Chapter 7 Stomach & Intestines Flashcards
What is the stomach?
the dilated portion in the digestive system that acts as a food reservoir and is responsible for the early stages of digestion
What are the four major functions of the stomach?
- storage of food
- mechanical breakdown of food
- dissolution of chemical bonds via acids and enzymes
- production of intrinsic factor, which is necessary for the absorption of B_12
Where is the stomach located?
under the left dome of the diaphragm, with the superior portion joining the esophagus at the cardiac orifice creating and cardiac sphincter, creating the gastroesophageal junction
What are the two borders of the stomach?
- lesser curvature
2. greater curvature
What is the largest potion of the stomach called?
the body
What is the fundus of the stomach?
the superior surface of the body
What does the posterior surface of the stomach contact?
the pyloric antrum empties into the duodenum via the pyloric sphincter
What does in the anterior surface of the stomach contact?
the diaphragm, anterior abdominal wall, and left lobe of the liver
How is blood supplied to the stomach?
via the gastric, splenic, and gastroduodenal arteries; venous drainage corresponds to the arterial supply and drains into the portal system
What is located posterior to the stomach?
the spleen, left adrenal gland, kidney, and body and tail of the pancreas
What are rugae?
the prominent folds the stomach creates when the stomach is empty which allows it to expand with the ingestion of food
How long is the small intestine?
6-7 m long
What are the 3 subdivisions of the small intestine?
- duodenum
- jejunum
- ileum
Where is the small intestine located as a general?
between the pylorus and ileocecal valve
What is the duodenum?
the most proximal portion of the small intestine
What does the structure of the duodenum look like?
it begins at the gastric pylorus and curves around the head of the pancreas to create the letter “C”
Is the duodenum peritoneal or retroperitoneal?
mostly retroperitoneal
Describe the first portion of the duodenum
located in the anterior pararenal space and is formed by the first 2 inches of the duodenum; suspended in the abdomen by the hepatoduodenal ligament
Describe the second portion of the duodenum
the descending 4 inches of the duodenum that follow the right side of the vertebral column just anterior to the right renal hilum. it contains the ampulla of Vater and receives pancreatic and biliary drainage
Describe the third portion of the duodenum
the 10cm of horizontal duodenum that runs horizontally in front of the third lumbar vertebrae. it runs anterior to the IVC, aorta, and IMA and posterior to the SMA