Duodenum Flashcards
C shaped tube around the head of the pancreas - 25cm long
Duodenum
Mucous membrane - thick
First part - smooth
First and shortest part of the small intestine, widest and most fixed part
Duodenum
- partially retroperitoneal
Begins: pylorus
Ends: duodenojejunal flexure
Circular folds in the duodenum
Plicae circulares
Primary site for absorption of nutrients from ingested materials
Duodenum
Parts of the duodenum
Superior
Descending
Horizontal
Ascending
Part of the superior duodenum that has a mesentery and is mobile
First 2 cm
Part of the superior duodenum that has no mesentery, retroperitoneal and is immobile
Distal 3 cm
Duodenal cap
Ampulla
Part of the duodenum that curves around the head of the pancreas - 7 to 10 cm. lies to the right and parallel to the IVC. Retroperitoneal
Descending part
Bile and main pancreatic ducts unite to form
Hepatopancreatic ampulla
Hepatopancreatic ampulla opens on and eminence called
Major duodenal papilla of Vater
Accessory pancreatic duct opens into the
Minor duodenal papilla
Part of the duodenum that runs transversely to the left - pass over IVC, aorta and L3
Horizontal/ inferior part
Horizontal part of the duodenum is crossed over by what surfaces
SMVessels and root of mesentery
Horizontal part of the duodenum passes over what surfaces
IVC
Aorta
L3
Part of the duodenum that runs superiorly along the left side of aorta - 5cm
Ascending part
Asc duodenum curves anteriorly to join the jejunum where
Duodenojejunal flexure
Duodenojejunal flexure is supported by what ligament
Ligament of treitz
Attachment of a suspensory muscle of duodenum
Ligament of treitz
Contraction of this widens the duodenojejunal flexure therefore allowing movements of intestinal contenta
Ligament of treitz
Blood supply of digestive tract: proximally, extending orad including abdominal part of esophagus
Celiac trunk
Blood supply of digestive tract: distally, extending aborad to L colic flexure
SMA
Anterior SUPERIOR pancreaticoduodenal artery is a branch of
Gastroduodenal a
Anterior INFERIOR pancreaticoduodenal artery is a branch of
SMA
Supplies duodenum PROXIMAL to entry of bile duct
Anterior SUPERIOR pancreaticoduodenal artery
Supplies duodenum DISTAL to entry of bile duct
Anterior INFERIOR pancreaticoduodenal artery
Blood supply of duodenum
Anterior and posterior of the superior and inferior pancreaticoduodenal artery
Venous drainage of duodenum
Superior and inferior pncreaticoduodenal vein
SUPERIOR pancreaticoduodenal vein drains to
Portal vein (direct drainage)
INFERIOR pancreaticoduodenal vein drains to
SMV (indirect blood flow - SMV and splenic)
Lymphatic drainage of duodenum
Ante LV - pancreaticoduodenal LN
Poste LV - SMV LN
Efferent LV from duodenal LN drain into
Celiac LN
Nerve supply of duodenum is derived from
Vagus
Greater and lesser splanchnic nerves
- by way of celiac and SM Plexus
Erosion of duodenal mucosa
Duodenal ulcer
65% of cases of ulcer occurs in what part of the duodenum
Superior part