GI Tract Flashcards
Describe esophageus
Starts at C6 and enters abd at T10, Eso with stomach at T11. Arteries are from the celiac trunk and include L gastric and L Inf phrenic. Veins are L gastric (P) and eso azygos (S). Nerve supply is by Splanchnic and Vagus
What are the parts of the Stomach and remarkable features
Cardia to fundus to body to antrum to pylorus
Rugae expand and mix food
Describe the relationships of the stomach
A: L liver, T cage, Abd wall, L Dia
P: Omental Bursa, Pancreas
InLat: T colon
Describe neurovasculature and lymph of the stomach
A: Celiac Trunk V: Hep portal, Sup Panduod, Splenic N: Splanchnic and Vagus L: Sup 2/3 RL gastric nodes Inf 1/3 R pyloric L Panduod Secondary SupInf to celaic
What are the major branches of the celiac trunk
Left gastric, Splenic, and Common Hepatic
What are the branches of the Left gastric and what they supply
Esophageal branches, L gastric supplies lesser curvature of Sto
What are the branches and destinations of Splenic
Dorsal Pancreas, Short Gastric (Fundus), Left Gastroepiploic (Greater curvature of Sto)
What are the major branches from Common Hepatic
Hepatic proper branches into Right gastric (lesser curve of sto), gastroduodenal, RL Hepatic, and Cystic (gall)
What are the branches of the gastroduodenal artery
Right gastroepiploic (great curve sto) and Sup pancreaticoduodenal
What are the divisions of the small intestine
Duod - jej - ileum. SI is from pylorus to ileocecal jx
What is the neurovasculature of the Duodenum
A: C - sup panduod, SMA - Inf Panduod
N: Splanchnic and Vagus
L: Panduod to celiac
What are the portions of the Duodenum
- Superior - Shartest, Ant to L1, mesentery
- Descending - Largest, L1 to L3, no mes, retroperitoneal, C around panc, Hepatoduod lig support, Bile and main panc duct enter
- Inferior - towards left at L3. Post = Aorta and IVC Ant = SMA
- Ascending - L3 to L2, Lig of Trietz (susp lig of duod)
Describe Jejunum and Ileum
Within peritoneum. Art= SMA
J = Deep red and thicker, less fat and fewer loops, greater vasc and larger vasa recta
Describe the lymph system of J and I
juxtaintestinal to mesenteric to sup lymph to cis chyli
Describe the affect of nerves on I and J
SNS (Spl) decrease Peri, sec, and dig
PSNS (vagus) increases above