BV and Nerves of Abdomen Flashcards
What are examples of unpaired aortic branches?
Celiac trunk
Superior mesenteric A
Inferior mesenteric C
What are the main branches off the celiac trunk?
Common hepatic A
Splenic A
L gastric A
What are the branches off L gastric A?
esophageal branches
What are the branches off Splenic A?
Posterior gastric A
Pancreatic A
Short gastric A
L gastroepiploic A
What does the common hepatic A divide into?
Gastroduodenal A
Proper hepatic A
What are the branches off gastroduodenal A?
superior pancreaticoduodenal A
R gastroepiploic A
What are the branches off proper hepatic A?
R gastric A
L hepatic A
R hepatic A
———> cystic A
What are the branches off Superior Mesenteric A?
Inferior pancreaticoduodenal A Jejunal A Ileal A R colic A Middle colic A Ileocolic A
What are the brances off Inferior Mesenteric A?
L colic A
Sigmoid A
Superior Rectal A
What supplies the distal esophagus?
L gastric A
What arteries supply the stomach?
L gastric A R gastric A L gastroepiploic A R gastroepiploic A Posterior gastric A Short gastric A --> by default, splenic A and gastroduodenal A
What dupplies the duodenum proximal to the bile duct?
- Gastroduodenal A
- Superior Pancreaticoduodenal A
- Inferior Pancreaticoduodenal A
What are the foregut organs?
- Distal esophagus
- Stomach
- Duodenum prox to bile duct
- Liver
- Gallbladder (and cystic duct)
- Pancreas
- Spleen
What blood supplies the liver?
Hepatic portal vein
What supplies the hepatic bile ducts?
Proper hepatic A
What supplies the gallbladder/cystic duct?
Cystic A
What supplies the pancreas?
Superior and Inferior Pancreaticoduodenal As (by default–> gastroduodenal A and splenic A)
What supplies the spleen?
Splenic A
What are the organs of the midgut?
- Duodenum (after bile duct)
- Jejunum
- Ileum
- Cecum
- Appendix
- Ascending Colon
- Transverse Colon (proximal 2/3)
What supplies the duodenum distal to the bile duct?
Superior and Inferior Pancreaticoduodenal As
What supplies the jejunum?
Branches from superior mesenteric A
What supplies the ileum?
- Branches from superior mesenteric A
- Ileocolic A
What supplies the cecum?
Ileocolic A
What supplies the appendix?
Appendicular As from superior mesenteric A
What supplies the ascending colon?
- Ileocolic A
- R colic A
What supplies the proximal 2/3 of transverse colon?
Middle colic A
What are the structures of the hindgut?
- distal 1/3 Transverse Colon
- Descending colon
- Sigmoid colon
- Rectum
- Anal canal
What supplies the distal 1/3 transverse colon?
Middle colic A
What supplies the descending colon?
L colic A
What supplies the sigmoid colon?
Sigmoidal A
What supplies the proximal rectum?
Superior rectal A
What supplies the middle rectum?
Middle rectal A via Internal Iliac A
What supples the distal rectum and anal canal?
Inferior rectal A via Internal Pudendal A
What parasympathetic divisions supply GI?
Ant/Post Vagal Trunks
Pelvis Splanchnic N
What sympathetics supply GI?
Thoracic, Lubar and Sacral Splanchnic Ns
What are the divisions of the thoracic splanchnic N?
Greater splanchnic N
Lesser splanchnic N
Least splanchnic N
Greater splanchnic N
T5-T9
synapses celiac ganglion
What does the greater spanchnic N supply?
esophagus, stomach, spleen, pancreas, liver, biliary system, duodenum, greater omentum
Lesser splanchnic N
T10-T11
synapse superior mesenteric ganglion
What does the lesser splanchnic N supply?
within branches of SMA
–> jejunum, ileum, cecum, asc colon, trans colon
Least splanchnic N
T12
synapses aorticorenal ganglion
What does the least splanchnic N supply?
within renal A–>kidneys
What are the lumbar splanchnic N divisions?
L1 and L2–> IMA
L3 and L4-5–> sup and inf hypogastric pexuses
What do the first and second lumbar splanchnic N supply?
desc colon
sigmoid colon
proximal rectum
What do the third and fourth lumbar splanchnic N supply?
Ureter, pelvic cavity and perineum
Sacral splanchnic N
S1-5
synapse in inferior hypogastric plexus
What do the sacral splanchinc N supply?
via pudendal N and internal iliac A–> organs of pelvic cavity and perineum
Where does the Vagus N terminate in GI?
Enteric plexuses in walls of organs
—> stomach, liver, pancreas, SI, cecum, Asc colon, Trans colon
Where do the pelvic splanchnic N terminate in GI?
Enteric plexuses in desc colon, sigmoid colon, rectum, anal canal, urogenital organs
What makes up enteric nervous system?
myenteric plexus
—>motility, gastric gland secretion
submucosal plexus
——> SI, exocrine and endocrine secretion, micromotility, IMMUNE activity