Gastrointestinal blood supply

Vivian Imbriotis | Jan. 18, 2026

Arterial supply:

Coeliac trunk

  • Left gastric
  • Splenic
  • Common hepatic

Superior mesenteric artery:

  • Inferior pancreaticoduodenal
  • intestinal branches
  • right and middle colic arteries

Inferior mesenteric:

  • left colic
  • sigmoid
  • superior rectal


Coeliac trunk supplies:

Abdominal oesophagus

Stomach

Spleen

Liver

Superior half of pancreas + duodenum


SMA supplies:

Inferior half of pancreas + duodenum

All of jejunum and ileum

Colon to splenic flexure


IMA supplies:

Colon from splenic flexure


Venous drainage (portal):

  • Superior + inferior mesenteric vein, join to become
  • Portal vein, drains via liver to
  • IVC

Other venous drainage:

  • Oesophagus drained by azygous
  • Lower rectum and anus by middle rectal artery \(\to\) IVC