Foregut and Liver Flashcards
Describe foregut
Anterior part of alimentary canal
Oral cavity to 1/2 duodenum
Describe foregut blood supply
Related to celiac trunk = first unpaired branch abdominal aorta
Describe content of foregut generally
Esophagus, stomach, duodenum prox 1/2, liver, gallbladder, biliary system, pancreas, spleen
Is esophagus only in thoracic region
No
Thoracic, abdominal and cervical
Where is transition from foregut to midgut
Halfway through duodenum
Describe esophagus
Muscular tube
25cm long
Connects laryngopharynx to stomach (cricoid cartilage to diaphragm)
Name the 3 portions of esophagus
Cervical
Thoracic
Abdominal
Describe cervical eso
From inf order cricoid cartilage (c6) to jugular notch
Describe thoracic eso
From jugular notch to diaphragm
Descends anterior to thoracic vertebrae
Passes anteriorly to thoracic aorta in posterior mediastinum
Passes through diaphragm = esophageal aperture, t10
Describe abdominal eso
From diaphragm to cardia portion of stomach
Shortest part eso
Describe passages of structures through diaphragm
Ivc = pass through central tendon = t8
Esophageal hiatus = t10
Abdominal aorta = t12
Describe how esophagus enters abd cavity
Through esophageal aperture of thoracic diaphragm
Leads to cardia portion of stomach
What does eso enter with (into abd cavity)
2 vagal trunks = anterior (left vagus), and posterior (right vagus)
Rotation due to embryology
What is lower esophageal sphincter
Muscle organization
Eso contracts, so do not vomit in mouth
Describe external sphincter - les
Right crus of diaphragm
Loops around eso and forms a sling =
When inspire, constricts eso, forms an anatomical sphincter = prevent reflux
Describe internal sphincter - les
Bundle of muscle at low end of eso, where it meets stomach
Circular fibers
What is stomach
J shaped
Dilated portion gi tract
Between abd eso and duodenum
Describe location of stomach
Intraperitoneal
Describe anatomy of stomach
Divided into 4 regions = cardia, fundus, body, pyloric part
Describe cardia - stomach
Surrounds opening of eso into stomach
Describe fundus of stomach
Superior dilation on left, above cardia
Describe body of stomach
Large expansion below fundus
Large curvature
Describe pyloric part of stomach
Outflow portion of stomach, leads to 1st portion of duodenum, composed of pyloric canal and pyloric sphincter
Constricted part
Pyloric sphincter = very strong circular fibers, gate (since stomach v active = needs to be closed at end)
Name the features of the stomach
Greater curvature and lesser curvature
Describe greater curvature of stomach
Point of attachment of gastrosplenic ligament and greater omentum (floats down on top of organs )
Describe lesser curvature of stomach
Point of attachment for lesser omentum - covers liver, stomach, duo kinda
Describe hepatoduodenal ligament
Thicker portion from liver to duodenum
For structures to porta hepatis (contains important structures like biliary tree)
Describe hepatogastric ligament
Thinner portion from liver to lesser curvature stomach
What is the stomach
Distension organ, can contain up to 3 litres
Has rugae, Intra
Describe rugae
Longitudinal folds, allowing fastening
- mucosa, for expansion - stretching and increase surface area contact
Describe stomach - Intra
Peritoneum on stomach of anterior and posterior stomach
Unite to form greater omentum hanging from greater curvature
What makes up lesser omentum
Hepatoduodenal ligament
Hepatogastric ligament
Describe arterial supply stomach
From celiac trunk
Describe arteries found near lesser curvature of stomach
Left gastric artery = from celiac trunk
Right gastric artery = from hepatic proper artery
ANASTOMOSE with each other
Describe arteries found near greater curvature of stomach
Right gastro omental = from gastroduodenal artery
Left gastro omental = from splenic artery
ANASTOMose with each other
Describe arteries found near fundus of stomach
Short gastric arteries for fundus
Describe venous drainage stomach
Same system as arterial
Drains into portal venous system - gi blood to liver first = filters
Describe innervation stomach
Visceral innervation from Celiac nerves plexus
Sympathetic: vasoconstriction & inhibition of peristalsis
Parasympathetic: stimulate gastric secretion & peristalsis