Duodenum - lecture video Flashcards

1
Q

what is the embryonic origin of the duodenum?

A

foregut and midgut

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2
Q

what does the duodenum form?

A

1st part of the small intestines

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3
Q

where does the duodenum run?

A

from pylorus of stomach to jejunum

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4
Q

how long and how many sections does the duodenum contain?

A

about 25cm and divided into 4 sections

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5
Q

what is the 1st section of the duodenum?

A

5cm - duodenal bulb

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6
Q

what is common in the first section of the duodenum?

A

common for peptic ulcer

acidic chyme from stomach (antrum - gastrin)

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7
Q

what type of organ is the duodenum?

A

only 1st part is intraperitoneum (the part involved in lesser omentum)

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8
Q

what is the foregut portion of the duodenum supplied by? what is it a branch of?

A

superior pancreaticoduodenal artery - branch of gastroduodenal artery (from common hepatic, coeliac trunk)

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9
Q

what is the midgut portion of the duodenum supplied by? what is it a branch of?

A

inferior pancreaticoduodenal artery - 1st branch of SMA

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10
Q

what type of organ are sections 2-4 of the duodenum? what does this mean?

A

retroperitoneum, only anterior surface in contact with the peritoneum

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11
Q

where is the junction between midgut & foregut of the duodenum?

A

halfway through the 2nd duodenum

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12
Q

where is the major pancreatic duct of the duodenum? function?

A

through major duodenal papillae & ampulla of vater (dilation)
(bile entry from pancreas into duodenum)

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13
Q

what does the 4th part of the duodenum contain?

A

suspensory ligament

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14
Q

where does the suspensory ligament attach?

A

attaches the 4th part of duodenum to the diaphragm
nears where oesophagus enters abdo cavity
attaches to duodenum near duodenojejunal flexure
passes behind pancreas

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15
Q

what happens when the suspensory ligament contract?

A

it widens the angle at the duodenojejunal flexure - can facilitate movement of intestinal contents

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16
Q

which artery can duodenal ulcers rupture into?

A

gastroduodenal (from common hepatic)