esophagus anatomy Flashcards
fwhats laimer’s triangle
on the dorsal esophagus just distal to the cricopharyngeus muscle only covered with circular muscle
whats killians triangle
area of weakness proximal to the cricopharyngeus muscle
esophagus has a ___ blood supply
segmental, inferior thyroid to the cervical, bronchial 1 right and 2 left for the thoracic and left gastric and inferior phrenic arteries to the abdominal esophagus
where are the arterial collaterals in the esophagus
within the muscle and submucosa
venous drainage is segmental
submucosa into a periesophageal venous plexus, inferior thyroid vein into the cervical, bronchial azigous, and hemiazygous in the thoracic. coronary vein into portal system in the abdomen
lymphatic drainage in the esophagus is segmental
false, are intramural and longitudinal. in theory proximal into cervical nodes, middle into superior and posterior mediastinal nodes and distal into gastric and celiac nodes
vagal nerve input into the esophagus
RLN feeds the criopharyngeus and cervical esophagus (aspiration and dysmotility), midesophagus directly from vagus, distal esophagus from vagus after it enters the abdomen
UES is at
15 cm
Left mainstem bronchus and aortic arch
25 cm
LES
38-40 cm
primary waves
swallowing
secondary waves
housekeeping
tertiary waves
occasional with swallowing, increased with dysmotility syndromes