Document Detail

Palisading longitudinal esophagus vessels at esophago-gastric junction.
MedLine Citation:
PMID:  18613353     Owner:  NLM     Status:  MEDLINE    
BACKGROUND/AIMS: Endoscopically, as a marker of the EGJ (Esophago-gastric Junction), the most distal end of the palisading longitudinal esophagus vessels (PLEVs) is useful. The aim of this study is to clarify the origin of PLEVs. METHODOLOGY: The present study included 10 patients who underwent esophagectomy and proximal gastrectomy. Vascular injection of radiopaque medium was performed for fresh resected specimens. Subsequently, specimens were opened longitudinally, pinned on a corkboard, and fixed overnight in 4% buffered formaldehyde. Injected vessels were simultaneously examined macroscopically, radiographically, and histopathologically. The injection medium consisted of liquid barium (providing radiopacity), 3% agarose gel (1g/100 mL H2O, providing stability) and carmin (providing macroscopical visibility with red color). Five cases were performed via veins and the other 5 cases via arteries. RESULTS: All vein-injected and longitudinally-opened specimens showed PLEVs around EGJ. Red color stained thin vessels were superficially recognized at almost the same density of vascularity as radiopraphically examined vessels. Macroscopic and radiographic images were easily superimposed concoding PLEVs and EGJ. On the other hand, there are no cases demonstrating PLEVs by artery-injected images. Histopathologically, PLEVs were apparent in the lamina propria mucosae just above muscularis mucosae. PLEVs penetrate obliquely from oral to distal in the submucosa at EGJ. PLEVs were positive for CD31 but negative for D2-40. CONCLUSIONS: PLEVs are the stream of superficial veins, not arteries.
Tahahiro Sato; Yo Kato
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  55     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2008 Mar-Apr
Date Detail:
Created Date:  2008-07-10     Completed Date:  2008-12-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  305-7     Citation Subset:  IM    
Gastrointestinal Surgery, Gastrointestinal Center, Saitama Medical University International Medical Center, Hidaka, Japan.
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MeSH Terms
Esophagogastric Junction / anatomy & histology,  blood supply*
Esophagus / anatomy & histology,  blood supply*

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