Test2Embryo Flashcards
4 Regions of Gut
Pharynx/Foregut/Midgut/Hindgut
6 Foregut Structures
Esophagus, stomach, proximal duodenum, liver, gall bladder, pancreas
4 Midgut Structures
Distal duodenum, jejunum, ileum, proximal colon
2 Hindgut Structures
Distal colon, anorectal canal
Initial Gut Tube Structural Differentiation Mech
Gradient of retinoic acid (low to high) activates TFs specific for each region
Initial Regional Specificiation Stabilization Mech
Epithelial-mesenchymal interactions as SHH from gut endoderm induces segmental expression of HOX genes in surrounding mesoderm, which induce endoderm to form specific regions
Liver Formation
Entire gut has ability to form it, but pathway blocked unless factors from adjacent cardiac mesoderm release inhibition
Ventral pancreas bud
Forms ventral head and uncinate process
Dorsal Pancreas bud
forms all parts of pancreas except ventral head and uncinate process
Pancreatic duct formation
Main pancreatic duct (Wirsung) formed by fusion of dorsal and ventral pancreatic ducts, while an accessory minor duct (Sartorini) is common
Annular Pancreas
Ventral pancreas can form a ring around duodenum, potentially resulting in duodenal stenosis
Formation of Omental Bursa
Stomach carries dorsal mesogastrium with it as it rotates in later development
2 Stomach Rotations (in order)
Vertical around longitudinal rotation axis, and then clockwise around anteroposterior axis
Positioning of Pancreas and Spleen
Rotation of dorsal mesogastrium pushes them to the left side, pressing pancreas into posterior abdominal wall making it secondary retroperitoneal
Formation of Greater Omentum
Two omental bursa walls hanging down anteriorly fuse
Positioning of Proximal Duodenum
Initially in middle, gut rotation swings it to left and retroperitoneally
Midgut Rotation
270 degrees counterclockwise, with 90 deg occurring during umbilical herniation and remaining 180 during return to abdomen. Places transverse colon in front of duodenum
2 Abormal Rotations of Primitive Intestinal Loop
Incomplete CCW Rotation - SI entirely on right and LI entirely on left, transverse colon forms “U”
Incorrect CW Rotation - Duodenum passes over transverse colon
Omphalocele
Failure of intestinal loops to return to abdominal cavity
Gastroschisis
Protrusion of abdominal contents through body wall directly into amniotic cavity