Gastrointestinal Tract Flashcards
(79 cards)
Describe the peritoneum.
A serosal layer lining abdominal and pelvic cavities.
- Flattened mesothelial cells supported by fibrous connective tissue.
- Has a parietal and visceral layer, lubricated by a serous fluid.
- Has a large surface area so any fluid that escapes can be quickly reabsorbed and allows for a method of distributing drugs in the body via intraperitoneal injection.
What is a use of some of the mesenteries being very long?
Allowing organs to be moved around during surgery for access to different structures.
What is the blood supply of the parietal and visceral peritoneums?
Parietal peritoneum lines the abdominal wall. Its blood supply, innervation and lymphatic drainage are the same as the overlying structures.
Visceral peritoneum envelops organs. Its blood supply, innervation and lymphatic drainage are the same as the organs is surrounds.
What is the structure of the mesenteries?
Reflection of 2 layers of peritoneum to make a fold suspending an organ:
- Mesoduodenum,
- Mesojejunoileum/great mesentery
- Mesocolon
Blood supply, innervation and lymphatic drainage run between peritoneal layers. These branch out from the root of the mesenteries.
What are the embryonic derivations of the mesenteries?
• Dorsal mesogastrium becomes the dorsal mesentery
• Ventral mesogastrium becomes the ventral mesentery
Separated by the GI tract
What are the omentums?
Peritoneal attachments associated with the stomach from the mesogastrium.
- Greater omentum arises from greater curvature of the stomach and has 2 double layers
- Lesser omentum connects the liver and the lesser curvature of the stomach and has 1 double layer
Name the peritoneal ligaments.
• Right and left triangular ligaments, coronary ligament, falciform ligament – all double layers of peritoneum travelling to and from the liver.
• Duodenocolic ligament – connects the duodenum and colon
• Iliocaecal fold – connects the ileum and caecum
• Hepatorenal ligament
• Gastrosplenic ligament
• Vesical ligament
What are the 7 fixed points of the abdominal viscera?
• Cardia of stomach – attached to the diaphragm
• Hepatic ligaments – attached to the diaphragm
• Mesoduodenum – short, therefore duodenum lies in the dorsal abdomen
• Dorsal extremity of spleen – near origin of greater omentum
• Dudenocolic ligament – attached duodenum to colon
• Mesorectum – short, therefore rectum lies in the dorsal abdomen
• Bladder – vesical ligaments are short but cranial movement is possible
Describe the structure of the stomach.
- Oesophagus enters the stomach at the cardiac sphincter, a ring of muscle that can contract to block the tube.
- Fundus is the region of the stomach that is between the cardiac region and the body of the stomach. This varies between species.
- Pyloric region has he pyloric sphincter, the circular ring of muscle that controls the movement of food out of the stomach and into the duodenum. Important that food stays in the stomach long enough to be churned and release nutrients to be absorbed by the small intestine.
- Has the lesser and greater curvatures of the stomach.
- Internal surface of the stomach has an arrangement of folds called Mugabe. These help direct food through the stomach.
what are the 3 branches of the coeliac artery and what do they supply?
• Left gastric artery – stomach. Gastric arteries supply the lesser curvature of the stomach
• Splenic artery – spleen. Has a branch called the left gastroepiploic artery – supplies the greater curvature of the stomach. Spleen supplied by left gastroepiploic artery.
• Hepatic artery – liver. Supplied by right gastric artery and right gastroepiploic artery.
What is the gross structure of the small to large bowel?
Stomach > duodenum > jejunum > ileum > caecum > colon > rectum
What is the blood supply to the small and large bowel?
• Cranial mesenteric supplies the caudal duodenum, the jujunoilium, ascending and transverse colon
• Caudal mesenteric artery supplies the descending colon and rectum
What are the divisions of the GI tract?
• Foregut – distal oesophagus to cranial duodenum, liver and pancreas. The spleen has the same blood and nerve supply but not derived from the foregut. Coeliac artery
• Midgut – caudal duodenum and pancreas to transverse colon. Cranial mesenteric artery
• Hindgut – descending colon and rectum. Caudal mesenteric artery
Describe venous drainage of the GI tract.
Do not have paired veins of unpaired branches. This is because the GI tract is absorbing all the nutrients and, if fed directly back into the systemic circulation, there would be toxic levels of chemicals and substances. So blood must be filtered before it enters the systemic circulation again.
- Gastroduodenal, splenic, cranial mesenteric and ileocolic veins feed into the hepatic portal vein.
- Hepatic portal vein drains to the liver, where blood can be processed and filtered.
- Blood then drains into the caudal vena cava to enter the systemic circulation.
Describe innervation of the abdominal viscera.
Motor (autonomic) – general visceral efferent:
Parasympathetic
- Vagus nerve innervates the foregut and midgut
- Pelvic nerves from S1, 2 and 3 supply the hindgut and pelvic organs
Sympathetic via sympathetic chain. T1 – L2.
- Smooth muscle of the GI tract
- Coeliac ganglia – foregut
- Cranial mesenteric ganglion – midgut
- Caudal mesenteric ganglia – hindgut and supplies hypogastric nerves that supply the pelvic viscera
Sensory – general visceral afferent
State the 3 functions of the liver.
• Protein, carbohydrate and fat metabolism
• Bile production
• Processing of digestion products
Name the lobes of the liver.
• Left medial lobe
• Right medial lobe
• Left lateral lobe
• Right lateral lobe
• Quadrate lobe
What vasculature enters and exits the liver via the porta?
• Hepatic artery
• Hepatic portal vein
• Caudal vena cava
What 4 ligaments attach the liver to the body wall?
Left and right triangular ligaments
Coronary ligament
Falciform ligament
What impressions does a fixed liver have?
Stomach
Right kidney
Lesser omentum
Gall bladder
Describe blood flow in the liver lobules.
- Blood flow entering the porter is going to detach a lot of extension and
they will put blood vessels inwards which will continue to divide. - The parenchyma of the liver also follows the same pattern
- Tunis phyprocessor encloses the parenchyma has teh same path and creates the pattern (lobules)
Blood vessels divided down and down into smaller blood vessels. The central veins collect the remaining blood once it has been processes by the hepatocytes which will then empty into larger and larger veins until they empty into the hepatic vein which will drain into the caudal vena cava.
What is the pathway of bile secretion?
As food travels down the GI tract, the gall bladder is stimulated and releases the stored bile into the duodenum, which mixes with the ingesta as it travels down the tract.
- Hepatic duct system begins with tiny ducts called canaliculi within liver lobules.
- These open up into larger ducts called ductules.
- These become hepatic ducts.
- Bile duct exist the liver via the porta.
- At the porta, hepatic ducts combine to form a common trunk that goes to the duodenum.
- Side branch called the cystic duct goes to the gall bladder.
- Common trunk distal to the cystic duct goes to the bile duct.
What is the location of the pancreas and its lobes?
Nestled in the curve of the duodenum.
- At the duodenum papilla, there is a common opening for bile duct and pancreatic duct.
- The lobes of the pancreas are located behind the stomach.
- Has a distinct left and right lobe that from a v shape a the cranial flexure of the duodenum.
- Right lobe runs within the duodenum in the mesentery to the duodenum
- Left lobe is shorter and thicker and extends over the caudal surface of the stomach and towards the spleen.
What are the functions of the pancreas?
Has an exocrine function and produces digestive enzymes that empty into the proximal duodenum through the pancreatic duct.
Has endocrine function and islands of Langerhans that have alpha and beta cells producing insulin, glucagon and gastrin.