GI6 Flashcards
Site of anastomosis: Esophagus
- Clinical sign
- Portal <> Systemic
Esophageal varices
Left gastric <> Esophageal
Site of anastomosis: Umbilicus
- Clinical sign
- Portal <> Systemic
Caput medusae
BELOW umbilicus:
-Paraumbilical <> Superficial and Inferior epigastric
ABOVE umbilicus:
-Superior epigastric <> Lateral thoracic
Site of anastomosis: Rectum
- Clinical sign
- Portal <> Systemic
Internal hemorrhoids
Superior rectal <> middle and inferior rectal
What is the treatment for Portosystemic anastomoses?
Transjugular Intrahepatic Portosystemic Shunt (TIPS)
-Between portal vein and hepatic vein percutaneously relieves portal hypertension by shunting blood to the systemic circulation
What is the pectinate line?
Where endoderm (hindgut) meets ectoderm
Above or Below Pectinate line:
- Internal Hemorrhoids
Above
Above or Below Pectinate line:
- Squamous cell carcinoma
Below
Above or Below Pectinate line:
- External Hemorrhoids
Below
Above or Below Pectinate line:
- Adenocarcinoma
Above
What is the arterial supply above the pectinate line?
Superior rectal artery
What is the arterial supply below the pectinate line?
Inferior rectal artery
The superior rectal artery is a branch off of what?
IMA
The inferior rectal artery is a branch off of what?
Internal pudenal artery
Lymph drainage from Above pectinate line.
Deep nodes
Lymph drainage from Below pectinate line.
Superficial inguinal nodes