Pancreas, Small Intestine, And Large Intestine Flashcards
Function of the exocrine portion of the pancreas?
Produces a secretion that contains enzymes capable of hydrolyzing proteins, fats and carbs
What abdominal regions is the pancreas located in
Epigastric and LUQ
Location of the head of the pancreas
Location of the tail
Within the concavity of duodenum
Passes in the splenorenal ligament and comes in contact with hilum of spleen
What 4 structures are anteriorly related to the pancreas
Transverse colon, transverse mesocolon, lesser sac and stomach
Location of pancreatic duct
Where does it open into?
Tail of pancreas
Opens into middle of 2nd part of duodenum
What two arteries and veins supply the pancreas
Splenic and superior and inferior pancreaticoduodenal arteries and their corresponding veins (which drain into portal system
~review: splenic artery is branch of celiac trunk, superior pan. Is branch of gastroduodenal artery from common hepatic artery, inferior pan. Is branch of superior mesenteric artery
Which two lymph nodes do the pancreas drain into
Celiac and superior mesenteric lymph nodes
Parasympathetic and sympathetic innervation of pancreas comes from?
Vagus nerve
What happens at the small intestine
Greater part of digestion and absorption
What is the major duodenal papilla?
Rounded elevation where the bile duct and main pancreatic duct pierce the second part of duodenum
What abdominal regions is the duodenum located
Epigastric and umbilical
Relations of 1st part of duodenum:
- Anteriorly
- Posteriorly
- Superiorly
- Inferiorly
- Quadrate lobe of liver and gallbladder
- Part of lesser sac, gastroduodenal artery, bile duct, portal vein, and IVC
- Epiploic foramen (entrance into lesser sac)
- Head of pancreas
Relations of 2nd part of duodenum (vertical):
- Anteriorly
- Posteriorly
- Laterally
- Medially
- Gallbladder, right lobe of liver, transverse colon
- Hilum of right kidney and right ureter
- Ascending colon, right lobe of liver
- Head of pancreas, bile duct
Arterial supply of :
- Upper half of duodenum
- Lower half of duodenum
- Superior pancreaticoduodenal artery
2. Inferior pancreaticoduodenal artery
Veinous drainage of the upper and lower half of duodenum
Upper: superior pancreaticoduodenal vein drains into the portal vein
Lower: inferior pancreaticoduodenal vein joins the superior mesenteric vein
Lymph drainage:
Arteries that run upwards drain upwards through which 3 nodes?
Arteries that run downwards drain downwards through which 2 nodes
Upward: pancreaticoduodenal nodes -> gastroduodenal nodes -> celiac nodes (follows arteries)
Downward: pancreaticoduodenal nodes -> superior mesenteric nodes (follows arteries)
Nerve supply to duodenum?
Vagus nerves from the celiac and superior mesenteric plexuses
Mesentery of the small intestine connects what?
Coils of jejunum and ileum to posterior abdominal wall
Difference in size of jejunum compared to ileum
Jejunum is wider and thicker walled and redder
Location of jejunal mesentery compared to ileal mesentery?
Jejunal is to the left of aorta
Ileal is to the right of aorta
What are peyers patches and where are they located
Aggregations of lymphoid tissue in the lower ileum
Arterial supply of jejunum and ileum
Branches of superior mesenteric artery that anastomose with one another to form a series of arcades
Ileocolic artery also supplies lowest part of ileum
Lymph drainage of jejunum and ileum
Superior mesenteric nodes
Nerve supply of jejunum and ileum
Vagus nerves from the superior mesenteric plexus
6 parts of the large intestine
Cecum, appendix, ascending colon, transverse colon, descending colon, and sigmoid colon
Primary function of large intestine
Absorption of water and electrolytes and storage of undigested material until it can be expelled as feces