blood vessels of the GI Flashcards

1
Q

where are the foregut, mid gut and hind gut spanning to and from

A

foregut; oesophagus to the duodenum
mid gut: major duodenal papilla to the last third of the transverse colon
hindgut: the rest of the transverse colon to the rectum

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2
Q

what are the branches off of the abdominal aorta and their spinal levels of their divisions

A

celiac trunk: T12
superior mesenteric artery: L1
renal and gonadal arteries L2
inferior mesenteric artery: L3
the bifurcation of the aorta to the common iliac arteries: L4

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3
Q

what major branch of the aorta supply the foregut, midgut and hindgut

A

foregut is the celiac trunk\
midgut is the superior mesenteric artery
hindgut is the inferior mesenteric artery

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4
Q

what are the three major divisions of the celiac trunk

A

left gastric artery
common hepatic artery
splenic artery

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5
Q

where does the left gastric artery supply

A

the lesser curvature of the stomach

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6
Q

what blood vessels supply the pancreas

A

the splenic artery is most of it plus the spleen
the gastroduodenal artery is there as well

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7
Q

what are the branches off of the splenic artery and where do they supply

A

pancreatic branches
short gastric artery goes to the fundus of the stomach
left gastroepiploic artery is to the greater curvature of the stomach

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8
Q

what does the left gastric artery stem from and whats it supply

A

comes off of the coeliac trunk and supplies the lesser curvature of the stomach

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9
Q

what does the left gastroepiploic artery stem from and what does it supply

A

comes off of the splenic artery and supplies the greater curvature of the stomach

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10
Q

what does the short gastric artery come off of and what does it supply

A

comes off of the splenic artery and supplies the fundus of the stomach

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11
Q

what are the branches of the common hepatic artery and what do they supply

A

right gastric artery goes to the lesser curvature of the stomach
proper hepatic artery - off of this are the left and right hepatic arteries to the liver, and the cystic artery to the gall bladder
gastroduodenal artery which gives off the right gastroepiploic which supplies the greater curvature of the stomach

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12
Q

where does the right gastroepeploic artery come from and what does it supply

A

it comes from the gastroduodenal artery which comes from the celiac trunk. and it supplies the greater curvature of the stomach

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13
Q

where do the cystic artery and the left and right hepatic arteries come from and what do they supply

A

they all come off of the proper hepatic artery which is from the common hepatic artery.
L&R supply the liver
cystic artery supplies the gall bladder

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14
Q

where does the right gastric artery come from and what does it supply

A

comes off of the common hepatic artery from the celiac trunk. it supplies the lesser curvature of the stomach

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15
Q

what are the branches of the superior mesenteric arteries and what do they supply

A

jejunal arteries - jejunum
ileal arteries - ileum
ileocolic arteries - terminal ileum, cecum and vermiform appendix
right colic artery - ascending colon
middle colic artery - transverse colon (first 2/3)

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16
Q

what are the vasa recta

A

these are small arterial branches off od the intestinal arteries

17
Q

how do the vasa recta differ between the jejunum and the ileum

A

in the jejunum they are longer whereas the ileum they are shorter

18
Q

where do the jejunal and the ileal arteries stem from and what do they supply

A

jejunal - jejunum
ileal - ileum
both come from the superior mesenteric artery

19
Q

where does the ileocolic artery come from and whats its supply

A

supplies the terminal ileum, the cecum and the vermiform appendix. it comes from the superior mesenteric artery

20
Q

where do the right colic artery and the middle colic artery come from and what do they supply

A

right colic supplies the ascending colon
the middle colic supplies the transverse colon
both come from the superior mesenteric artery

21
Q

what vessels are between the superior mesenteric artery and the inferior mesenteric arteries

A

the renal arteries and the gonadal arteries

22
Q

what does the inferior mesenteric artery supply

A

the hind gut. the end of the transverse colon, the left splenic flexure and the rest of the colon to the rectum

23
Q

what are the branches from the inferior mesenteric artery and what do they supply

A

left colic artery - divides to the ascending branch for the rest of the transverse colon, and the descending branch for the descending colon
the sigmoid artery for the sigmoid colon
superior rectal artery for the rectum.

24
Q

where does the superior rectal artery come from and what does it supply

A

comes from the inferior mesenteric artery and supplies the rectum

25
where does the sigmoid artery come from and what doesit supply
the sigmoid colon coming from the inferior mesenteric artery
26
where do the ascending branch and descending branch come from and what do they supply
both come from the left colic artery which itself comes from the inferior mesenteric artery the ascending branch supplies the remainder of the transverse colon the descending branch supplies the descending colon
27
what are the marginal arteries
these are anastomoses between the colic arteries. so the left right and middle colic arteries
28
what are the hepatic veins and where do they drain to
these are the left, middle and right hepatic veins draining the lobes of the liver. these all drain into the inferior vena cava
29
as a general rule of thumb what can we say about the venous drainage of the GI system
the IMV, SMV and the splenic vein roughly drain where their arteries supply
30
what makes up the inferior mesenteric vein
the superior rectal vein and the cplic veins
31
what makes the hepatic portal vein
the superior mesenteric vein, the inferior mesenteric vein and the left gastric vein - left gastric a wee bit further up though
32
where does the PNS innervation of the GI system come from
the vagus nerve and the pelvic splanchnic nerve
33
where does the SNS innervation to the GI system come from
the splanchnic nerves which come from the prevertebral arteries
34
what are the sphlanic arterues and their origin
greater - T5-T9 lesser - T10-T11 least - T12
35
where do each of the splanchnic nerves supply
greater T5-T9 - foregut lesser T10-T11 - mid gut least T12 - hindgut