the foregut Flashcards
how is the abdomen divided into?
foregut
midgut
hindgut
where does the foregut range from?
esophagus to duodenum
what is the particularity of each gut?
Each gut is separated and receive single blood supply from a single artery which further branches off
at what level does the aorta pass the diaphragm
T12
what branches does the abdominal aorta give off?
inferior phrenic a. celiac trunk superior messenteric a inferior messenteric a common iliac a renal a gonadal a
what A. supplies blood supply to the inferior surface of the diaphragm
inferior phrenic A
at what level is the celiac trunk found
T12/L1
where does the common iliac split?
L4
what is the esophagus a continuation of?
the pharynx
what is the esophagus divided into?
3 parts
cervical
thoracic
abdominal
what type of movement is allowed in the esophagus, what muscles accomplish it?
inner circular muscles
outer longitudinal muscles
what is the goal of the sphincters at each end of the esophagus?
to keep each the acid from stomach to mix with bases of the SI
how is the UES controlled?
Voluntary control
how is the LES controlled?
involuntary control
at what level does the esophagus pass the diaphragm?
T10
where is the stomach located in the abdomen? precisely what regions?
upper left quadrant
in the epigastric, umbilical and left hypochondriac regions
where is the cardia of the stomach found?
it the portion of the stomach that is closes to the heart,
the cardia orifice opens at the LES
in what part of the stomach does gas build up?
fundus
where is the fundus located?
upper portion of the stomach
what happens to the body of the stomach as we go from the superior to inferior portion of the stomach?`
it narrows
where does chyme get secreted out of the stomach from?
pyloric canal
what Controls movement of chyme from stomach to SI and is a thickened region of circular muscles?
pyloric sphincter
what is a rugae?
Folds of the inner stomach wall that will flatten as the stomach distends to increase in size
what are the curvatures of the stomach?
lesser and greater curvature
where is the duodenum located in the abdomen?
ranges from upper left to upper right quadrants
how is the duodenum divided into?
4 parts D1: Superior D2: descending D3: inferior D4: ascending
what parts of the abdomen are intraperitoneal?
D1 and a part of D4 (distal)
what parts of the abdomen are retroperitoneal?
D2-D3-D4(proximal)
what does the SI divide into?
o Duodenum
o Jejum
o ileum
what type of organ is the pancreas? exception?
Retroperitoneal organ (except for the tail)
what is the function of the pancreas?
Responsible for producing and secreting insulin and digestive enzymes
how can the pancreas be viewed?
Can be viewed by entering the lesser sac deep to the stomach
where is the head of the pancreas located?
in the concavity of the duodenum
where is the uncinate process of the pancreas found?
Near the head of the pancreas on the inferior surface
how does the body and tail of the pancreas travel in the abdomen? at what levels?
travel to the left, deep to the stomach, anterior to left kidney
L1-L4
is the spleen a vital organ?
no
what type of organ is the spleen?
intraperitoneal
what is the function of the spleen?
Responsible for filtration and recycling of the red blood cells
Involved in the immune system
where is the spleen located?
upper left quadrant between ribs 9-11 at mid-axillary line
what are the hilum of the spleen and what do they border?
anterior surface aka the colic area borders the splenic fissure of the colon
the superior surface akak gastric area borders the stomach
the inferior surface aka renal surface borders the left kidney
what are the ligaments thta are close to the lesser sac at the level of the spleen on the left hand side?
- gastrosplenic ligament
- splenorenal ligament
is the liver a vital organ?
yes
what is the function of the liver?
Filters all venous blood from GIT
where is the liver located?
upper right quadrant of the abdomen above transpyloric line (L1)
what level does the superior border of the liver reach anteriorly?
5th rib (above diaphragm)
what level does the superior border of the liver reach posteriorly?
9th rib
what type of organ is the liver?
intraperitoneal
what part of the liver is not covered by the peritoneum?
the bare area
what creates the anterior and posterior coronary ligaments?
Peritoneum extending between the inferior surface of the diaphragm and the superior border of the liver
what creates the right and left triangular ligaments?
Where anterior and posterior coronary ligaments converge on the right and left sides of the liver
how is the liver divided?
into 4 lobes
left and right lobe and the right lobe is further divided into the caudate and the quadrate lobes
what lobe of the liver sits next to the IVC?
caudate lobe
what lobe of the liver sits next to the gallbladder anteriorly?
quadrate lobe
what is the falciform ligament?
Peritoneal fold containing ligamentum teres
what is ligamentum teres?
Fetal remnant of the ductus venosus that acted as a fetal shunt to bypass liver and bring oxygenated blood from umbilical cord from the mother’s placenta to the heart via IVC allowing it to be pumped out
how does the bile leave the liver?
via the right and left hepatic bile ducts
what do the left and right hepatic ducts converge into?
common hepatic duct
what does the common hepatic duct merge with? what does it form?
Common hepatic duct merges with the cystic duct of the gallbladder to form the common bile duct
how does bile go in and out of the bile duct?
Spiral mechanism inside allowing bile to come in through one and out the opposite spiral
how does the common bile duct travel?
posterior to D1
what is the function of the common bile duct?
Responsible for bringing bile into the SI
what happens to the common bile duct before it brings bile into the SI?
meets with pancreatic duct and provides enzymes
how is the accessory pancreatic duct created?
Common hepatic duct merges with the pancreatic duct creating the heptopancreatic ampulla of vater
where in the duodenum does emptying of the pancreatic occur?
D2 at the major duodenal papilla
where does the minor pancreatic duct empty itself?
D2 above pancrearic duct at the minor duodenal papilla
how is the celiac trunk divided?
left gastric A
splenic A
Common hepatic A
how does the left gastric A travel?
Follows along the lesser curvature of the stomach
what organs are supplied by the left gastric A?
esophagus via the esophageal A
what is particular about the splenic A (makes it easy to identify)
its tortuous structure
how does the splenic a REACH THE SPLEEN?
by traveling posterior to the stomach, it also travels along the superior border of the pancreas
how does the splenic vein differ from the A
vein is not tortuous and travels posterior to the pancreas
what does the common hepatic A branch off into?
hepatic A. proper and gastroduodenal A
what recieves blood from the hepatic A. proper?
liver and gallbladder
where does the hepatic A proper travel?
o Lesser curvature of the stomach
o Goes up towards the liver
what does the hepatic A. proper branch off into?
left and right hepatic A
what does the right hepatic A branch off into?
cystic A and right gastric A
what does the right gastric A anastamose with?
left gastric A
Where does the gastroduodenal a travel?
along the Greater curvature of the stomach
Travels to duodenum and stomach
Travels posterior to D1 segment
what branches comes from the gastroduodenal a
supraduodenal A
right gastroepiploic A
what does the right gastroepiploic A anastamose with?
left gastroepiploic A from the splenic A
into what does the superior pancreaticoduodenal A branch off into?
anterior and posterior branches
what type of organ is the gallbladder?
intraperiorneal
what is the function of the gallbladder?
storage of bile
what is the gallbladder divided into?
neck
body
fundus
what is the neck of the gallbladder?
Narrowing of the gallbladder leading into the cystic duct
where is the body of the gallbladder located
next to the liver
how is the cystic duct made to allow 2-way flow?
spiral internal design
what is contained in the hilum of the lungs?
the portal triad
what composes the portal triad?
hepatic A proper
common bile duct
portal vein
what is the portal vein responsible for?
venous drainage of the digestive system and various organs of the abdomen
how does the portal vein travel?
posterior to the hepatic Artery proper and common bile duct