lecture 5 the abdomen and gut Flashcards
the stomach begins at the opening of the
cardiac sphincter
cardiac sphincter
connects esophagus to stomach, called this because it is close to the heart
fundus of the stomach
superior round area half moon
visceral mesentery
shinny covering on the surface of the stomach
greater curvature of the stomach
inferior/left side of the stomach touches transverse colon from the esophagus/cardiac sphincter to the pylorus/pyloric sphincter ON THE OUTSIDE
lesser curvature of the stomach
superior/right side of the stomach from the esophagus/cardiac sphincter to the pylorus/pyloric sphincter ON THE INSIDE
pylorus
bottom transverse portion of the stomach leading into the pyloric sphincter
pyloric sphincter
from the pylorus to the duodenum
small intestine
duodenum, jejunum, ileum
duodenum
first segment from stomach, leads to jejunum, superior and deep, makes a C shape
jejunum
superior portion of intestinal loops (usually what you see on cadaver. on the top left corner, connects duodenum to ileum
ileum
inferior, connects jejunum and ascending colon
Large intestine (colon)
cecum, vermiform appendix, ascending colon, right colic flexure, left colic flexure, transverse colon, descending colon, sigmoid colon
cecum
small sac at the end of the ascending colon
vermiform appendix
little nub between cecum and ileum
ascending colon
on the right side, ending at the right colic flexure
right colic flexure
top right corner of colon, separating ascending colon and transverse colon
transverse colon
between ascending and descending colon, divided by right and left colic flexures
left colic flexure
top left corner of colon, separating transverse and descending colon
descending colon
on the left side, starting at the left colic flexure and ending at the sigmoid colon
sigmoid colon
shaped like a sigma <3 at the end of the descending colon ends at rectum
mesentery
double layer of membrane in the peritoneum only suspends parts of the gut tube into the peritoneal cavity
Early development: dorsal mesentery
runs from the posterior (dorsal) body wall to the dorsal surface of the stomach and the intestines
Early development: ventral mesentery
runs from ventral body wall to the liver and then from the liver to the ventral surface of the stomach
Ventral mesenteries
falciform ligament and the lesser omentum
Falciform ligament
runs from ventral body wall to the ventral surface of the liver (contains bile duct and hepatic portal vein)
lesser omentum
runs from the liver to the lesser curvature of the stomach
fatty and yellowish
Rapid growth of the liver and rotation result in the stomach ending up on the _____ side and the liver moving to the ______ side of the abdomen
left, right
Dorsal mesenteries
mesentery proper, transverse mesocolon, sigmoid mesocolon, and greater omentum
mesentery proper
runs from the posterior body wall to the jejunum and ileum of the small intestines
transverse mesocolon
suspends the transverse colon
sigmoid mesocolon
suspends the sigmoid colon from the posterior body wall
incarcerated small intestine
fold of intestine gets trapped in sigmoid mesocolon
grater omentum
hangs from greater curvature of stomach over the anterior surface of the intestines, and then superior to the transverse colon where it runs to the posterior body wall and is continuous with the parietal peritoneum
intraperitoneal organs
organs with mesenteries remain suspended and mobile within the peritoneal cavity
retroperitoneal organs
not suspended and mobile with in the peritoneal cavity, instead are fused to the posterior abdominal wall and do not have a mesentery (ascending and descending colon, duodenum, and pancreas and kidneys) (dad pk)
liver
the liver begins as an outgrowth of the duodenum, weighs 3 lbs, produces bile
gallbladder
stores bile, on inferior surface of liver
cystic duct
bile draining from the gallbladder enters the cystic duct witch joins with the common hepatic duct from the liver to for the common bile duct (which drains into duodenum)
The common bile duct is found alongside which two blood vessels that carry blood to the liver
the hepatic portal vein and the hepatic artery proper
location of liver
superior right part of the peritoneal cavity
covering of the liver
visceral peritoneum covers the anterior part and the back part lacks peritoneum because it is fused to the diaphragm
the ______ occupies a depression in the posterior “bare” area of the liver
inferior vena cava
The liver is divided into ______ and _______ by _______
(large) right lobe, (smaller) left lobe, vertical fissure
the _____ attaches to the ventral aspect of the vertical fissure
falciform ligament
pancreas
secrets enzymes into the duodenum to digest food through the pancreatic duct
spleen
irregularly shaped organ found between the stomach and the diaphragm
kidneys
not part of the gut tube, retroperitoneal, cleans blood, fluid and electrolyte balance
ureters
exit through the renal hilus and then extend retroperitoneal along the posterior body wall, tubes that drain urine from the kidneys to the bladder
suprarenal gland
located superior to each kidney, secret hormones and adrenaline
celiac trunk
comes off of the abdominal aorta as soon as the aorta enters the abdomen (T12)
supplies blood to stomach, spleen, liver, gallbladder, pancreas, and part of the duodenum
branches off into left gastric artery, splenic artery, and common hepatic artery
left gastric artery
supplies blood to the lesser curvature of the stomach drains into the hepatic portal vein
splenic artery
supplies blood to the spleen and pancreas, branches off into left gastroepiploic artery
left gastroepiploic artery
supplies blood to the greater curvature of the stomach d
common hepatic artery
gives rise to two branches: hepatic proper artery and gastroduodenal artery
hepatic proper artery
runs in the lesser omentum toward the liver and supplies blood to it
gives rise to the right gastric artery
right gastric artery
runs along the lesser curvature of the stomach drains into the hepatic portal vein
gastroduodenal artery
runs along the pancreas to supply both pancreas and duodenum
branches off into right gastorepiploic artery
right gastroepiploic artery
runs along the greater curvature of the stomach, supplies blood to greater curvature of the stomach
superior mesenteric artery
branches from the abdominal aorta (L1) runs ventrally and inferiorly within the mesentery proper
supplies blood to duodenum, jejunum, ileum, cecum, vermiform appendix, ascending colon and transverse colon
inferior mesenteric artery
branches from abdominal aorta (L3)
supplies blood to descending colon and sigmoid colon
renal arteries
(right and left) (right is longer) branch from abdominal aorta (between L1 and L2) receive oxygenated blood from the heart
gonadal arteries
ovarian and testicular arteries
branch from abdominal aorta (at L2)
venous portal system
capillaries empty into veins but then drain into a second set of capillary beds before emptying into heart
capillaries –> veins –> capillaries –> veins –> heart
Hepatic portal system
drains venous blood from the gut tube into the liver
capillary beds of the gut tube –> veins of HPS –> liver capillaries –> liver cells –> capillary beds of the liver –> hepatic veins –> inferior vena cava –> heart
Hepatic portal vein
empties into liver capillaries
formed by the union of the superior mesenteric vein and the splenic vein
parasympathetic motor innervation
vagus nerve from the stomach to left colic flexure enters on the surface of the esophagus
preganglionic neurons of the gray matter of the sacral spinal segments innervate from left colic flexure to sigmoid colon
sympathetic motor innervation
preganglionic sympathetic neurons from lateral horns synapse on celiac prevertebral ganglia, superior mesenteric ganglia and inferior mesenteric ganglia