Anatomy Of ESOphagus Flashcards

1
Q

Define esophagus

A

Is a collapsible muscular tube that conveys food

from pharynx to stomach

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2
Q

Esophagus Extends from the————-
to——————
Esophagus

A

lower border of cricoid cartilage (C6)
To
gastro-esophageal junction

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3
Q

Esophagus Passes through

A

neck, thorax (enters the superior
mediastinum and then the posterior mediastinum), and
abdomen

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4
Q

Esophagus Lies between the——- anteriorly and the ———posteriorly

A

trachea

vertebral
column

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5
Q

Esophagus Pierces the diaphragm through

A

opening called the

esophageal hiatus

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6
Q

Esophagus ends in the

A

superior portion of

the stomach

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7
Q

Food passes through the esophagus rapidly because of

A

the peristaltic action of its musculature, aided by but
not dependent on gravity (one can still swallow if
inverted).

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8
Q

In the neck- esophagus is related to-

Anterior

A

trachea, thyroid,

recurrent laryngeal nerves

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9
Q

In the neck- esophagus is related to-

On each side:

A

thyroid lobes

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10
Q

In the neck- esophagus is related to

Left side:

A

thoracic duct

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11
Q

Thoracic esophagus passes through the ————in

the right crus of diaphragm at—- level (to the left of median plane) and becomes the abdominal part of the esophagus

A

esophageal hiatus ,T10

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12
Q

Esophagus - Thoracic

Anterior relationship

A
Trachea, 
right pulmonary artery, 
pericardium, 
left atrium, and
left bronchus
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13
Q

Esophagus - Thoracic

Posterior relationship

A

Vertebral column,
thoracic duct,
azygos vein,
thoracic aorta

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14
Q

Esophagus Is attached to the margins of the esophageal hiatus in the diaphragm
by

A

phrenicoesophageal ligament

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15
Q

phrenicoesophageal ligament is an

A

extension of inferior diaphragmatic fascia.

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16
Q

phrenicoesophageal ligament connects

A

the esophagus flexibly to the diaphragm;

17
Q

phrenicoesophageal ligament Limits?

while permitting?

A

upward movement of the esophagus

some movement during swallowing and respiration.(independent movement of the diaphragm and
esophagus during respiration and swallowing.)

18
Q

Awareness of Natural constrictions

is important why?

A

when passing instruments through esophagus

when viewing radiographs of patients who are experiencing dysphagia (difficulty in swallowing).

19
Q

Constrictions are the common sites of

A

cancer

20
Q

Natural constrictions

Are

A

Cervical constriction
Thoracic (broncho-aortic) constriction
Diaphragmatic constriction

21
Q

Cervical constriction:

caused by

A

cricopharyngeus muscle;

22
Q

Cervical constriction:

referred to clinically as the

A

upper esophageal sphincter.

23
Q

Cervical constriction located

A

at its beginning at the pharyngoesophageal junction, approximately 15 cm from the incisor teeth;

24
Q

Thoracic (broncho-aortic) constriction:

Is a ——— constriction

A

compound

25
Q

Thoracic (broncho-aortic) constriction:

a compound constriction where it is first crossed by?
Then?

A

1-arch of the aorta, 22.5 cm from the incisor teeth
2-is crossed by left main bronchus, 27.5 9 inch
cm from the incisor teeth

26
Q

Diaphragmatic constriction:

where it passes through the

A

esophageal hiatus of the

diaphragm, approximately 40 cm from the incisor teeth.

27
Q

Abdominal Esophagus
——— shaped ,

Is about 40 cm from the incisor teeth in adult.

A

Trumpet

28
Q

Abdominal Esophagus

Is slightly broader at the——- than at the diaphragmatic aperture.

A

cardiac orifice

29
Q

Abdominal Esophagus

Lies to the left of the midline behind ———and enters
abdomen through———-(formed by the two diaphragmatic
crura) at T10

A

left 7th costal cartilage

esophageal hiatus

30
Q

Abdominal Esophagus

Runs obliquely to the left and slightly posteriorly, andends at
————at—— (continuous with cardiac orifice of
stomach).

A

gastroesophageal junction T11

31
Q

Abdominal Esophagus

Lies posterior to

A

left lobe of the liver

32
Q

Abdominal Esophagus

Lies ant to

A

left crus, left inferior

phrenic vessels and left greater and lesser splanchnic nerves