Lecture 4: GI Organs Part 1 Flashcards

1
Q

What organs are part of the GI tract?

A
Esophagus
Stomach
Small Intestine
Colon
Rectum
Anal Canal
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2
Q

Where does the esophagus enter the stomach?

A

Cardiac orifice at level of T11

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3
Q

Where are the three points of esophageal constrictions?

A
  1. Superior: level of cricoid cartilage and juncture with pharynx - C6
  2. Middle: Crossed by aorta and left main bronchi
  3. Inferior: Diaphragmatic sphincter (where esophagus passes through diaphragm)
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4
Q

What is a para-esophageal hernia?

A

Peritoneum and fundus of stomach are anterior to stomach

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5
Q

What is a sliding hernia?

A

Cardia and fundus of stomach protrude through esophageal hiatus

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6
Q

What is a truncal vagotomy?

A

No vagus nerve supply to all of stomach and most of GI tract and liver

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7
Q

What is a proximal gastric vagotomy?

A

No vagus nerve supply to only stomach

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8
Q

What is a selective proximal vagotomy?

A

Denervate area of stomach where parietal cells are located

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9
Q

What are the four parts of the duodenum?

A

Superior part
Descending part: where gallbladder/liver dumps
Horizontal part
Ascending part

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10
Q

What part of the duodenum is considered intraperitoneal?

A

1st/Superior Part

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11
Q

The bile duct and accessory pancreatic duct combine and make what structure?

A

Hepatopancreatic Ampulla

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12
Q

What controls the hepatopancreatic duct?

A

Sphincter of Oddi

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13
Q

Contents from the hepatopancreatic duct will enter the duodenum via what?

A

Major duodenal papilla

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14
Q

What is the Ligament of Treitz?

A

Junction between duodenum and jejunum

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15
Q

What are the circular folds of the jejunum called?

A

Plicae circulares

-helps reabsorb nutrients

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16
Q

What type of blood supply is found at the jejunum?

A

Arterial arcades with long vasa recta

17
Q

What type of blood supply is found at the ileum?

A

Arterial arcades with short vasa recta

18
Q

What are some distinct external features found on the colo?

A

Tenia coli

-longitudinal bands of smooth muscle

19
Q

What is the blind pouch in the colon that is continuous with the ileum and ascending colon?

A

Cecum

20
Q

Where is the appendix found?

A

Attached to posterior, medial part of cecum

21
Q

Describe Meckel’s diverticulum.

A

Congenital anomaly of ileocecal junction

-if inflamed, can produce similar symptoms to appendicitis