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Gastrocolic Ligament
The gastrocolic ligament is a portion of the greater omentum that stretches from the greater curvature of the stomach to the transverse colon. It forms part of the anterior wall of the lesser sac. Dividing the gastrocolic ligament provides access to the anterior pancreas and the posterior wall of the stomach. This is commonly done for Whipple procedures, distal pancreatectomy, some forms of the Roux-en-Y gastric bypass, and exploratory laparotomy An exploratory laparotomy is a general surgical operation where the abdomen is opened and the abdominal organs are examined for injury or disease. It is the standard of care in various blunt and penetrating trauma situations in which there may be .... References External links * - "Abdominal Cavity: The Greater Omentum" Description at umich.edu Abdomen {{ligament-stub ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Greater Omentum
The greater omentum (also the great omentum, omentum majus, gastrocolic omentum, epiploon, or, especially in animals, caul) is a large apron-like fold of visceral peritoneum that hangs down from the stomach. It extends from the greater curvature of the stomach, passing in front of the small intestines and doubles back to ascend to the transverse colon before reaching to the posterior abdominal wall. The greater omentum is larger than the lesser omentum, which hangs down from the liver to the lesser curvature. The common anatomical term "epiploic" derives from "epiploon", from the Greek ''epipleein'', meaning to float or sail on, since the greater omentum appears to float on the surface of the intestines. It is the first structure observed when the abdominal cavity is opened anteriorly (from the front). Structure The greater omentum is the larger of the two peritoneal folds. It consists of a double sheet of peritoneum, folded on itself so that it has four layers. The two layers o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Transverse Colon
In human anatomy, the transverse colon is the longest and most movable part of the colon. Anatomical position It crosses the abdomen from the ascending colon at the right colic flexure (hepatic flexure) with a downward convexity to the descending colon where it curves sharply on itself beneath the lower end of the spleen forming the left colic flexure (splenic flexure). In its course, it describes an arch, the concavity of which is directed backward and a little upward. Toward its splenic end there is often an abrupt U-shaped curve which may descend lower than the main curve. It is almost completely invested by the peritoneum, and is connected to the inferior border of the pancreas by a large and wide duplicature of that membrane, the transverse mesocolon. It is in relation, by its upper surface, with the liver and gall-bladder, the greater curvature of the stomach, and the lower end of the spleen; by its under surface, with the small intestine; by its anterior surface, with t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lesser Sac
The lesser sac, also known as the omental bursa, is a part of the peritoneal cavity that is formed by the lesser and greater omentum. Usually found in mammals, it is connected with the greater sac via the omental foramen or ''Foramen of Winslow''. In mammals, it is common for the lesser sac to contain considerable amounts of fat. Anatomic margins ;Anterior margin: listed from the top-to-bottom margin: Quadrate lobe of the liver, lesser omentum, stomach, gastrocolic ligament ;Lateral margin: listed from the most anterior to the most posterior margin: Gastrosplenic ligament, spleen, phrenicosplenic ligament ;Posterior margin: Left kidney and adrenal gland, pancreas ;Inferior margin: Greater omentum ;Superior margin: Liver If any of the marginal structures rupture their contents could leak into the lesser sac. If the stomach were to rupture on its anterior side though the leak would collect in the greater sac. The lesser sac is formed during embryogenesis from an infolding of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pancreas
The pancreas is an organ of the digestive system and endocrine system of vertebrates. In humans, it is located in the abdomen behind the stomach and functions as a gland. The pancreas is a mixed or heterocrine gland, i.e. it has both an endocrine and a digestive exocrine function. 99% of the pancreas is exocrine and 1% is endocrine. As an endocrine gland, it functions mostly to regulate blood sugar levels, secreting the hormones insulin, glucagon, somatostatin, and pancreatic polypeptide. As a part of the digestive system, it functions as an exocrine gland secreting pancreatic juice into the duodenum through the pancreatic duct. This juice contains bicarbonate, which neutralizes acid entering the duodenum from the stomach; and digestive enzymes, which break down carbohydrates, proteins, and fats in food entering the duodenum from the stomach. Inflammation of the pancreas is known as pancreatitis, with common causes including chronic alcohol use and gallstones. Becaus ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Stomach
The stomach is a muscular, hollow organ in the gastrointestinal tract of humans and many other animals, including several invertebrates. The stomach has a dilated structure and functions as a vital organ in the digestive system. The stomach is involved in the gastric phase of digestion, following chewing. It performs a chemical breakdown by means of enzymes and hydrochloric acid. In humans and many other animals, the stomach is located between the oesophagus and the small intestine. The stomach secretes digestive enzymes and gastric acid to aid in food digestion. The pyloric sphincter controls the passage of partially digested food ( chyme) from the stomach into the duodenum, where peristalsis takes over to move this through the rest of intestines. Structure In the human digestive system, the stomach lies between the oesophagus and the duodenum (the first part of the small intestine). It is in the left upper quadrant of the abdominal cavity. The top of the stomach lies ag ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Whipple Procedure
A pancreaticoduodenectomy, also known as a Whipple procedure, is a major surgical operation most often performed to remove cancerous tumours from the head of the pancreas. It is also used for the treatment of pancreatic or duodenal trauma, or chronic pancreatitis. Due to the shared blood supply of organs in the proximal gastrointestinal system, surgical removal of the head of the pancreas also necessitates removal of the duodenum, proximal jejunum, gallbladder, and, occasionally, part of the stomach. Anatomy involved in the procedure The most common technique of a pancreaticoduodenectomy consists of the en bloc removal of the distal segment (antrum) of the stomach, the first and second portions of the duodenum, the head of the w:pancreas#Structure, pancreas, the common bile duct, and the gallbladder. Lymph nodes in the area are often removed during the operation as well (lymphadenectomy). However, not all lymph nodes are removed in the most common type of pancreaticoduodenectom ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Distal Pancreatectomy
In medicine, a pancreatectomy is the surgical removal of all or part of the pancreas. Several types of pancreatectomy exist, including pancreaticoduodenectomy (Whipple procedure), distal pancreatectomy, segmental pancreatectomy, and total pancreatectomy. In recent years, the TP-IAT (Total Pancreatectomy with Islet Autotransplantation) has also gained respectable traction within the medical community. These procedures are used in the management of several conditions involving the pancreas, such as benign pancreatic tumors, pancreatic cancer, and pancreatitis. Indications It is performed for a variety of reasons, including: * Inflammation ** Necrotising pancreatitis ** Chronic pancreatitis with pain * Trauma * Neoplasms ** Adenocarcinoma (85%) ** Cystadenoma (mucinous/serous) ** Cystadenocarcinoma ** Islet cell tumors (neuroendocrine tumors) ** Papillary cystic neoplasms ** Lymphoma ** Acinar cell tumors * Severe hyperinsulinemic hypoglycemia Types The most common surgical proc ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Roux-en-Y Gastric Bypass
Gastric bypass surgery refers to a technique in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different gastric bypass procedures (GBP). Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food. The operation is prescribed to treat morbid obesity (defined as a body mass index greater than 40), type 2 diabetes, hypertension, sleep apnea, and other comorbid conditions. '' Bariatric surgery'' is the term encompassing ''all'' of the surgical treatments for morbid obesity, not just gastric bypasses, which make up only one class of such operations. The resulting weight loss, typically dramatic, markedly reduces comorbidities. The long-term mortality rate of gastric bypass patients has ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Exploratory Laparotomy
An exploratory laparotomy is a general surgical operation where the abdomen is opened and the abdominal organs are examined for injury or disease. It is the standard of care in various blunt and penetrating trauma situations in which there may be life-threatening internal injuries. It is also used in certain diagnostic situations, in which the operation is undertaken in search of a unifying cause for multiple signs and symptoms of disease, and in the staging of some cancers. During an exploratory laparotomy, a large incision is made vertically in the middle of the abdomen to access the peritoneal cavity, then each of the quadrants of the abdomen is examined. Various other maneuvers, such as the Kocher maneuver, or other procedures may be performed concurrently. Overall operative mortality ranges between 10% and 20% worldwide for emergent exploratory laparotomies. Recovery typically involves a prolonged hospital stay, sometimes in the intensive care unit, and may include rehabili ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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