Return to search

Rela??es anat?micas entre a origem e a distribui??o da art?ria cel?aca no gato dom?stico. / Anatomical relationships of the origin and distribution of the celiac artery in the domestic cat.

Submitted by Sandra Pereira (srpereira@ufrrj.br) on 2017-05-30T16:11:15Z
No. of bitstreams: 1
2010 - B?rbara Xavier Silva.pdf: 1788178 bytes, checksum: 96ff6d70aeb442564d90879a261fb5f6 (MD5) / Made available in DSpace on 2017-05-30T16:11:15Z (GMT). No. of bitstreams: 1
2010 - B?rbara Xavier Silva.pdf: 1788178 bytes, checksum: 96ff6d70aeb442564d90879a261fb5f6 (MD5)
Previous issue date: 2010-08-27 / The knowledge of anatomical variations is important for radiological and surgical procedures
and has a theoretical and practical significance for experimental research and surgical practice
in domestic animals. The aim of this study was to describe the origin and measures of the
main branches of celiac artery in domestic cats of both sexes. The anatomical dissections were
performed on 30 cadavers of adult cats, 15 male and 15 female, with a rostrum-sacral length
of 47.9 cm and 46.6 cm respectively. Cats were positioned in right lateral decubit and a
thoracic incision was made to remove the 6th to 10th ribs to cannulate the thoracic portion of
aorta. The vascular system was fixated with 10% formaldehyde solution and then filled with
coloured Petrolatex S-65. After five days emerged in 10% formaldehyde solution, all the
animals were washed in current water. The celiac artery and its proximal branches were ?in
situ? dissected, lengthen and measured with a pachymeter. No organs were removed. The
average length and standard deviation of the celiac, lienal, left gastric and hepatic artery were
calculated and compared in both sexes by unpaired t test. To verify if the frequency
distributions observed for the 30 examined animals is in accordance with the literature, we
performed the Qui-square test, with a 5% level of significance, to test if the nullity hypothesis
is true for the origin of the celiac artery, number of gastric arteries, and the number of lienal
artery main ramifications. The relationship between the celiac, lienal, left gastric and hepatic
artery length, with rostrum-sacral length was calculated by the correlation coefficient ?r?
varying between -1 r +1. The celiac artery arose as a single artery in 15 (100%) females.
In males the celiac artery arose as a single artery in 12 (80%) cats; in three (20%) cats we
observed the presence of celiac-mesenteric trunk. The average length of the celiac artery in
females was 1.32 cm, and originated at the level of the 13th thoracic vertebra in two (13.3%)
animals, between the 13th and the 1st lumbar vertebra in one (6.7%) animal, at the level of 1st
lumbar vertebra in six (40%) cats, and between the 1st and 2nd lumbar vertebra in six (40%)
cats. The average length of the celiac artery in males was 1.27 cm, and originated at the level
of 13th thoracic vertebra in three (20%) animals, between 13th thoracic vertebra and 1st lumbar
vertebra in three (20%) animals, at the level of 1st lumbar vertebra in four (26.7%) animals,
between 1st and 2nd lumbar vertebra in one (6.7%) and at the level of the 2nd lumbar vertebra
in four (26.7%) animals. In female the gastrolienal trunk was the predominant morphological
arrangement (53.3%) with medium length of 0.31 cm. In males, the classic celiac trifurcation
was the predominant morphological arrangement (53.3%). No relation was observed between
the celiac, lienal, left gastric and hepatic artery length and the rostrum-sacral length in cats.
The origin of the celiac artery, number of gastric arteries, and the number of lienal artery main
ramifications are not gender dependent. / O conhecimento das varia??es anat?micas ? importante para procedimentos cir?rgicos e
radiol?gicos e tem um significado pr?tico e te?rico para a pesquisa experimental e a pr?tica
cir?rgica em animais dom?sticos. O objetivo deste estudo foi descrever a origem e medidas da
art?ria cel?aca e de suas ramifica??es em gatos de ambos sexos correlacionando seus valores
com o comprimento do animal. As dissec??es foram realizadas em 30 cad?veres de gatos
adultos, 15 machos e 15 f?meas, com m?dia do comprimento rostro-sacral de 47,9cm e 46,6
cm respectivamente. Os gatos foram posicionados em dec?bito lateral direito e feita uma
incis?o tor?cica para remo??o da 6? a 10? costelas para canula??o da por??o tor?cica da aorta.
Em seguida, o sistema vascular foi fixado com solu??o de formaldeido a 10% e preenchidos
com solu??o de Petrolatex S-65 corado. Ap?s cinco dias imersos em solu??o de formaldeido a
10%, todos os animais foram lavados em ?gua corrente. A art?ria cel?aca e seus ramos
proximais foram dissecados "in situ" e medidos com um paqu?metro. O comprimento m?dio e
desvio padr?o da art?ria cel?aca, lienal, g?strica esquerda e hep?tica foram calculados e
comparados em ambos os sexos atrav?s do teste t n?o pareado. Com o intuito de verificar se a
distribui??o de freq??ncias observadas para os 30 animais examinados est? de acordo com a
literatura, aplicou-se o teste do X2 (qui-quadrado) considerando o n?vel de signific?ncia 5%
para testar se a hip?tese de nulidade ? verdadeira, no que diz respeito a origem da art?ria
cel?aca, n?mero de art?rias g?strica, e n?mero de ramifica??es principais da art?ria lienal. Em
rela??o ao comportamento conjunto do comprimento da art?ria cel?aca, lienal, g?strica
esquerda e hep?tica em fun??o do comprimento rostro-sacral, optou-se por calcular o
coeficiente de correla??o ?r?, que pode variar entre -1 r +1. A art?ria cel?aca surgiu como
uma art?ria ?nica em 15 (100%) f?meas examinadas. Nos machos a art?ria cel?aca surgiu
como uma art?ria ?nica em 12 (80%) gatos e em tr?s (20%) gatos foi observada a presen?a do
tronco cel?aco-mesent?rico. O comprimento m?dio da art?ria cel?aca nas f?meas foi de 1,32
cm, emergindo em n?vel da 13? v?rtebra tor?cica em dois (13,3%) animais, entre a 13?
v?rtebra tor?cica e a 1? v?rtebra lombar em um (6,7%) animal, em n?vel da 1? v?rtebra lombar
em seis (40%) animais, e entre a 1? e 2? v?rtebra lombar em seis (40%) animais. O
comprimento m?dio da art?ria cel?aca no sexo masculino foi de 1,27 cm, emergindo em n?vel
da 13? v?rtebra tor?cica em tr?s (20%) animais, entre 13? v?rtebra tor?cica e 1? v?rtebra
lombar em tr?s (20%) animais, em n?vel da 1? v?rtebra lombar em quatro (26,7%) animais,
entre a 1? e 2? v?rtebra lombar em um (6,7%) e em n?vel da 2? v?rtebra lombar em quatro
(26,7%) animais. Nas f?meas o tronco gastro-lienal foi o arranjo morfol?gico predominante
(53,3%) com um comprimento m?dio de 0,31 cm. Nos machos, a trifurca??o cl?ssica da
art?ria cel?aca foi o arranjo morfol?gico predominante (53,3%). N?o foi observada rela??o
entre o comprimento da art?ria cel?aca, lienal, g?strica esquerda e hep?tica em fun??o do
comprimento rostro-sacral. A origem da art?ria cel?aca, n?mero de art?rias g?stricas e n?mero
de ramifica??es principais da art?ria lienal independem do sexo.

Identiferoai:union.ndltd.org:IBICT/oai:localhost:jspui/1706
Date27 August 2010
CreatorsSilva, Barbara Xavier
ContributorsFigueiredo, Marcelo Abidu, Scherer, Paulo Oldemar, Barbosa, Oscar Rosa, Albuquerque, Marta Fernanda
PublisherUniversidade Federal Rural do Rio de Janeiro, Programa de P?s-Gradua??o em Medicina Veterin?ria (Patologia e Ci?ncias Cl?nicas), UFRRJ, Brasil, Instituto de Veterin?ria
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da UFRRJ, instname:Universidade Federal Rural do Rio de Janeiro, instacron:UFRRJ
Rightsinfo:eu-repo/semantics/openAccess
RelationABDEL-SALAM, O. M. E., CZIMMER, J., DEBRECENI, A., SZOLCSAYI, J., MOZSIK, G. Gastric mucosal integrity: mucosal blood flow and microcirculation. Journal of Physiology, n 95, p. 105 ? 127, 2001. ABIDU-FIGEIREDO, M. et al. Variations of celiac artery in dogs: anatomic study for experimental, surgical and radiological practice. International Journal of Morphology, Chile, v. 23, n. 1, p. 37-42, 2005. ABIDU-FIGUEIREDO, M. et al. Celiac artery in New Zealand rabbit: Anatomical study of its origin and arrangement for experimental research and surgical practice. Pesquisa Veterin?ria Brasileira, Rio de Janeiro, v. 28, n. 5, p. 237-240, 2008. AHN, H.; JOHANSSON, K.; LINHAGEN, J. Local blood flow changes in association with proximal selective vagotomy. Scandinav Journal of Gastroenterology, v. 21, n. 8, p. 961- 964, 1986. AIKO, S. et al. Increased cheluminescence and ulcer development in the low blood flow state of the gastric tube for esophageal replacement. J. Clin. Gastroenterol., v. 17, p. 161-7, 1993. ALONSO, L. S. Aspectos macrosc?picos e microsc?picos da vasculariza??o sang??nea na parede do est?mago de eq?inos. 2005. 101f. Tese (Doutorado em Anatomia dos Animais Dom?sticos e Silvestres) - Faculdade de Medicina Veterin?ria e Zootecnia, Universidade de S?o Paulo, S?o Paulo. ALONSO, L. S. et al. Distribui??o arterial na superf?cie do est?mago de eq?inos e rela??o com a ?rea superficial do ?rg?o. Brazilian Journal of Veterinay Research and Animal Sciense, Brasil, v. 45, p. 320-326, 2008. ATALAR, O.; YLMAZ, S. The branches of the arteria celiaca in the porcupine (Hystrix cristata). Vet. Med., Czech, v. 49, n. 2, p. 52?56, 2004. BALLINGER, W. F.; PADULA, R. T.; CAMISHION, R. C. Mesenteric blood flow following total and selective vagotomy. Surgery, v. 57, p. 409-413, 1965. BEDNAROVA, Z.; MALINOVSKY, L. Ramification of celiac artery in the domestic cat. Folia Morphol., v. 34, n. 1, p. 36-44, 1984. BERG, R. Systematische Untersunchungen Uber das Verhalten der Aste der Aorta Abdominalis Bei Felis Domestica. Anat. Anz., Alemanha, v. 110, p. 239-50, 1961. BERGMAN, R. A. et al. Compendium of human anatomic variation: Catalog, Atlas and World Literature. Munich: Urban & Schwarzenberg, 1988. 607 p. BISAILLON, A. ; BH?RER, J. Gross anatomy of the arterial supply of the stomach of the North American beaver (Castor canadensis). Acta. Anatomica, v. 104, p. 79-85, 1979.37 BORELLI, V.; BOCCALLETTI, D. Ramifica??o das art?rias cel?aca e mesent?rica cranial no gato (Felis catus domestica). Rev. Fac. Med. Vet. Zootec., S?o Paulo, v. 11, p. 263-70, 1974. BRAND, M.I. et al. Surgical anatomy of the celiac artery and portal vein of the rat. Lab Anim Sci., EUA, v. 45, n. 1, p. 76-80, 1995. CAVALCANTE- FILHO, M. F. et al. Estudo comparativo sobre o suprimento arterial do est?mago do queixada (Tayassu pecari) e do cateto (Tayassu tajacu) [Linnaeus, 1789]. Braz. J. vet. Res. anim. Sci., S?o Paulo, v. 35, n. 1, p. 20-24, 1998. ?AVDAR, S. et al. Celiacomesenteric trunk. Clinical Anatomy, v.10, p.231?234, 1997. CHATELAIN, E. Vascularisation arterielle et veineuse des organs digestifs abdominaux et de leurs annexes chez le porc (Sus scrofa domesticus). I. Art?re coeliaque (A. coeliaca). Ann. Rech. V?t?r., v. 4, p. 437 ? 455, 1973. ?I?EKCIBA?I, A. E. et al.. A rare variation of the coeliac trunk. Ann Anat., v. 187, p. 387- 91, 2005. CULAU, P. O. V.; AZAMBUJA, R. C.; CAMPOS, R. Ramos colaterais viscerais da art?ria aorta abdominal em Myocastor coypus (nutria). Acta Scientiae Veterinariae, Rio Grande do Sul, v. 36, n. 3, p. 241-247, 2008. DYCE, K. M.; SACK, W. O.; WENSING, C. G. Tratado de Anatomia Veterin?ria. 2. ed., Rio de Janeiro: Guanabara Koogan, 1997. 663 p. ENGE, I.; FLATMARK, A. Selective coeliac and hepatic artery angiography in normal dogs. Scan. J. of Gastroent., Inglaterra, v. 7, p. 361-8, 1972. EVANS, H. E.; LAHUNTA, D. E. Guide to the dissection of the dog. 5. ed., Philadelphia: W. B. Saunders Company, 2000. 378 p. FARINON, A.M. et al. In tema de Anatomia Chirurgica dei Vasi Arteriosi Addominali Nei Piu Comuni Animali da Esperimento. Chir. & Pat. Sper., v. 32, n 1, p. 17-27, 1984. FERREIRA, F. A. et al. Origem das art?rias mesent?ricas cranial e caudal em fetos de caprinos da ra?a Saanen (Capra hircus ? Linnaeus, 1758). Braz J Vet Res Anim Sci, v.38, n.2, p. 69? 73, 2001. FERRER, J. et al. Pig pancreas anatomy: implications for pancreas procurement, preservation, and islet isolation. Transplantation, v. 86, n. 11, p. 1503-10, 2008. FIRBAS, W.; SINZINGER, H.; HOHENECKER, J. Die unpaaren Aste der Aorta abdominalis und die arterielle Versorgung der Leber bei der Laboratorium ratte und der Laboratoriumsmaus. Saugertierkundi Mitteil., v. 20, p. 359-366, 1972 a. FIRBAS, W.; SINZINGER, H.; HOHENECKER, J. Die unpaaren Aste der Aorta abdominalis und die arterielle Versorgung der Leber beim Meerschweinchen. Versuchstierk, v. 14, p. 189-196, 1972 b.38 GASANOV, A. B. Change blood supply of a pancreas after a resection of a stomach in conditions of a chronic pancreatitis. Georgian Med. News, v. 168, p. 120-4, 2009. GETTY, R. Anatomia dos animais dom?sticos. Vol 1. 5.ed. Rio de Janeiro: GuanabaraKoogan, 1986. 952 p. GOMES, M. et al. Vascular flow of the gastric fundus after arterial devascularization: an experimental study. J. Surg. Res., v. 152, n. 1, p. 128-34, 2009. GONCALEZ, P. O. et al. Origens e ramifica??es da art?ria cel?aca em fetos de su?nos (Sus scrofa domesticus - Linnaeus, 1758) da linhagem ?Rezende?. Biosci. J., Uberl?ndia, v. 19, n. 1, p. 87-95, 2003. GORDON, S. S. et al. Outcome following splenectomy in cats. . J Feline Med Surg., v. 12, n. 4, p. 256-61, 2010. HANSON, J. A. et al. Ultrasonographic appearance of splenic disease in 101 cats. Veterinary Diagnostic Imaging & Cytopathology, Clackamas, v. 42, n. 5, p. 441 ? 5, 2001. HASE, T.; MOSS, B. J. Microvascular changes of gastric mucosa in the development of stress ulcer in rats. Gastroenterology, v. 65, n. 2, p. 224 ? 234, 1973. HATTORI, T. On cell proliferation and differentiation of the fundic mucosa of the golden hamster. Fractographic study combined with microscopy and 3H-thymidine autoradiography. Cell and Tissue Research, v. 148, n.2, p. 213 ? 226, 1974. IIMURA, A. et al. An anomalous case of the hepatic artery arising from the superior mesenteric artery. Okajimas Folia Anat. Jpn., v. 84, n. 2, p. 61-5, 2007. IMADA, M.; TATSUMI, H.; FUJITA, H. Scanning electron microscopy of vascular architeture in the gastric mucosa of the golden hamster. Cell and Tissue Research, v. 250, n. 2, p. 287 - 293, 1987. IVANOV, E. V.; SHVEDOV, S. I. The blood supply of the organs of the abdominal cavity of the silver fox, the sable and the mink. Nauchnye Trudy Omskogo Veterinarnogo Institute, v. 30, p. 8 ? 12, 1974. JOHNSON, K. A. et al. Splenomegaly in dogs. Predictors of neoplasia and survival after splenectomy. J Vet Intern Med., v. 3, n. 3, p. 160-6, 1989. KENNEDY, H.N.; SMITH, A.W. An abnormal celiac artery in the dog. Vet. Record., Inglaterra, v. 10, p. 751, 1930. K?NIG, H. E.; LIEBICH, H. G. ?rg?os do sistema cardiovascular. In: Anatomia dos animais dom?sticos ? Texto e atlas colorido. Porto Alegre: Artmed, 2004. Cap.12, p. 153? 188. KOWATSCHEV, G. Uber die Variabilitat der Aster der Brust ? unti Bauchaorta bei Schaffoten. Anat. Anz., v. 122, p. 37 ? 47, 1968.39 LANCENFELD, M.; PASTEA, E. Anatomical variants of the celiac artery in sheep with special reference to the celiomesenteric arterial trunk. Anat Anz., v. 142, p. 168-74, 1977. LEVASSEUR, J. C.; COUINAUD, C. ?tude de la distribuition d?s art?ries gastriques: incidences chirurgicales. J. Chirurgie, v. 95, p. 161, 1968. LOPEZ-FUSTER, M. J.; VENTURA, J. Anatomical study of the abdominal arterial system in soricids (Insectivora, Mammalia): functional and phylogenetic implications. Anat. Rec., v. 248, p. 142?147, 1997. MACHADO, M. R. F.; MIGLINO, M. A.; HONSHO, D.K. Ramifica??es da art?ria cel?aca no est?mago de bubalinos S.R.D. (Bubalus bubalis, Linnaeus, 1758). Revista UNIMAR, Paran?, v. 19, n. 2, p. 565-571, 2000. MACHADO, M. R. F. et al. Origin of celiac and cranial mesenteric arteries in buffaloes (Bubalus bubalis, L. 1758). Braz. J. Vet. Res. Anim. Sci., S?o Paulo, v. 37, n. 2, p: 99-104, 2000. MALINOVSKY, L.; BEDNAROVA, Z. Ramification of the a. coeliaca in the hedgehog (Erinaceus concolor), Scripta Med., v. 58, p. 403?418, 1985. MARQUES, R. G. et al. Regeneration of splenic autotransplants. Ann. Hematol., v. 8, n. 6, p. 622-626, 2002. NICKEL, R; SCHUMMER, A; SEIFERLE, E. The Anatomy of the Domestic Animals. 1 ed. Berlin: Verlag Paul Parey, 1983. 610 p. NIZA, M. M. R. E. et al. Irriga??o arterial hep?tica em can?deo. Ver. Port. Ci?nc. Vet., Lisboa, v. 98, n. 546, p. 69-6, 2003. NYLANDER, G.; OLERUD, S. The vascular pattern of the gastric mucosa of the rat following vagotomy. Surg Forum., v. 112. p. 475-480, 1961. NONENT, M., et al. Coeliac bimesenteric trunk, anatomic and radiologic description: case report. Radiol., v. 220, p. 489-91, 2001. PEDUTI NETO, J.; SANTIS - PRADA, I. L. Origem das art?rias cel?aca e mesent?rica cranial, por tronco comum, em fetos de bovinos azebuados. Ver. Fac. Med. Vet., S?o Paulo, v. 8, p. 399- 402, 1970. PEREIRA-SAMPAIO, M. A.; FAVORITO, L. A. & SAMPAIO, F. J. B. Pig kidney: anatomical relationships between the intrarenal arteries and the kidney collecting system. Applied study for urological research and surgical training. J. Urol., v. 172, p. 2077-81, 2004. PERNECKY, A. Die aster der aorta abdominalis beim Meerschweinchen. Anat. Anz., v. 125, p. 443 ? 453, 1959. PETER, E. T. et al. Effect of vagal and sympathetic stimulation and ablation on gastric blood flow. Journal of American Medical Association., v. 183, n. 12, p. 1003-1005, 1963.40 PIASECKI, C. Observations on the submucous plexus and mucosal arteries of the dog?s stomach and first part of the duodenum. Journal of Anatomy, v. 119, p. 133 ? 148, 1975. ROZA, M. S; PESTANA, F.M; HERNANDEZ, J. M. F.; XAVIER-SILVA, B.; ABIDUFIGUEIREDO, M. Tronco Cel?aco-Mesent?rico em Gato. Revista Portuguesa de Ci?ncias Veterin?rias, v. 104, p. 569-572, 2009. SAGA, T. et al. An anomalous case of the left gastric artery, the splenic artery and hepatomesenteric trunk independently arising from the abdominal aorta. Kurume Med. J., v. 52, n. 1-2, p. 49 ? 52, 2005. SAMPAIO, F. J. B.; PEREIRA-SAMPAIO, M. A. & FAVORITO, L. A. The pig kidney as an endourologic model: anatomic contribution. J. endourol., EUA, v. 12, n. 1, p. 45-50, 1998. SCHALLER, O. Nomenclatura Anat?mica Veterin?ria Ilustrada. 1. ed. S?o Paulo: Manole, 1999, 614 p. SCHILLING, M. K. et al. First clinical experience with fundus rotation gastroplasty as a substitute for the oesophagus. Br. J. Surg., v. 84, n. 1, p. 126-8, 1997. SCHMIDT, D. P., SCHOENAU, L. S. F. Origem das art?rias cel?aca e mesent?rica cranial por tronco comum em c?o. Ci?ncia Rural, Santa Maria, v. 37, n. 2, p. 408-411, mar./abr. 2007. SCHMIDT, S.; LOHSE, C. L.; SUTER, P. F. Branching Pat-Terns of the hepatic artery in the dog: Arteriographic and anatomic study. Am. J. Vet. Res., EUA, v. 41, p. 1090-7, 1980. SCHULTZ, W. Der Magen- Darm- Kanal der Monotremen und Marsupialier. In: HELMEKE, J. G., STARCK, D., WERMUTH, H. Handbuch der Zoologie. Berlin: Walter de Gruyter, 1976, p. 1-117. SCHWARZE, E. Compendio de Anatomia Veterin?ria. 3. ed. Zaragoza: Acribia, 1970, 318p. SCHWARZE, E, MICHEL, G. Die arterielle Blutversor- gung des-Magen-Darm-Kanals, seiner Anhangsdr?sen und der Milz beim Syr. Goldhamster (Mesocricetus auratus ) Anat. Anz., v. 104, p. 419?430, 1957. SILVEIRA, L. A.; SILVEIRA, F. B. C.; FAZAN, V. P. S. Arterial diameter of the celiac trunk and its branches: anatomical study. Acta Cir. Bras, Brasil, v. 24, n.1, 2009. SINZINGER, H. F. et al. Les branches du tronc coeliaque et la circulation arterielle du foie du hamster. Okajimas Fol. Anat. Jap., v. 50, p. 1 ? 3, 1973. SIM?ES, F.C. et al. Lipidic profile among rats submitted to total splenectomy isolated or combined with splenic autotransplant. Acta Cir. Bras., S?o Paulo, v. 22, sulp.1, 2007. SHIVELY, M. J.; STUMP, J. E. The systemic arterial pattern of the guinea pig: The abdomen. Anatomical Record, v. 182, p. 355?366, 1975.41 SLEIGHT, D. R.; THOMFORD, N. R. Gross anatomy of the blood supply and biliary drainage of the canine liver. Anat. Record., EUA, v. 166, p. 153-60, 1970. SPANGLER, W. L.; CULBERTSON, M.R. Prevalence and type of splenic diseases in cats: 455 cases (1985-1991). J Am Vet Med Assoc., v. 201, n. 5, p. 773-6, 1992. STASZYK C, JACKOWIAK H, GODYNICKI S, GASSE H. Mucosal microvasculature of the gastric pars nonglandularis and margo plicatus in the horse: a scanning electron microscopic study on corrosion casts. Ann Anat., v. 183, n. 3, p. 255-259, 2001. SWINDLE, M. M.; SMITH, A.C.; HEPBURN, B. J. S. Swine as models in experimental surgery. J. Invest. Surg., Inglaterra, v. 1, n. 1, p. 65-79, 1988. UEO, H. et al. A reliable operative procedure for preparing a sufficiently nourished gastric tube for esophageal reconstruction. Am. J. Surg., v. 165, n. 2, p. 273-6, 1993. WATANABE, L. M. et al.. Altera??es morfol?gicas da curvatura menor do est?mago ap?s gastrectomia segmentar associada ? vagotomia g?strica proximal. Estudo experimental em c?es. Revista da Associa??o M?dica Brasileira, v. 46, n. 2, p. 126-133, 2000. WILLIAMS, P. L. et al. Gray?s Anatomy. 37 ed. New York: Churchill Livingstone, 1989. 815p.

Page generated in 0.0165 seconds