WordNet

a major thoroughfare that bears important traffic
a blood vessel that carries blood from the heart to the body (同)arteria, arterial blood vessel
belonging to or prescribed for celiac disease; "a celiac diet"

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動脈 / (道路・水路・鉄道などの)勘線,(通信の)主チャンネル
腹[腔]の,腸にある

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/11/26 08:28:24」(JST)

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The celiac (or coeliac) artery, also known as the celiac trunk, or truncus coeliacus, is the first major branch of the abdominal aorta. It is 1.25 cm in length, in a horizontal direction. Branching from the aorta at T12 vertebra in humans, it is one of three anterior/ midline branches of the abdominal aorta (the others are the superior and inferior mesenteric arteries).

Structure

There are three main divisions of the celiac artery, and each in turn has its own named branches.

Artery	Branches
left gastric artery	esophageal branch, stomach branch
common hepatic artery	proper hepatic artery, right gastric artery, gastroduodenal artery
splenic artery	dorsal pancreatic artery, short gastric arteries, left gastro-omental artery, greater pancreatic artery

The celiac artery may also give rise to the inferior phrenic arteries.

Function

Showing the total extent of the celiac trunk and its branches.

The celiac artery supplies oxygenated blood to the liver, stomach, abdominal esophagus, spleen and the superior half of both the duodenum and the pancreas. These structures correspond to the embryonic foregut. (Similarly, the superior mesenteric artery and inferior mesenteric artery feed structures arising from the embryonic midgut and hindgut respectively. Note that these three anterior branches of the abdominal aorta are distinct and cannot substitute for one another, although there are limited connections between their terminal branches.)

The celiac artery is an essential source of blood, since the interconnections with the other major arteries of the gut are not sufficient to sustain adequate perfusion. Thus it cannot be safely ligated in a living person, and obstruction of the celiac artery will lead to necrosis of the structures it supplies.

Drainage

The coeliac artery is the only major artery that nourishes the abdominal digestive organs that does not have a similarly named vein.

Most blood returning from the digestive organs (including from the area of distribution of the coeliac artery) is diverted to the liver via the portal venous system for further processing and detoxification in the liver before returning to the systemic circulation via the hepatic veins.

In contrast to the drainage of midgut and hindgut structures by the superior mesenteric vein and inferior mesenteric vein respectively, venous return from the coeliac artery is through either the splenic vein emptying into the hepatic portal vein or via smaller tributaries of the portal venous system.

Additional images

The celiac artery and its branches. (Lienal artery is an old term for splenic artery. The stomach is raised and inverted - compare with image above.)
Abdominal part of digestive tube and its attachment to the primitive or common mesentery. Human embryo of six weeks.
The pancreas and duodenum from behind.
Posterior abdominal wall, after removal of the peritoneum, showing kidneys, suprarenal capsules, and great vessels.
The anterior surfaces of the kidneys, showing the areas of contact of neighboring viscera.
Front of abdomen, showing surface markings for arteries and inguinal canal.
Arteries and veins around the pancreas and spleen.
Celiac trunk

External links

Wikimedia Commons has media related to Celiac artery.

Anatomy figure: 38:01-09 at Human Anatomy Online, SUNY Downstate Medical Center - "Branches of the celiac trunk."
Anatomy figure: 40:05-01 at Human Anatomy Online, SUNY Downstate Medical Center - "Parietal and visceral branches of the abdominal aorta."
celiac+%28arterial%29+trunk at eMedicine Dictionary
celiactrunk at The Anatomy Lesson by Wesley Norman (Georgetown University)
MedEd at Loyola Radio/curriculum/Vascular/hema144A.jpg

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における腹痛の鑑別診断 differential diagnosis of abdominal pain in adults
2. 小児におけるセリアック病の臨床症状および診断 clinical manifestations and diagnosis of celiac disease in children
3. セリアック病の診断 diagnosis of celiac disease
4. 成人におけるセリアック病の病因、疫学、および臨床症状 pathogenesis epidemiology and clinical manifestations of celiac disease in adults
5. 6ヶ月以上の乳幼児、小児、および思春期における体重減少の評価 evaluation of weight loss in infants over six months of age children and adolescents

English Journal

Abdominal vagal afferent pathways and their distributions of intraganglionic laminar endings in the rat duodenum.

Wang FB, Young YK, Kao CK.SourceDepartment of Psychology, National Chung Cheng University, Chiayi, Taiwan. psyfbw@ccu.edu.tw
The Journal of comparative neurology.J Comp Neurol.2012 Apr 1;520(5):1098-113. doi: 10.1002/cne.22812.
We examined abdominal vagal afferents (n = 33) and the distributions of their intraganglionic laminar endings (IGLEs) in the duodenum. Rats (male, Sprague-Dawley) received a partial subdiaphragmatic vagotomy that spared a single branch. Wheat germ agglutinin-horseradish peroxidase (0.5-1.0 μl) was
PMID 22102316

Demonstration of the dorsal pancreatic artery by CTA to facilitate superselective arterial infusion of stem cells into the pancreas.

Lin Y, Yang X, Chen Z, Tan J, Zhong Q, Yang L, Wu Z.SourceDepartment of Medical Imaging, Fuzhou General Hospital of Nanjing Military Area Command of Chinese PLA, Fuzhou 350025, Fujian Province, China.
European journal of radiology.Eur J Radiol.2012 Mar;81(3):461-5. Epub 2011 Feb 11.
PURPOSE: To investigate the diagnostic performance of 64-section CTA in the detection of dorsal pancreatic artery before interventional therapy for patients with diabetes.MATERIALS AND METHODS: The study was approved by the institutional ethics committee; written informed consent was obtained. Forty
PMID 21316172

Important technical remarks on distal pancreatectomy with en-bloc celiac axis resection for locally advanced pancreatic body cancer (with video).

Tanaka E, Hirano S, Tsuchikawa T, Kato K, Matsumoto J, Shichinohe T.SourceDivision of Cancer Diagnostics and Therapeutics, Hokkaido University Graduate School of Medicine, Sapporo, 060-8638, Japan. etanaka@gj9.so-net.ne.jp
Journal of hepato-biliary-pancreatic sciences.J Hepatobiliary Pancreat Sci.2012 Mar;19(2):141-7.
BACKGROUND: We have already reported the feasibility, safety, and excellent long-term results of distal pancreatectomy with en-bloc celiac axis resection (DP-CAR) for locally advanced pancreatic body cancer. An international standard for the surgical technique of DP-CAR has yet to be established.MET
PMID 22076669

[Exogenous hydrogen sulfide attenuates gastric ischemia-reperfusion injury via activation of K(ATP) channel].

Zou JH, Qiao WL, Wang GM, Ma HJ, Qi YJ, Sun H, Yan CD.SourceDepartment of Physiology; Laboratory of Neurobiology, Xuzhou Medical College, Xuzhou 221002, China. E-mail: yancd55@163.com.
Sheng li xue bao : [Acta physiologica Sinica].Sheng Li Xue Bao.2012 Feb 25;64(1):27-32.
The present study aimed to investigate the protective effect and mechanism of hydrogen sulfide donor NaHS administration against gastric mucosal injury induced by gastric ischemia-reperfusion (GI-R) in rats. GI-R injury was induced by clamping the celiac artery of adult male SD rats for 30 min and f
PMID 22348957

Japanese Journal

脾動脈結紮を伴う生体肝移植後に脾動脈症候群を呈した一例

佐藤太祐,八木孝仁,貞森裕,松田浩明,篠浦先,楳田祐三,吉田龍一,内海方嗣,藤原俊義
岡山医学会雑誌 123(3), 207-211, 2011-12-01
… After orthotopic liver transplantation, splenic artery syndrome (SAS), a phenomenon by which the main blood flow of the impaired hepatic artery is shifted to the splenic artery or gastroduodenal artery despite the absence of a structural lesion involving the anastomosis, has occasionally been observed. …
NAID 120003659848

通常の経動脈的アプローチ不能の多発肝細胞癌症例に対し経皮経肝的アプローチにて選択的リピオドール併用肝動脈化学療法を施行した1例

木田直也,高島英隆,西川剛史,冨樫弘一,田中新司,森川淳一郎,石本武史,宮澤一博,向所賢一,安居幸一郎
肝臓 52(10), 687-694, 2011-10-25
NAID 10029822536

腹腔動脈瘤が併存した巨大脾動脈瘤に対し瘤切除術, 血行再建術を施行した1例

佐藤雄哉,地引政利,工藤敏文,菅野範英,井上芳徳
日本血管外科学会雑誌 = The Japanese journal of vascular surgery : official journal of the Japanese Society for Vascular Surgery 20(5), 777-782, 2011-08-25
NAID 10029537707

5.腹腔動脈合併尾側膵切除術(DP-CAR)の適応と問題点(<特集>膵癌診療の現況と課題)

高田実,近藤哲,平野聡,三浦巧
日本外科学会雑誌 112(3), 177-181, 2011-05-01
NAID 110008661876

Related Pictures

★リンクテーブル★

リンク元	「腹腔動脈」
関連記事	「celiac」

「腹腔動脈」

Celiac artery
	The celiac artery and its branches. (Celiac artery visibile at center.)
	Surface projections of the major organs of the trunk, showing celiac artery in middle
Details
Latin	Truncus coeliacus, arteria coeliaca
Source	abdominal aorta
Branches	left gastric artery; common hepatic artery; splenic artery
Precursor	vitelline arteries
Identifiers
Gray's	p.603
MeSH	A07.231.114.207
Dorlands; /Elsevier	t_20/12825991
TA	A12.2.12.012
FMA	FMA:14812
	Anatomical terminology

　　[★]

英: celiac trunk (M,N,KH,KL,KA), celiac artery (Z)

図：KL.404

由来

腹大動脈

走行

大動脈裂孔の直下(T12)で腹大動脈から分岐

枝

腹腔動脈	腹大動脈で横隔膜の大動脈裂孔のすぐ遠位	ただちに分かれて,左胃動脈,脾動脈,総肝動脈となる	食道,胃,十二指腸(胆管よりも近位部),肝臓,胆汁路,膵臓
左胃動脈	腹腔動脈	後腹膜を上行して食道裂孔に至り,そこで肝胃間膜の2葉のあいだを通る	食道の遠位部と胃の小窩
脾動脈	腹腔動脈	後腹膜を膵臓の上緑に沿って走り,それから脾腎ヒダの2葉のあいだを脾門まで走る	膵体,脾臓,胃の大網
左胃大網動脈	脾動脈で脾門の近く	胃脾間膜の葉のあいだを通り,胃の大雪に向かう	胃の大考の左側
短胃動脈	脾動脈で脾門の近く	胃脾間膜の葉のあいだを通り,胃底に向かう	胃底
肝動脈	腹腔動脈	後腹膜を走って肝十二指腸間膜に至り,その葉のあいだを走って関門に達し,2本に分かれて右および左肝動脈となる	肝臓,胆嚢,胃,膵臓,十二指腸,肝臓の各葉
胆嚢動脈	右肝動脈	肝十二指腸問膜の中で起こる	胆嚢と胆管
右胃動脈	肝動脈	肝胃間膜の葉のあいだを走る	胃の小琴の右側
胃十二指腸動脈	肝動脈	後腹膜を下行し,胃十二指腸境界の後方を通る	胃,膵臓,十二指腸の第1部,胆管の遠位部
右胃大網動脈	胃十二指腸動脈	大網の葉のあいだを走り,胃の大雪に至る	胃の大雪の右側
前上膵十二指腸動脈および後上膵十二指腸動脈	胃十二指腸動脈	膵頭を下行する	十二指腸の近位部と膵頭
前下膵十二指腸動脈および後下膵十二指腸動脈	上腸間膜動脈	後腹膜で膵頭を上行する	十二指腸の遠位部と膵頭

Henry Gray (1825-1861). Anatomy of the Human Body. 1918.

「celiac」

　　[★]

adj.

腹腔の

関: abdominal、abdominal cavity、coeliac、peritoneal cavity

匿名

検索

案内

案内

celiac artery