L37: Stomach Flashcards

1
Q

What are the anatomical boundaries of the abdomen?

A

Body cavity between the diaphragm and the pelvic inlet (separated from thorax but not from pelvis)

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2
Q

What region of the abdomen is the stomach located in?

A

Left hypochondriac and epigastric region

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3
Q

What are the four main regions of the stomach?

A

The cardia, the fundus, the body and the pylorus

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4
Q

Where does the oeseophagus connect to the stomach?

A

The cardia (or cardiac region)

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5
Q

What is the function of the fundus of the stomach?

A

Stores gases

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6
Q

Where does the duodenum connect to the stomach?

A

Pylorus

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7
Q

What feature of the stomach allows for expansion of the organ?

A

Rugae- series of wall ridges/ folds

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8
Q

What epithelium is present in the stomach?

A

Columnar (with many secretory cells)

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9
Q

What are the three smooth muscle layers of the stomach?

A
  • Inner- oblique;
  • Middle- circular;
  • Outer- longitudinal.
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10
Q

What are the 4 main functions of the stomach?

A
  • Store swallowed food;
  • Retention of food;
  • Mixing of gastric ‘juice’;
  • Chemical and mechanical digestion.
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11
Q

There is limited absorption from the stomach, what molecule is an exception to this?

A

Alcohol

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12
Q

What are the 4 major types of secretory epithelial cells in the stomach?

A
  • Mucus secreting/ surface mucous cells;
  • Parietal cells;
  • Chief cells;
  • Endocrine cells.
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13
Q

How is the lining epithelium of the stomach protected from stress/ strong acid?

A

Mucus secreting cells, which secrete alkaline, are found across the luminal surface and at the neck of gastric pits

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14
Q

Where are parietal cells found and what are their function?

A

In gastric pits/ glands (largely in the body of the stomach), secrete HCl and intrinsic factor

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15
Q

Where are chief cells found and what are their function?

A

In gastric pits/ glands, secrete pepsinogen (the precursor of enzyme pepsin)

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16
Q

What is the significance of HCl for pepsinogen?

A

H+ (from HCl) activates pepsinogen to pepsin

17
Q

Where are endocrine cells found and what are their function?

A

In gastric pits/ glands, secrete the hormone gastrin

18
Q

What supplies blood to the superior portion of the stomach?

A

Short gastric arteries, from the splenic artery

19
Q

What supplies blood to the inferior portion of the stomach?

A

Right gastric artery, from the hepatic artery

20
Q

What are the two major venous drainage supplies to the stomach?

A
  • Portal vein;

- Superior mesenteric.

21
Q

What are oesophageal varicies?

A

Abnormal, enlarged veins within the oesophagus that are often associated with liver disease due to increased arteriole pressure