Esophagus Flashcards
Parts of esophagus
✓Cervical
✓Thoracic
✓Abdominal
•Pierces the
diaphragm at the
level of
T10
•End at the cardiac
end at the level of
T11
4 constrictions
Beginning → esophageal sphincter
Arch of aorta
Left main bronchus
Part passing from diaphagna
Abdominal Esophagus
Covered by peritoneum
on its front & left side
• No peritoneum on the
posterior side
❑Anterior of abdominal esophagus
✓ Left Vagal trunk
✓ Left gastric artery
✓ Left lobe of liver
✓ Esophageal plexus
❑Left of abdominal esophagus
Fundus
commencement
❑Anterior of abdominal esophagus
✓ Left Vagal trunk
✓ Left gastric artery
✓ Left lobe of liver
✓ Esophageal plexus
❑Posterior of abdominal esophagus
✓ Left inf
phrenic
artery
✓ Left crus of
diaphragm
✓ Aorta
✓ Post vagal
trunk
What prevents reflux?
- Right crus encircles
around the esophagus - Obliquity of junction
- Mucosal folds act as
valvular mechanism - Phrenico-esophageal lig
Arteries
Cervical esophagus:
Right & Left superior & inferior
thyroid arteries
Thoracic esophagus:
Up to tracheal bifurcation R & L
inf thyroid artery
Direct supply from aorta
(tracheo-bronchial tree)
Abdominal esophagus
Branches off L gastric artery and
branches of splenic artery
posteriorly
Lympathics
❑1/3 upper;
• Deep cervical LN
❑1/3 middle;
• Sup & post mediastinal
LN
❑1/3 lower;
• Left gastric LN
• Celiac LN
Nerves
❑ Cervical part;
✓ Recurrent laryngeal nerve
✓ Cervical symp trunk
❑ Thoracal part;
✓ Thoracic symp trunk
✓ Greater splanchnic nerve
✓ Vagal nerve
❑ Abdominal part;
✓ Vagal trunk
✓ Greater & lesser splanchnic
nerves
✓ Plexus around the left
gastric & inf phrenic arteries