Stomach, duodenum, pancreas Flashcards

1
Q

Cardia

A

First region of stomach which lies just beneath the lower end of the gastroesophageal sphincter. The masticated food, coming from mouth, enters the cardia while leaving the esophagus or food gut through the lower esophageal sphincter.

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2
Q

Fundus

A

In the anatomy of stomach, it is the uppermost portion, forming the upper curvature of the organ. When chemical digestion takes place in the stomach, stomach gases are produced. These gases are accumulated in the fundus. Moreover, it can also store undigested food for about an hour.

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3
Q

Corpus

A

The word ‘corpus’ has been derived from Latin, and refers to the body or major part of something. This is the main region of the stomach which lies in the center of the organ. This is where the chemical digestion of food takes place. Enzymes and acidic secretions assist in the digestion of food, especially the protein constituents.

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4
Q

Pylorus

A

The pylorus connects the stomach to the small intestine. This is where the digested food collects before it enters the small intestine through the pyloric sphincter. With the facilitation of this lowermost section of stomach, the churned and partly digested food is emptied into the small intestine for further digestion and absorption.

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5
Q

Layers of the stomach

A

Gastric Mucosa (outermost layer)
Submucosa (the layer coming next to mucosa)
Muscularis Externa (third layer of stomach wall, adjacent to submucosa)
Serosa (innermost epithelial layer)

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6
Q

Gastric mucosa

A

The mucus secreting layer that lines the interior of the stomach. It contains the gastric pits and glands and has a soft, smooth and velvety surface. The presence of the ducts of gastric glands renders its inner surface a honeycomb appearance.

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7
Q

Submucosa

A

A layer of loose connective tissues that provides mechanical support and connects mucosa to the smooth muscle layer.

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8
Q

Muscular Externa

A

Lying beneath the submucosa, this layer of stomach can be further divided into three layers, which are: outer longitudinal layer, middle circular layer and inner oblique layer. Plays a role in churning and helps to form the pyloric sphincter.

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9
Q

Serosa

A

Serosa or serous membrane is made up of two layers of epithelial cells, called visceral membrane and parietal layer. A lubricating fluid, produced by serosa, is used to decrease friction caused by different layers of muscles moving against each other.

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10
Q

Parietal Cells

A

Also known as oxyntic cells. They are found in the epithelium of stomach. The parietal cells are responsible for the secretion of HCL and intrinsic factor. These cells are only in the fundic region of the stomach.

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11
Q

Foveolar Cells

A

Located in the fundus, cardiac and pyloric regions of the stomach, these are the mucus secreting cells. The mucus forms a gel-like layer to the interior of the stomach which serves as a protection against the corrosive effect of gastric acid.

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12
Q

Enteroendocrine Cells

A

Like faveolar cells, enteroendocrine cells are also found in three different regions of the stomach (cardiac, pyloric and fundus). They secrete peptides or gastrointestinal hormones. Playing the role of chemoreceptors, the enteroendocrine cells cause the initiation of digestive processes. They have also been seen as identifying harmful substances in the food and triggering protective responses.

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13
Q

Chief Cells

A

Gastric chief cells are only in the deep mucosal layer of the fundus. Stimulated by the acidic condition in the stomach they release pepsinogen and gastric lipase, which then carries out the digestion of proteins and fat.

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14
Q

Magenstrasse

A

The grooves in the stomach along the lesser curvature that is the route food and liquids tend to take in moving toward the pylorus.

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15
Q

Rugae

A

Rugae are the rides and folds that provide the stomach with increased surface area for nutrient absorption. Mostly along greater curve. When food enters the stomach, these folds stretch outward. This allows the stomach to expand, therefore increasing the volume of the stomach without increasing pressure.

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16
Q

Celiac trunk

A

Comes form aorta at T12, supplies hepatic, splenic, and gastric arteries.

17
Q

Stomach blood supply and drainage

A

left gastric, right gastric, short gastric, left and right gastroepiloics.

Drain into portal vein which goes directly to liver so act it can be scanned.

18
Q

Troisier’s sign

A

Virchow’s node, behind midpoint of clavicle tends. Swelling tends to indicate stomach cancer.

19
Q

Alimentary canal

A

Another name for GI tract.

20
Q

Arteries of the stomach

A

Left gastric artery -pylorus
Right gastroepiploic - lower greater curve
Left gastroepiploic - upper greater curve
Left gastric artery - upper corpus
Short gastric branches - fundus

21
Q

Celiac plexus

A

The celiac plexus (aka solar plexus) is a complex network of nerves located in the abdomen near where the celiac trunk (L1). Includes hepatic, renal, splenic, gastric, pancreatic, genital, sup/inferior mesenteric plexuses. Sympathetic.

22
Q

The vagus nerve

A

The vagus nerve is the tenth cranial nerve (CN X) and interfaces with parasympathetic control of the heart, lungs and digestive tract. It is the longest nerve of the autonomic nervous system in the human body.

23
Q

Omental foramen (foramen of Winslow)

A

The small passage of communication between the greater sac and the lesser sac, through the lesser omenta between the stomach and liver.

24
Q

Lesser omenta (omenta bursa)

A

Double layer of peritoneum adhering the stomach and first part of duodenum to the liver. Consists of the hepatoduodendal ligament and hepatogastric ligament. Contains the omental foramen, and the portal triad.

25
Q

Portal triad

A

Includes the common bile duct, hepatic portal vein, and hepatic artery. Within lesser omenta near the first part of the duodenum.

26
Q

Parts if the duodenum

A

1st (superior) part
2nd (descending) part
3rd (inferior) part
4th (ascending) part

27
Q

Hepatic portal vein

A

All veins from the GI tract funnel into the hepatic portal vein where the blood is cleaned before being sent to the heart. It sits behind the pancreas. Specific veins have the same names are the nearby arteries.

28
Q

Abdominal viceral autonomic nerve supply

A

Sympathetic: Thoracic splanchnics (T5-T12)
Parasympathetic: Vegas nerve (C10)

29
Q

Meckel’s diverticulum

A
Embryological remnant from yolk sac. 
2% of pop
2 inches long
2 feet from iliocecal junction
2% are symptomatic
Usually presents at age of 2. 

May present as obstruction, diverticulitis, hemorrhage,

30
Q

Paired branches of the aorta

A

Inferior phrenic (T12)- supply the diaphragm

Middle adrenal (L1)- supply the adrenal glands

Renal (between L1 and L2)- supply the kidneys

Gonadal- visceral, testicular supplies the testis and ovarian supplies the ovary and uterus

Lumbar- (between L1 and L4)- supply the abdominal wall and spinal cord

31
Q

3 salivary glands

A

Parotid- 2 of these glands, near the ear
Sublingual gland- under the tongue
Submandibular gland- under the chin

32
Q

Salivary contents

A

98% water
2% electrolytes and minerals (Na and K), mucus (glycoproteins), antibacterial compounds (hydrogen peroxide), and enzymes (amylase, lipase)