Gastrointestinal Tract Flashcards
The stomach enters into
duodenum
Innervation of the stomach(sympathetic, parasympathetic, sensation: reflex and pain)
Vagus nerve (parasympathetic)
Thoracic sympathetic trunk T5-T9 (sympathetic)
Sensation: unconscious/reflex(vagus)
Pain (sympathetic)
Stomach blood supply
Celiac trunk via L/R gastric arteries, L/R gastro-omental arteries
Duodenum arises from
Pylorus
Duodenum enters
Jejunum
Duodenum function
Site of additional digestion from products of liver/pancreas, initiate nutrient absorption
Duodenum blood supply
Celiac trunk via gastroduodenal artery, additional supply from superior mesenteric artery
Duodenal innervation: Parasympathetic, sympathetic, and sensation pathways
vagus nerve (parasympathetic); thoracic sympathetic trunk T5-T9 (sympathetic), sensation pathways: unconcious/reflex (vagus) pain (sympathetic)
Jejunum function
Absorption of nutrients
Jejunum arises from
Duodenum
Jejunum enters
Ileum
Jejunum blood supply
Superior mesenteric artery via intestinal arteries
Jejunum innervation: Parasympathetic, sympathetic, and sensation pathways
vagus nerve (parasympathetic); thoracic sympathetic trunk T8-T10 (sympathetic)
sensation pathways: unconcious/reflex (vagus)
pain (sympathetic)
Ileum arises from
Jejunum
Ileum enters into
Cecum
Ileum blood supply
superior mesenteric artery via intestinal arteries, Ileocolic artery
Ileum innervation: Parasympathetic, sympathetic, and sensation pathways
vagus nerve (parasympathetic) thoracic sympathetic trunk T8-T10 (sympathetic)
sensation pathways: unconcious/reflex (vagus) pain (sympathetic)
What is the ileocecal valve?
Muscular valve at the junction of ileum and cecum
Ileocecal valve function
Regulates passage of digestion from ileum to cecum (between small and large intestines)
Cecum function
Absorption of water, concentration of feces
The cecum arises from
ileum
The cecum enters
The ascending colon
Cecum blood supply
Superior mesenteric artery via ileocolic artery
Cecum innervation: Parasympathetic, sympathetic, and sensation pathways
vagus nerve (parasympathetic); thoracic sympathetic trunk ~T10 (sympathetic)
sensation pathways: unconcious/reflex (vagus) pain (sympathetic)
Vermiform appendix function
No major function-hypothesized minor immune or gut microbiota function
Vermiform aapendix enters
Cecum
Ascending colon arises from
Cecum
Ascending colon enters
Transverse colon
Ascending colon blood supply
Superior mesenteric artery via right colic artery
Ascending colon innervation: Parasympathetic, sympathetic, and sensation pathways
vagus nerve (parasympathetic) thoracic sympathetic trunk T10-T12 (sympathetic)
sensation pathways: unconcious/reflex (vagus) pain (sympathetic)
Taeniae coli
Band of connective tissue for attachment of muscle of large intestine
Haustra
Sacculations of the large intestine giving distinct “segmented” appearance
Hepatic flexure
Junction between ascending and transverse colon on right side near liver
Transverse colon arises from
Ascending colon
Transverse colon enters
Descending colon
Transverse colon blood supply
Superior mesenteric artery via middle colic artery
Transverse colon innervation:Parasympathetic, sympathetic, and sensation pathways
vagus nerve (parasympathetic) thoracic sympathetic trunk T10-T12 (sympathetic)
sensation pathways: unconcious/reflex (vagus) pain (sympathetic)
Splenic flexure
Junction between transverse and descending colon on left side near liver (junction of midgut and hindgut)
Descending colon arises from
Transverse colon
Descending colon enters
Sigmoid colon
Sigmoid colon arises from
Descending colon
Sigmoid colon enters
Rectum
Sigmoid colon blood supply
Inferior mesenteric artery via sigmoid arteries
Sigmoid colon innervation: Parasympathetic, sympathetic, and sensation pathways
pelvic splanchnic nerves S2-S4 (parasympathetic)
abdominal sympathetic trunk L1-L2 (sympathetic)
sensation pathways: unconcious/reflex (pelvic splanchnic) pain (sympathetic)
Rectum function
Passage of feces out of digestive tract via anus
Rectum arises from
Sigmoid colon
Rectum enters
Anus
Rectum blood supply
Inferior mesenteric artery via superior rectal branches, internal iliac artery
Rectum innervation: Parasympathetic, sympathetic, and sensation pathways
pelvic splanchnic nerves S2-S4 (parasympathetic)
abdominal sympathetic trunk L1-L2 (sympathetic)
sensation pathways: unconcious/reflex & pain (pelvic splanchnic)
Accessory GI organs: Liver function
Produce bile to digest fats
Accessory GI organs: Liver blood supply
Celiac trunk via proper hepatic artery
Accessory GI organs: Liver innervation
vagus nerve (parasympathetic) thoracic sympathetic trunk T5-T9 (sympathetic)
sensation pathways: unconcious/reflex (vagus) pain (sympathetic)
Accessory GI organs: Gallbladder function
Stores bile, contracts to release stored bile
Accessory GI organs: Gallbladder Blood supply
Celiac trunk via cystic artery off proper hepatic
Accessory GI organs: Gallbladder innervation
vagus nerve (parasympathetic) thoracic sympathetic trunk T5-T9 (sympathetic)
sensation pathways: unconcious/reflex (vagus) pain (sympathetic)
Accessory GI organs: Pancreas function
Produces digestive enzymes to break down food, bicarbonate to neutralize stomach acid, hormones to regulate sugar metabolism
Accessory GI organs: Pancreas blood supply
Celiac trunk via splenic artery, some supply from gastroduodenal and superior mesenteric arteries (pancreaticoduodenal arteries)
Accessory GI organs: Pancreas innervation
vagus nerve (parasympathetic); thoracic sympathetic trunk T5-T9 (sympathetic)
sensation pathways: unconscious/reflex (vagus) pain (sympathetic)