Blood Suppy to GIT Flashcards

1
Q

What is the blood supply to the cervical part of the oesophagus?

A

Inferior Thyroid Artery - From thyrocervical trunk - From 1st part of subclavian a.

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2
Q

What is the blood supply to the thoracic part of the oesophagus

A

Esophageal branch from the Thoracic Aorta

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3
Q

What are are the main arteries that supply the Intra-abdominal part of the GIT

A

Branches from the Aorta on the anterior aspect

Foregut: Celiac Trunk

Midgut: SMA

Hindgut: IMA

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4
Q

What makes up the foregut, midgut and hindgut

A

The midgut is from below the Major Duodenal Papillae up until the distal 1/3 of the Transverse Colon
Work out the rest.

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5
Q

What is the main arterial supply of the mouth

A

External Carotid A

Common Carotid A

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6
Q

What is the origin of the Celiac Trunk and what are its branches?

A

From just below the aortic hiatus at T12

Branches:
Left gastric
Common hepatic
Splenic

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7
Q

What are the relations of the Celiac Trunk

A

Anterior:
-Omental bursa

Right side:

  • Right CCeliac Ganglion
  • Right Crus of the Diaphragm
  • Caudate Process of Liver

Left side:

  • Left celiac Ganlion
  • Left crus of Diaphragm
  • Cardia of Stomach

Inferior:

  • Upper border of Pancreas
  • Splenic vein
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8
Q

Which part of the stomach does the left gastric a. supply

A

Lesser curvature

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9
Q

What are the branches of the Left Gastric A

A

Oesophageal and Gastric branches

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10
Q

What are the branches of the Splenic A.

A

Numerous pancreatic A
Short gastric
Post. gastric
Left gastro-omental

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11
Q

Which artery runs in the gastrosplenic ligament

A

Left gastro-omental

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12
Q

What are the branches of the Common Hepatic A

A

Right gastric

Gastroduodenal:

  • Right gastro-omental
  • Ant/post superior pancreaticoduodenal

Small Pyloric
Hepatic Artery Proper (Terminal and then splits)
Cystic A (from Right Hepatic A)
Supraduodenal (sometimes)

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13
Q

In which functional lobe does the caudate and quadrate lobes lie

A

Functional Left Lobe
Sections 1-4

Sections 5-8 make up the Functional Right Lobe

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14
Q

Which is the artery that supplies the gallbladder

A

Cystic A. from the Right Hepatic A.

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15
Q

What makes up the foregut that the coeliac trunk supplies

A

Abdominal GIT until the part of descending duodenum at the opening of the bile duct.

Liver and Gall Bladder
Greater Part of Pnacreas (Head, Neck and Body)
Spleen

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16
Q

What is the origin of the superior mesenteric artery

A

1cm below coeliac trunk

At L1 vertebra

17
Q

What are the SMA relations

A

Posterior to:

  • neck of pancreas
  • Splenic vein

Anterior to:

  • Left renal vein
  • Uncinate process of pancreas
  • 3rd part of duodenum
18
Q

What are the branches of the SMA

A
Inferior Pancreatocoduodenal
Middle Colic
Right Colic (Marginal Colic comes off this)
Jejulnal Branches
Ilieal Branches

Ileocolic Trunk
-Ileal branch
-Caecal branch
Appendicular branch

19
Q

What is the origin of the Inferior Mesenteric Artery

A

At L3 vertebra

4cm above bifurcation of Aorta

20
Q

What are the branches of the Inferior Mesenteric Artery

A

Left Colic
Sigmoidal
Superior Rectal (essentially continuation of IMA)

21
Q

What does the Left Colic A. supply

A

Branch of Inferior Mesenteric A.

Supplies Distal 1/3 of Transverse Colon

22
Q

What is the embroylogical derivative of the GIT

A

Endodermal in origin

23
Q

What supplies the Distal Segment of the Anal Canal

A

Middle Rectal A (From the Inferior Vesical A of Internal Iliac)
Inferior Rectal A (of Internal Pudendal A of Internal Iliac)

24
Q

What are the points of Arterial Anastomoses of the GIT

A

1:

  • Superior Pancreaticoduodenal A. (of Coeliac)
  • Inferior Pancreaticoduodenal A (of SMA)

2:

  • Middle Colic A (of SMA)
  • Left Colic A (of IMA)

3:

  • Superior Rectal A (of IMA)
  • Inferior Rectal A (of Internal Pudendal A)
25
Q

What are the sites of Porto-systemic Anasomoses

A
Gastro-oesophageal Junction
Anorectal Junction
Paraumbilical Region
Bare Area of Liver
Colic Flexures
Visceral Surface of Liver
26
Q

Explain the anastomosis at the Gastro-oesophageal junction

A

Portal:
-Oesophageal tributaries from Left Gastric Vein

Systemic:
-Oesophageal br. (drain into Azygous Vein)

Clinical:
-Oesophageal or gastric varices

27
Q

Explain the anastomosis at teh Anorectal Junction

A

Portal:
-Superior Rectal V

Systemic:
-Middle and Inferior Rectal Veins

Clinical:
-Rectal varices / Haemorroids / Piles

28
Q

Explain the anastomosis at the Paraumbilical Junction

A

Portal:
-Persistant Umbilical V (due to high pressure)

Systemic:
-Peri-umbilical brances (of Sup. and Inf. Epigastric Veins)

Clinical:
-Caput Medusae

29
Q

Explain the anastomosis at the Bare Area of the Liver

A

Portal:
-Branches of the Right Portal Vein, lying in liver tissue exposed to bare area

Systemic:
-Retroperitoneal Veins (drain into Lumbar, Azygos and Hemiazygos Veins)

Clinical:
-Dilated veins at risk during surgery

30
Q

Explain the anastomosis at the Colic Flextures

A

Portal:

  • Omental V.
  • Colonic V.

Systemic:
-Retroperitoneal V. (drain into veins of Ant. Abd. Wall)

Clinical:
No clinical name

31
Q

Explain the anastomosis at the visceral surface of liver

A

Portal:
-Patent ductus venosus (patent due to high pressure)

Systemic:
-IVC

Clinical:
-Is rare

32
Q

Which artery can get in the way of surgery due to duodenal ulcerations

A

Gastroduodenal Artery

33
Q

Which arteries of the GIT are “end arteries” that can cause fibrosis to organs if occluded?

A

Splenic Artery

Appendicular Artery

34
Q

What is the cause of Left Sided Varicocele

A

Pressure of SMA on Left Renal Vein

35
Q

What is the cause of Chronic Duodenal Ileus?

A

Pressure of SMA on duodenum.

Also called Superior Mesenteric Syndrome