Embryologically the stomach is derived entirely from the foregut and
this is reflected in its blood supply coming wholly from the coeliac axis.
The past two decades have seen a dramatic decline in the need for surgical
intervention in acid-peptic disease. This has been due largely to the
advent of proton-pump inhibitors and to the discovery of a medically
treatable microbial cause for most cases of peptic ulcer disease. In the
present day, operations for gastric neoplastic disease and bariatric surgery
collectively account for most of the major gastric surgical procedures
in adults.