Lecture 23: Abdomen III: Foregut Flashcards

1
Q

what are the 3 branches of the celiac artery

A

splenic branch (largest)
- supplies spleen, pancreas and part of stomach
hepatic branch
- supplies liver, gallbladder, pancreas, duodenum
left gastric
- supplies part of stomach, esophagus

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2
Q

branches of the splenic artery

A

small pancreatic branches
left gastroepiploic (gastromentum)

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3
Q

branches of left gastric artery

A

esophageal

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4
Q

branches of the hepatic artery

A

proper hepatic arteries
- cystic
right gastric
gastroduodenal
- cranial pancreaticoduodenal
- right gastroepiploic

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5
Q

what does the splenic artery supply blood to

A

spleen, pancreas, stomach

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6
Q

what does the hepatic artery supply blood to?

A

liver, gallbladder, pancreas, duodenum

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7
Q

what does the left gastric artery supply blood to?

A

stomach and esophagus

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8
Q

where do the vagal trunks travel and what do they do

A

travel through the esophageal hiatus

deliver preganglionic sympathetic axons to the fore and midgut

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9
Q

what is the function of the major and minor splanchnic nerves

A

to deliver preganglionic sympathetic axons from the abdomen to the celiac and cranial mesenteric ganglia where synapse will occur

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10
Q

what is the route postganglionic sympathetic axons follow to the organs

A

celiac–>foregut–>cranial mesentertic–>midgut

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11
Q

what are periarterial plexuses

A

blood vessels on which both postganglionic sympathetic and parasympathetic axons travel along to be distributed to organs

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12
Q

once through the esophageal hiatus, what does the esophagus join with

A

the cardia of the stomach

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13
Q

what tissues and cells are required for esophageal transport

A

stratified squamous epithelial cells (protection)

mucous glands (lubrication)

skeletal and smooth muscle

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14
Q

what is the transitional anatomy that is evident in the esophagogastric junction

A

epithelium transitions from stratified squamous to simple columnar

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15
Q

what are the functions of the stomach

A
  • food reservoir
  • secretes gastric juices
  • rhythmic segmentation to
    begin the mechanical breakdown of food
  • forms chyme
  • initiates protein digestion
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16
Q

purpose of gastric folds (aka rugae)

A

increase lumen surface area and allow for stomach expansion

17
Q

what are the 3 histologically distinct regions within the stomach

A
  • cardia & pylorus (mucus glands )
  • fundus and body (secretion of gastric juices)
18
Q

the invagination of epithelium cells within the stomach forms ?

A

gastic glands

19
Q

important cells found in the fundic gland?

A

simple columnar
- secrete visible mucous that prevents autodigestion

mucous neck
- columnar w/ microvilli
- soluble mucous

Parietal
- round cells
- produce HCl & gastric intrinsic factor

Chief
- columnar, found at base of gland
- produce and release pepsinogen, renin, gastric lipase
- initiate protein digestion

20
Q

purpose of parietal cells within gastric glands

A

secrete HCl

21
Q

purpose of chief cells

A

protein digestion

22
Q

what will be found in greater numbers in active parietal cells of the gastic gland compared to less active

A

more folds

23
Q

cells in gastric pit that are found at the base of gastric glands

A

chief cells

24
Q

function of pepsin

A

(from pepsinogen) degrades proteins into peptides

25
Q

what is the mucosa of the pyloric region characterized by

A
  • deeper gastric pits
  • branching, convoluted gastric glands
  • gastric glands dominated by mucous secreting cells
  • lacks rugae