Digestive system: foregut and midgut Flashcards
(120 cards)
How is blood pumped into the hepatic portal system
Blood is pumped from the heart into arteries which go into arterioles then capillaries that line the lamina propria of the small and large intestine.
In the hepatic portal system after the blood is in the lamina propria what happens
the venules drain the capillaries which give rise to the veins of the hepatic portal system , these become venules again and exchange substances to the second capillaries (hepatic sinusoids) which give rise to the terminal hepatic venules which dump into hepatic veins
Where does the hepatic portal vein dump
into the parenchyma of the liver
What does the portal vein collect
GI visceral blood (blood from gut tube, foregut, midgut, hindgut, accessory digestive glands and the spleen)
What do the left and right gastric veins drain
drain from the lesser curvature of the stomach directly into the portal vein.
What do the gastroepiploic veins drain to
the portal vein and splenic vein
What does the splenic vein drain blood from
the spleen
What veins go from the pancreas into the splenic vein
pancreatic veins
What does the hepatic portal system not have
Valves - so blood flow can be in any direction depending on pressure gradient
What are the porto-caval anastomoses
tissue areas in the GI tract where blood drains into hepatic portal system and caval veins
Name the porto-caval anastomoses
oesophagus, rectum and superficial abdomen
What does the inferior vena cava split into
the common iliac vein and then gives rise to an internal and external iliac vein
How does the left gastric vein drain blood from the distal oesophagus
drains from oesophagus to the hepatic portal vein to the liver through the sinusoids of portal veins in to the vena cava, back to the heart
What is the caval drainage of the distal oesophagus
through esophageal veins that go directly to the azygous veins then to the superior vena cava
What happens if there is a congestion into the portal vein
blood starts flowing backwards into its tributaries (can do this because there are no valves) back into the distal oesophagus. The blood then gets pushed into the oesophageal veins that go into the azygous veins
What is congestion in the portal vein called
portal hypertension
What does the backflow of blood from the portal vein cause
esophageal varices where they swell (due to increased blood flow) and can become varicose veins and burst
What is the portal drainage of the rectum
the superior rectal vein
What does the superior rectal vein drain into
the inferior mesenteric vein which goes into the splenic vein then into the hepatic portal vein into the liver
What is the caval drainage of the rectum
drains into the middle and inferior rectal veins
What do the middle and inferior rectal veins drain into
the internal iliac vein which goes into the common iliac vein into the inferior vena cava back to the heart
What does congestion in the portal vein cause to the rectum
causes blood to be directed into the inferior rectal veins which swell and cause internal haemorrhoids
What is the caval drainage for the abdominal wall - superficial fascia
superfifical epigastric veins
What do the superficial epigastric veins drain into
the femoral vein which becomes the external iliac and then goes into the common iliac then the inferior vena cava back to the heart