Abstract:

In recent years, bariatric and metabolic surgery has developed rapidly in China. However, due to the small operating space for obese patients, the short splenic-gastric ligament, and abnormal anatomy of some superior splenic arteries, it is easy to damage the superior splenic artery during the process of freeing the body and fundus of the stomach. Once bleeding occurs, it is very difficult to stop the bleeding. In this paper, based on the clinical experience of our center, we review the relevant anatomy around the gastric fundus, hoping to attract the attention of bariatric and metabolic surgeons, so as to effectively avoid intraoperative injury and bleeding of the superior splenic artery as much as possible.

Key words: Bariatric surgery, Metabolic surgery, Superior splenic artery, Anatomy