In human anatomy, the left gastric artery arises from the celiac artery and runs along[1] the superior portion of[citation needed] the lesser curvature of the stomach before anastomosing with the right gastric artery (which runs right to left[citation needed]). It also issues esophageal branches[1] that supply lower esophagus and ascend through the esophageal hiatus to form anastomoses with the esophageal branches of thoracic part of aorta.[citation needed]

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Left gastric artery
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The left gastric artery and other branches of the celiac artery (stomach in situ). Left gastric artery identified near lesser curvature.
Thumb
Left gastric artery is at #2 -- the upper of the two arrows.
Details
SourceCeliac artery
Identifiers
Latinarteria gastrica sinistra
TA98A12.2.12.013
TA24212
FMA14768
Anatomical terminology
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Anatomy

Origin

The LGA usually arises from (the superior aspect of) the coeliac trunk - sometimes as a terminal branch of a trifurcation, and more rarely as a side branch of the splenic artery or of common hepatic artery.[2]

Course

From the crus of diaphragm, the LGA arches obliquely anterior-ward and to the left to reach the left curvature of the stomach just inferior to the gastric cardia (thus erecting the gastropancreatic (peritoneal) fold).[2]

Fate

Upon reaching the cardia, the LGA splits into two terminal branches - a ventral one and a dorsal one - which anastomose with corresponding terminal branches of the right gastric artery, together providing arterial supply to the lesser curvature of the stomach.[2]

Branches

Besides its terminal ventral branch and dorsal branch, the LGA yields multiple side branches: the left lateral hepatic artery, posterior esophageal artery, anterior esophagocardiotuberous artery, branches to lymph nodes, and omental branches.[2]

Clinical significance

In terms of disease, the left gastric artery may be involved in peptic ulcer disease: if an ulcer erodes through the stomach mucosa into a branch of the artery, this can cause massive blood loss into the stomach, which may result in such symptoms as hematemesis or melaena.

Additional images

References

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