Organs of the GI tract Flashcards
the thoracic esophagus pierces the diaphragm at
T10
the esophageal hiatus is ___ __ of the midline
slightly left
esophagus turns sharply left to enter the stomach at the cardiac orifice at
T11
sliding hiatal hernia
esophageal hiatus of diagphragm enlarges or weakens
abdominal esophagus and parts of stomach herniate into thorax
paraesophageal hiatal hernia
defect in diaphragm next to esophageal hiatus
permits fundus of stomach to herniate
stomach proximal and distal location
and regions
proximal T10-T11
distal: L1-L2
left hypochondriac and epigastric regions
pyloric sphincter/orifice
contracts to keep stomach contents in stomach, becomes orifice when ready to send contents into duodenum
posterior to the stomach
diaphragm, spleen, left upper kidney, suprarenal gland, transverse colon, pancreas, transverse mesocolon
anterior to stomach
left diaphragm, caudate and quadrate and left lobe of liver, left costal margin
anterior surfaces of stomach
phrenic, hepatic, epigastric
duodenum location
L1 to L4
4 parts of duodenum
superior, descending, horizontal, ascending
parts of duodenum that is 2nd perit
all but parts of 1st and 4th
duodenum is covered anteriorly by peritoneum except where?
where mesocolon of transverse colon crosses the second part. no perit here
1st part of the duod is surrounded by?
hepatoduodenal ligament
the root of the mesentery begins where?
at the duodenojejunal flexure
what part of duodenum is held in place and by what ligament
first part by hepatodueodenal ligament, portal triad is in here
head of pancreas is located where?
inferior to the first part of the duodenum
second part of duodenum anterior
right lobe of liver, fundus of gallbladder, transverse colon
second part of duodenum (desending) posterior
right kidney and ureter
medial to second part
head of pancreas
special ducts here
major duodenal papilla and minor
horizontal duod (3rd part)
superior mesenteric artery and vein and root of mesentery cross anterior surface,
jejunum is anterior and inferior
4th part (ascending) duod
becomes intraperitoneal
suspensory ligament of treitz
anchors right crus of diaphragm to duodenum
Jejunum vs ilium: jejunum features
2/5 SI
simple vascular arcades
long vasa rects and more vascular
greater diameter, thicker, more plicae circularis
jejunum vs ilium: ilium features
3/5 SI
compound vascular arcades, short vasa recta, less vascular
smaller diameter, thinner wall,
fewer plicae circularis
meckel’s diverticulum (outpouching of ileum)
2 inches long
2 feet from ileocecal junction
arises before age 2
2 types epithelia: gastric and pancreatic
the mesentery crosses?
123, AI understands getting pussy sex
L1-2, 3rd part of duodenum, aorta, IVC, right ureter, right gonadal vessels, right psoas major, ends at right SI joint
mesentery makeup
2 layers of peritoneum with nerves, LNs, vessels, running between them
taenia coli
3 bands of longitudinal muscle on outside of colon that converge at the root of the appendix
produce haustrae (slow movement of feces))
part of large intestine that does not have epiploic appendages?
cecum
openings in cecum
iliocolic (ileal papilla) ileum projection into cecum
opening for appendix inferior to ileal papilla
where is vermiform appendix located
attached to posteromedial part of cecum
anorectal line
line joining the tops of the anal columns
rectum has ___ folds and are called
also has rectal __ (dilation)
3
superior
intermediate
inferior
ampulla
puborectalis muscle
muscle that relaxes during defication
spleen location
parallels left ribs 9,10,11 at midaxillary line between stomach and diaphragm
inferior to the spleen
left kidney
phrenicocolic ligament
surfaces of spleen
diaphragmatic surface
visceral surace
pancreas spinal level
tail location
mainly retroperiteneal (2ndarily) L1-L2
tail location: some located in splenorenal ligament, anterior to the hilus of the spleen
pancreas relationships artery vein IVC and aorta Stomach duod transverse colon
superior mesenteric artery and vein are posterior to the neck
splenic vein and artery run horizontal supeior to body
tail is against spleen
IVC and aorta are posterior to body
stomach is anterior
duodenum goes around it
transverse colon is anterior and inferior
pancreas develops from __ and ___ and roation of __ and __ brings them together
ventral bud and dorsal bud
rotation of stomach and duodenum
visceral surface of the liver
ligamentum venosum (in caudate lobe) (use to connect umbilical vein with IVC) rond ligament (inferior to LV) hepatic fossa for gall bladder
porta hepatis
transverse fissure between caudate and quadrate lobes
transmits portal triad
fundus of the gall bladder location
lowest and widest part
contacts anterior ab wall at midclavicular line 9th or 10th costal cartilage
transpyloric line
parts of gall bladder
fundus, body, neck, cystic duct common hepatic duct (right and left hepatic duct from above join to form this) bile duct —>enters major duodenal papilla