1020 THE VASCULAE SYSTEM. 



in association with the right gastric artery. It receives afferents from the pylorus, 

 and its efferents end in the sub-pyloric glands. 



(#) The Eight Gastro-epiploic Glands lie along the lower part of the greater 

 curvature of the stomach, in association with the right gastro-epiploic artery. 

 Their afferents are from the adjacent parts of the anterior and posterior surfaces 

 of the stomach and their efferent* pass to the sub-pyloric glands. 



(h) The Left Supra-pancreatic Glands of Jamieson and Dobson (lympho- 

 glandulse pancreaticolienales, B.N.A.) lie along the course of the splenic artery 

 and in the gastro-splenic ligament : they receive afferents from the left part of the 

 stomach and from the spleen. Their eff events pass to the middle supra-pancreatic 

 glands. 



(*) The Right Supra -pancreatic Glands (J. and D.) lie in relation with the stem of 

 the hepatic artery as it passes through the right gastro-pancreatic fold. They 

 receive afferents directly from the pyloric part of the stomach and the liver, and 

 give off efferents to the middle supra-pancreatic glands. 



(f) The Sub-pyloric Glands (J. and D.). The sub-pyloric lymph glands lie at 

 the right border of the omental bursa, in the angle between the superior and 

 descending parts of the duodenum, between the head of the pancreas posteriorly 

 and the peritoneum of the posterior wall of the great sac anteriorly. Their afferents 

 are from the right gastro-epiploic glands, the right gastric gland, and from the pyloric 

 portion of the stomach. The efferents pass to the middle supra-pancreatic glands. 



(&) The Biliary Lymph Glands (J. and D.) lie along the line of the bile duct. 

 They receive afferents from the gall-bladder and liver. One of the lower glands 

 of the group, which lies posterior to the head of the pancreas, close to the lower 

 end of the bile-duct, is associated, by direct afferents, with the upper part of the 

 pylorus. Their efferents pass to the right and middle supra-pancreatic glands. 



The highest member of the series is associated with the cystic artery and the 

 gall-bladder and is called the cystic gland. 



Lymphoglandulae Hepaticse (B.N.A.) The Hepatic Lymph Glands of the Basle 

 nomenclature are a few small glands which lie in the region of the porta hepatis, 

 between the layers of the lesser omentum ; they receive afferents from the liver 

 and give efferents to the right supra-pancreatic glands (J. and D.). 



Lymphoglandulae Mesentericse (B.N.A.) The Mesenteric Lymph Glands lie 

 between the layers of the mesentery, where they form three main groups : (a) a 

 series of juxta-intestinal glands which lie close to the walls of the small gut ; (&) 

 an intermediate series of larger glands which lie in relation with the trunks of the 

 rarai intestinales of the superior mesenteric artery; and (c) a terminal group of 

 large glands which lie round the upper part of the stem of the superior mesenteric 

 artery. They receive lymph from all parts of the small intestine, from the 

 caecum, the vermiform process, the ascending colon, the transverse colon, and the 

 part of the descending colon. Their efferents unite to form a common intestinal 

 trunk, which enters the cisterna chyli. 



The Lymph Glands of the Caecum and the Vermiform Process and the Terminal 

 part of the Ileum. The lymph glands particularly associated with the terminal 

 part of the ileum, the csecum and its vermiform process, according to Jamieson and 

 Dobson, are (1) the ileal, (2) the anterior ileo-colic, (3) the posterior ileo-colic, 

 and (4) the appendicular. All these glands give off vessels which pass to the 

 larger ileo-colic glands which lie along the ileo-colic branch of the superior 

 mesenteric artery. 



The Ileal Glands lie in the lower part of the mesentery. They receive afferents 

 from the lower part of the ileum and give efferents to the main ileo-colic glands. 



An Appendicular Lymph Gland is sometimes met with in the mesentery of the 

 vermiform process. When it is present it may be associated with the vessels which 

 pass from any part of the vermiform process. Its efferents pass to the main ileo- 

 colic glands. 



The Anterior Ileo-colic Glands, 1-4, lie in the anterior ileo-colic fold of peritoneum. 

 Their afferents are derived from the anterior part of the caecum and the root of the 

 vermiform process, and efferents pass to the main ileo-colic glands. 



The Posterior Ileo-colic Glands, more numerous than the anterior, lie in the 



