[Verse 1] Celiac trunk splits three ways off the aorta's chest Left gastric, common hepatic, splenic — carved and pressed Left gastric climbs the lesser curve, sends a branch up high Esophageal ascending — tracing where the vessels lie Right gastric from the proper hepatic, sometimes common, sometimes GDA Both arteries converging where the lesser curvature holds sway Gastroduodenal drops behind the duodenum's wall Posterior ulcer erodes it — that's a hemorrhage call [Chorus] Celiac to left gastric, hepatic, splenic — three Map the variants or the patient bleeds on thee Station one through twelve, fourteen-v, sixteen D1 and D2 — know the nodal scene Replaced left hepatic — gastrohepatic ligament, feel Before you cut that tissue, check what's real [Verse 2] Greater curvature gets rich — right gastroepiploic from GDA Left gastroepiploic from the splenic, feeding from the other way Short gastrics branch from hilar vessels, five or six or four Posterior gastric from the splenic — half of patients carry more The submucosal network anastomoses wall to wall That's why conduit surgeons harvest stomach — tolerates the haul Embolization works because the collaterals compensate Devascularize extensively — the stomach holds its fate [Chorus] Celiac to left gastric, hepatic, splenic — three Map the variants or the patient bleeds on thee Station one through twelve, fourteen-v, sixteen D1 and D2 — know the nodal scene Replaced left hepatic — gastrohepatic ligament, feel Before you cut that tissue, check what's real [Verse 3] Replaced left hepatic from left gastric — fifteen to twenty percent It runs inside the gastrohepatic ligament before you dissect Replaced right hepatic from the SMA — posterolateral placement found Wrapping round the portal vein in the hepatoduodenal ground Common hepatic off the SMA — celiac stenosis too Median arcuate ligament compressing — GDA supplies the view Hepatic flow depends on GDA when celiac can't perfuse Clamp that artery carelessly and hepatic function you will lose [Bridge] Venous drainage — coronary vein to portal, right and left gastric flow Right gastroepiploic joins the gastrocolic trunk below Into the SMV through Henle's trunk — remember how it goes Short gastrics and left gastroepiploic drain to splenic as it flows Splenic vein thrombosis — sinistral hypertension, left-side only Varices form at the cardia where portosystemic paths get lonely
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