Stomach and Spleen Flashcards
Where is stomach located?
- In left side of upper abdomen
- top
- Pyloric region (end) located on transpyloric plane
What is shape of stomach?
Inverted J-shape
What is top of stomach connected to and where its it located?
oesophagus which comes through left dome of diaphragm through level of T10
What does shape of stomach depend on?
Height e.g. tall person have tall stomach
What are features and location of hypertonic stomach and how is it caused?
- smaller
- higher up in abdomen
- caused by excessive contraction of smooth muscle
What are features and location of hypotonic stomach?
- Elongated J-shape
– drops down into umbilical region
What are features and location of atonic stomach and how is it caused?
- lost muscular tone
- Sit within pelvis, hypogastric/supra-pubic region
- lesion of vagus nerve
What is a sheerhorn stomach?
short and stocky shape, flattened
List all 9 features of the stomach
- Cardial notch
- Cardia
- Fundus
- Lesser curvature
- Incisura angularis
- Body
- Greater curvature
- Pyloric antrum
- Pylorus
What is the cardial notch?
Between cardia and fundus
What is cardio-oesophageal junction?
Line which marks change in mucosa of oesophagus (smooth) to mucosa of stomach (rough)
What is stomach lined by and why?
- glandular mucosa
– mucus-secreting cells - help protect walls from acidic contents
What is oesophagus lined by?
stratified squamous epi
What is function of fundus and what can occur?
- Storage (of air released from food)
- Trapped air bubbles
What is function of cardia?
Mucus secretion
What are functions of body?
- Storage
- Produces:
- mucus
- HCl
- pepsinogen
- intrinsic factor
What is function of pyloric antrum?
- Mixing/grinding of chyme = food that’s been mixed into slush,
- produces gastrin
What is function of sphincter in pyloric canal?
- controls release of chyme from stomach to 1st part of duodenum
What happens when pyloric sphincter open?
– allows chyme to pushed through pyloric opening by peristaltic waves of contraction of stomach wall – starts from body and goes down into pylorus
What is rugae and its function?
- Longitudinal folds of body wall
- helps to channel chyme downwards with gravity to pyloric antrum
What are 4 functions of stomach?
- Temporary storage of chyme
- Secretions
- Breakdown
- Absorption – through stomach walls + mucosa
How much chyme does stomach store?
Holds from 75mls (empty) - 2 litres (or more, full)
What does the stomach secrete?
- gastrin
- IF
- mucus
- HCl
- pepsinogen
What does the stomach absorb?
- H2O
- electrolytes
- Alcohol
- aspirin
How long does food remain in stomach?
4 hours
What are 5 features of mucosa (innermost layer) of gut wall?
- Duct of accessory gland (e.g. pancreas, liver)
- Mucosal gland
- Sub-mucosal gland
- GALT (gut-associated lymphoid tissue)
What are 3 layers of mucosa?
- Epithelium
- Lamina Propria
- Muscularis Mucosa
What is Muscularis Mucosa?
muscle of mucosa allows contraction and wrinkling – move mucosa wall in contact with chime- effective absorption and secretion
What are features of submucosa (2nd innermost layer) of gut wall?
- Submucosal (Meissner’s) Plexus
- Submucosa
Sub-mucosal gland
What does submucosa contain?
- Loose CT
- Blood Vessels
- Lymphatics
- Nerves
- Glands
What are features of Muscularis Externa?
- Outer Longitudinal muscle
- Inner Circular muscle
- Myenteric (Auerbach’s) Plexus
What is special about stomach’s Muscularis Externa?
additional inner oblique layer where rest of gut has 2 layers
Where does Myenteric (Auerbach’s) Plexus get its feed from and what does this mean?
- vagus nerve
– most of gut moves through parasym stim
What are features of Adventitia (CT) or Serosa (serous mem) (final layer) of gut wall?
Connective Tissue or Peritoneum
Extrinsic nerves
Blood Vessels
What are 4 layers of gut wall?
- Mucosa
- Submucosa
- Muscularis Externa
- Adventitia (CT) or Serosa (serous mem)
What are 3 layers of stomach wall?
- Longitudinal muscle layer
- Circ muscle layer
- Oblique muscle layer