The Stomach and General Principles of Gastric Surgery Flashcards
Which organ is in close association with the cranial/ventral aspect of the stomach?
Liver
Which part of the stomach lies against the diaphragm?
Fundus
Which structures form the lateral part of the abdominal wall on the right and left side of the normal stomach?
Costal arch
What structure attaches to the greater curvature of the stomach?
Greater omentum
Which structure lies immediately caudal to the stomach?
contact with the transverse colon which crosses the abdomen from right to left immediately caudal to the stomach
What side of the abdomen is the pylorus located on?
Right
What is the cone shaped portion of the stomach that funnels gastric contents towards the pylorus?
Pyloric antrum
How to perform the gastric axis?
If you draw a line from the “top” to the “bottom” of the stomach on a lateral abdominal radiograph this gives you the gastric axis.
What does the gastric axis show us?
If the liver is normal in size the gastric axis should be roughly parallel to the ribs on a lateral abdominal radiograph.
What structure is cranial to and merges with the cardia?
Oesophagus
What structure runs in the hepatoduodenal ligament?
Common bile duct
Which way does the transverse colon cross the abdo?
Right to left
Why is the stomach not palpable on CE?
Lies within costal arch
What lies immediately caudal to the body of the stomach on the left side of the abdomen?
Head of the spleen
What is the spleen attached to the stomach by?
Gastrosplenic ligament
What are the 5 areas of the stomach?
Cardia
Fundus
Body
Pyloric antrum
Pylorus
Where is the cardia located cf to midline?
It is fixed/non-movable + located immediately where cf t diaphragm?
- Left
- Caudal
Which side is the fundus?
Left
The cranial surface of the fundus pushes
Against the left upper part of the diaphragm.
What is the largest part of the stomach?
Body
Body of the stomach:
A) Where does it join the fundus?
B) Where does it join the pyloric antrum?
A) Left
B) Right
What does the pyloric antrum connect?
Body to pylorus
Where is the pylorus located?
R ventral abdo
How many muscle layers is the pylorus?
Double