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The neuronal supply to the gastrointestinal (GI) tract is essential for regulating various functions, including digestion, absorption, and movement of food. This intricate network of nerves is known as the enteric nervous system (ENS), often referred to as the "second brain" of the body.
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Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
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Gastrocolic Trunk: Anatomical Variations and Surgical Significance.

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The Henle gastrocolic trunk, a common but variable vein, is most often the gastropancreatocolic type. Understanding its complex anatomy is vital for safe surgical dissection in abdominal procedures.

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Area of Science:

  • Surgical Anatomy
  • Vascular Anatomy
  • Minimally Invasive Surgery

Background:

  • The Henle gastrocolic trunk is a variable venous structure crucial in abdominal surgery.
  • Its variability impacts procedures like right colectomy and pancreaticoduodenectomy.

Purpose of the Study:

  • To systematically review and classify Henle trunk configurations and tributary patterns.
  • To highlight the anatomical complexity and clinical significance of this venous structure.

Main Methods:

  • Systematic review adhering to PRISMA guidelines.
  • Literature search across PubMed/MEDLINE and Google Scholar databases.
  • Analysis of 21 publications involving 2,454 cases.

Main Results:

  • The Henle trunk was identified in 92.5% of cases.
  • The gastropancreatocolic (GPC) type was most prevalent (73.1%).
  • 38 unique venous confluences were documented, indicating significant anatomical heterogeneity.

Conclusions:

  • The Henle gastrocolic trunk exhibits considerable anatomical variability, predominantly the GPC type.
  • Knowledge of these variations is essential for safe surgical dissection.
  • Understanding Henle trunk anatomy improves operative planning and reduces vascular injury risk.