Stomach: Ends And Borders

Question 1

Cardiac end site

Answer 1

Found at junction of stomach with esophagus

Question 2

Cardiac end specific site

Answer 2

1 inch to left of median plane at left 7th costal cartilage (11th thoracic vertebra) level 10 cm from anterior abdominal wall and 40 cm from incisor teeth

Question 3

Cardiac end is controlled by:

Answer 3

Physiological sphincter
1. Acute gastroesophageal angle valve-like action
2. Diaphragm right crus pinch-like action
3. Stomach upper end mucosal rosette forms plug to esophagus lower end
4. Esophagus abdominal part is subjected to high positive intrabdominal pressure
5. Stomach fundus circular muscle fibers encircle esophagus lower end. During gastric contraction, these fibers prevent gastroesophageal reflux

Question 4

Pyloric end site

Answer 4

At junction of stomach with duodenum

Question 5

Pyloric end specific site

Answer 5

1/2 inch to right of median plane at Transpyloric plane (L1 vertebra) level

Question 6

Pyloric end controlled by

Answer 6

Anatomical pyloric sphincter formed by thickening of circular muscle fibers

Question 7

Lesser curvature site

Answer 7

Stomach right border

Question 8

Lesser curvature notch

Answer 8

Shows notch at its right 1/3 (incisura angularis or angular notch) which marks junction of stomach body with pyloric part

Question 9

Lesser curvature attachment

Answer 9

Lesser omentum

Question 10

Lesser curvature relations

Answer 10

Right and left gastric vessels run along it

Question 11

Greater curvature site

Answer 11

Stomach left border 4-5 times longer than lesser curvature

Question 12

Greater curvature notch

Answer 12

Shows notch with esophagus (incisura cardia or cardiac notch)

Question 13

Greater curvature attachment

Answer 13

1. Greater omentum
2. Gastrophrenic
3. Gastro-splenic
   ligaments

Question 14

Greater curvature relations

Answer 14

1. Short gastric
2. Left and right gastroepiploic vessels run along it