Lecture 17 - Midgut and Hindgut Flashcards
Where does the midgut begin?
Duodenum
Where does the midgut end?
2/3 of the way along the transverse colon
Where does the hindgut begin?
2/3 of the way along the transverse colon
Where does the hindgut end?
Partway through the anal canal
What branch of the abdominal aorta goes to the midgut?
Superior mesenteric artery (L1)
What branch of the abdominal aorta goes to the hindgut?
Inferior mesenteric artery (L3)
What are the parts of the midgut?
- Duodenum (distal 1/2)
- Jejunum
- Ileum
- Cecum + appendix
- Ascending colon
- Transverse colon (proximal 2/3)
What are the parts of the hindgut?
- Transverse colon (distal 1/3)
- Descending colon
- Sigmoid colon
- Rectum
- Anal canal (proximal)
What is the duodenum?
Proximal portion of the small intestine
What is the distal end of the duodenum?
Duodenojejunal flexure
What supports the duodenojejunal flexure?
Suspensory muscle of the duodenum
What is the proximal end of the duodenum?
Pylorus
What divisions of the duodenum are part of the midgut?
- Inferior (D3)
- Ascending (D4)
What is the jejunum?
Middle portion of the small intestine
What quadrant is the jejunum in?
Left upper quadrant
What is the proximal end of the jejunum?
Duodenojejunal flexure
What is the distal end of the jejunum?
N/A
What are the characteristic features of the jejunum?
- Numerous, deep plicae circulares
- Arterial supply within mesenteric:
- Thicker walls
What is distinct about the arterial supply in the mesenteric of the jejunum?
a) Long vasa recta
b) Few arterial arcades
What are the plicae circulares?
- Circular mucosal folds inside the lumen
- Increase surface area for nutrient absorption
What shape are the vasa recta?
Straight arteries
What shape are the arterial arcades?
Loops/arches
What is the ileum?
Distal portion of the small intestine
What quadrant is the ileum in?
Right lower quadrant
What is the proximal end of the ileum?
N/A
What is the distal end of the ileum?
Ileocecal junction
What are the characteristic features of the ileum?
- Sparse, small plicae circulares
- Numerous lymphoid nodules
- Arterial supply within mesentery
What is distinct about the arterial supply in the mesenteric of the ileum?
a) Short vasa recta
b) Numerous arterial arcades
What are the lymphoid nodules in the ileum?
- Peyer’s patches
- Role in intestinal immune response
What is the mesentery of the small intestine?
- A double layer of peritoneum
- Suspends the jejunum and ileum from the posterior abdominal wall
- Carries blood vessels, lymphatic vessels and nerves
What structures contribute to the blood supply in the mesentery?
Arterial branches of the superior mesenteric artery and vein
What is the function of the large intestine?
- Some absorption of fluids, electrolytes, etc
- Conversion of liquid waste into semisolid fecal matter
Which is shorter, the large or the small intestine?
The large intestine
How long is the large intestine?
1.5 m
How long is the small intestine?
6-7 m
What are the divisions of the large intestine?
- Appendix
- Cecum
- Ascending colon
- Transverse colon
- Descending colon
- Sigmoid colon
- Rectum
- Anal canal
What are some characteristics of the colon wall?
- Haustra
- Epiploic appendages
- Teniae coli