esophageal vein

Left gastric vein

The Left gastric vein (or coronary vein) derives tributaries from both surfaces of the stomach; it runs from right to left along the lesser curvature of the stomach, between the two layers of the lesser omentum, to the esophageal opening of the stomach, where it receives some esophageal veins.

It then turns backward and passes from left to right behind the omental bursa and ends in the portal vein.

Esophageal and paraesophageal varices are primarily supplied by the left gastric vein and typically drain into the azygous/hemiazygous venous system.

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