesenteric artery as a key collateral pathway.
Preoperative and intraoperative methods to assess the safety of ligating the inferior mesenteric artery origin are discussed.

Conclusions:

Clarifying terminology is essential for accurate communication in vascular and gastrointestinal surgery.
Understanding the meandering mesenteric artery's collateral function is vital for preventing postoperative intestinal ischemia.
Surgical planning must consider potential impacts on mesenteric blood flow to avoid complications like necrosis.