Recall of gut anatomy wanes and waxes,
So let’s quickly recap the coeliac axis,
The first of three vessels to supply the intestine,
The content of these vessels normally fluid and sanguine;

#SurgEd @roux_group #SoMe4Surgery @ASiTofficial
Arising from the aorta, at the level of T12,
From beneath the arcuate, into the abdomen it does delve,
Enters lesser sac, then divides into three,
At the upper border of ‘The Queen’, like an inverted tree;
COMMON HEPATIC is first, and heads off to the Right,
Gives off GDA and RIGHT GASTRIC, when liver’s in sight,
‘PROPER HEPATICS’ to the liver blood do serve,
The RIGHT GASTRIC does the same, to the stomachs lesser curve;
The GASTRODUODENAL, needs a verse for itself,
Gives off RIGHT GASTROEPIPLOIC, supporting greater curve like a shelf,
ANT and POST PANCREATICO, DUODENAL artery,
And DUODENAL branches, can cause bleeding ulcer misery;
Next main branch is SPLENIC, which heads off to the ….. spleen,
From origin to destination, gives of branches between,
First are PANCREATIC branches, which keep ‘herself’ bright,
And the LEFT GASTROEPIPLOIC, which meets up with the RIGHT;
The last of the coeliac branches, is LEFT GASTRIC, that’s right,
Which heads down the lesser curve, until it’s partner in crime is in sight,
That’s coeliac axis, which supplies foregut and friends,
From gullet in the abdomen, to duodenum where it bends.

THE END

#SurgEd

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More from @ChaseSurgical

28 Jul
My take on teamwork in healthcare…for what it’s worth. 😄#SurgEd

Ada from Lincoln, 4 score years and seven,
Had lived a good life, she was destined for heaven,
Developed a pain, down in her left groin,
Decided to fight, that it wasn’t her time;
Called up her practice to book an appointment,
They listened intently, suggested some ointment,
Explained ‘if things get worse, call 999’,
They couldn’t see her, just didn’t have time;
Later that evening, as she entered ED,
A stressed looking nurse, complained about the GP,
‘They just send you all in, don’t do nowt at all,
Waste of time picking, the phone up to call’;
Read 13 tweets

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