Embryology Flashcards
GI Tract overview
Gut tube formed from endoderm lining yolk sac
Oropharyngeal membrane and cloacal membrane
During folding; somatic mesoderm –> parietal peritoneum, visceral mesoderm –> mesenteries
Nerves and neurons derived from neural crest
Foregut structures
- Trachea and resp tract
- lungs
- oesophagus
- stomach
- liver
- GB and bile ducts
- pancreas
- upper duodenum
Midgut structures
- lower duodenum
- jejunum
- ileum
- cecum
- appendix
- ascending colon
- prox 2/3 transverse colon
Hindgut structures
- distal 1/3 transverse colon
- descending colon
- sigmoid colon
- rectum
- upper anal canal
- urogenital sinus
Arterial supply of foregut, midgut and hindgut
Foregut; coeliac artery
Midgut; SMA
Hindgut; IMA
Embryology of Stomach
- appears first as fusiform dilation of foregut
- undergoes 90º rotation; left side moves ventrally, right side dorsally
- differential growth on left and right produces greater and lesser curves respectively
- craniocaudal rotation tips pylorus superiorly
- anterio-posterior rotation creates final adult position
Embryology of Lesser sac
- stomach attached to both dorsal and ventral mesogastrium
- it’s rotation & disproportional growth alters mesogastrium position
- rotation along longitudinal axis, dorsal mesentery to the left = lesser sac
Embryology of Duodenum
- caudal part of foregut and cranial midgut
- as stomach rotates, duodenum becomes C-shaped and also rotates
Embryology of Liver and biliary apparatus
- outgrowth endoderm distal foregut
- liver bud grows into septum transversum
- connection between foregut and liver bud narrows –> bile duct
- ventral outgrowth from bile duct forms GB and cystic duct
Embryology of Spleen
- develops in dorsal mesogastrium
- up to week 14 = haematopoetic function
- weeks 15-17 colonised by T lymphocytes
- week 23 B cell precursors arrive
- spleen can begin lymphoid function
Embryology of Pancreas
- forms from 2 buds which grow from endodermal lining of duodenum
- dorsal and ventral buds fuse
Embryology of Midgut
- primary intestinal loop
- rotates 90º around SMA axis
- as this occurs, herniates into extra-embryonic cavity
- retraction of herniated loops
Embryology of Hindgut
- terminal portion of hindgut joins with posterior cloaca
- allantois enters into anterior part of cloaca
- end week 7 cloacal membrane ruptures (hindgut opening)
- ectoderm anal canal proliferates, closing caudal end
- anal canal re-opens week 9
Where do neural crest cells arise from?
Cells at crest of neural fold which develops to form neural tube
Describe somites
Form from paraxial mesoderm
Go on to form structures like axial skeleton and muscles
Human embryos develop around 33, those around head region develop cranial bones
Embryology of Pharyngeal / branchial arches
Develop around future mouth and pharynx
- support primitive pharynx
- face and neck develop from them
What nerves develop from the pharyngeal arches?
1st arch; maxillary branch of trigeminal nerve
2nd arch; facial nerve
3rd arch; glossopharyngeal nerve
4th arch; sup laryngeal branch of vagus
NO FIFTH ARCH
6th arch; recurrent laryngeal branch of vagus
Describe where muscles of the facial nerve develop from
Muscles of the facial nerve develop from the 2nd branchial arch, the same as the facial nerve
Muscles supplied a nerve developed from a branchial arch will also have developed from this branchial arch
Facial development
From five processes
- 1 frontonasal
- 2 maxillary
- 2 mandibular
How does the nostril develop?
Ectodermal thickening (nasal placode) invaginates to form nostril
Describe palate formation
Medial nasal process grows downwards and forms philtrum
Maxillary process develops palatine shelves which grow inwards and meet in the midline
*Abnormalities cause cleft palate