Anatomy Flashcards
What makes up the GI system?
Mouth Oesophagus Stomach Pancreas Duodenum Liver Biliary system Jejenum Ileum Caecum Ascending colon Transverse colon Descending colon Sigmoid colon Rectum Anus
What is the nervous control of the gut?
Autonomic nervous system
Enteric nervous system
Where does the parasympathetic supply from the gut come from?
Vagus nerve
Pelvic splanchnic nerves
What does the vagus nerve supply?
Foregut + midgut
Where do the pelvic splanchnic nerves originate?
S2-4
What do the pelvic splanchnic nerves supply?
Motor supply to the hindgut
Where does the sympathetic supply from the gut come from?
Greater splanchnic nerve
Lesser splanchnic nerve
Least splanchnic nerve
Where does the greater splanchnic nerve originate?
T5-9
What ganglion does the greater splanchnic nerve synapse at?
Coeliac ganglion
What does the greater splanchnic nerve supply?
Foregut
Where does the lesser splanchnic nerve originate?
T10-11
What ganglion does the lesser splanchnic nerve synapse at?
Aorticorenal ganglion
What does the lesser splanchnic nerve supply?
Midgut
Where does the least splanchnic nerve originate?
T12
What ganglion does the least splanchnic nerve synapse at?
Aorticorenal ganglion
What does the least splanchnic nerve supply?
Hindgut
What is the coeliac plexus?
Plexus of nerves in the upper abdomen
What nerves make up the coeliac plexus?
Greater splanchnic
Lesser splanchnic
Vagus
What does the coeliac plexus innervate?
Pain/sensory supply from foregut + midgut
What are the main plexuses in the enteric nervous system?
Submucosal plexus
Myenteric plexus
What is the submucosal plexus also known as?
Meissner’s plexus
Where is the submucosal plexus found?
Submucosa
What does the submucosal plexus provide?
Sensory + parasympathetic supply
What is the myenteric plexus also known as?
Auerbach’s plexus
Where is the myenteric plexus found?
Mucosa - in between circular and longitudinal muscle
What does the myenteric plexus provide?
Motor + sympathetic + parasympathetic supply
What makes up the foregut?
Oesophagus Stomach Pancreas Liver Gallbladder Duodenum - proximal to bile duct
What makes up the midgut?
Duodenum - distal to bileduct Jejunum Ileum Caesum Ascending colon Proximal 2/3 transverse colon
What makes up the hindgut?
Distal 1/3 transverse colon Descending colon Sigmoid colon Rectum Upper anal canal
What is the arterial supply to the foregut?
Coeliac trunk
What is the arterial supply to the midgut?
Superior mesenteric artery
What is the arterial supply to the hindgut?
Inferior mesenteric artery
When does the abdominal aorta start?
T12 - when it crosses the diaphragm
When does the abdominal aorta bifurcate?
L4 - into common iliac arteries
How many branches of the abdominal aorta are there?
9
What are the branches of the abdominal aorta?
Inferior phrenic arteries Coeliac artery Superior mesenteric artery Middle suprarenal arteries Renal arteries Gonadal arteries Inferior mesenteric artery Median sacral artery Lumbar arteries
What level do the inferior phrenic arteries branch from the abdominal aorta?
T12 - posteriorly
What do the inferior phrenic arteries supply?
Diaphragm
What level does the coeliac artery branch from the abdominal aorta?
T12 - anteriorly
What does the coeliac artery supply?
Forms the coeliac trunk
- liver
- stomach
- abdominal oesophagus
- spleen
- superior duodenum
- superior pancreas
What level does the SMA branch from the abdominal aorta?
L1 - anteriorly
What does the SMA supply?
Distal duodenum Jejunum Ileum Ascending colon Proximal 2/3 transverse colon
What level do the middle suprarenal arteries branch from the abdominal aorta?
L1 - posteriorly
What do the middle suprarenal arteries supply?
Adrenal glands
What level do the renal arteries branch from the abdominal aorta?
L1-2 - laterally
What do the renal arteries supply?
Kidneys
What level do the gonadal arteries branch from the abdominal aorta?
L2 - laterally
What do the gonadal arteries supply?
Males - testicles
Females - ovaries
What level does the IMA branch from the abdominal aorta?
L3 - anteriorly
What does the IMA supply?
Distal 1/3 of transverse colon
Descending colon
Sigmoid colon
Rectum
What level does the median sacral artery branch from the abdominal aorta?
L4 - posteriorly
What does the median sacral artery supply?
Coccyx
Lumbar vertebrae
Sacrum
What levels do the lumbar arteries branch from the abdominal aorta?
L1-4 - posterolaterally
What do the lumbar arteries supply?
Abdominal wall
Spinal cord
What are the major branches of the coeliac trunk?
Left gastric
Splenic
Common hepatic
What is the path of the left gastric artery?
Ascends across diaphragm - gives off oesophageal branches
Continues along lesser curve of stomach
Anastomoses with right gastric
What is the path of the splenic artery?
Travels posterior to stomach along superior margin of pancreas
Contained within the splenorenal ligament
Terminates at spleen
What branches does the splenic artery give off?
Left gastroepiploic
Short gastrics
Pancreatic branches
What does the left gastroepiploic artery supply?
Greater curve of stomach
What do the short gastrics supply?
Fundus of the stomach
What do the pancreatic branches supply?
Body + tail of pancreas
What is the path of the common hepatic artery?
Travels past the superior aspect of the duodenum
Divides into
- proper hepatic artery
- gastroduodenal artery
What are the branches of the proper hepatic artery?
Right gastric
Right hepatic
- branch = cystic artery
Left hepatic
What does the right gastric artery supply?
Pylorus
Lesser curve of stomach
What does the right hepatic artery supply?
Right lobe of liver
What does the left hepatic artery supply?
Left lobe of liver
What does the cystic artery supply?
Gall bladder
What is the path of the gastroduodenal artery?
Descends posterior to superior portion of the duodenum
What are the branches of the gastroduodenal artery?
Right gastroepiploic
Superior pancreaticoduodenal
What does the right gastroepiploic artery supply?
Greater curve of the stomach
Greater omentum
What does the superior pancreaticoduodenal artery supply?
Head of the pancreas
What are the main parts of the stomach?
Fundus - top Body - main part Antrum - base Lesser curve - short edge Greater curve - long edge
What are omenta?
Structures formed of folded layers of peritoneum that attach to the stomach
What are the 2 omenta?
Greater
Lesser
What are the greater omenutum’s attachments?
Attaches from greater curvature of the stomach to transverse colon
What is the role of the greater omentum?
Contains many lymph nodes
- GI immunity
Assists attachment to abdominal wall