Stomach Flashcards

1
Q

what is the stomach?

A

an intraperitoneal digestive organ between the oesophagus and the duodenum

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2
Q

what is the anatomical positin of the soamhc?

A

in a supine patient it is mainly in the hypochondriac, epigastric and umbilical regions

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3
Q

where is the cardia?

A

surrounding the superior opening of the stomach
at T11

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4
Q

what is the fundus?

A

a rounded, often gas filled, portion of the stomach
superior and left of the cardia

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5
Q

what is the stomach body?

A

the central large portion
inferior to the fundus

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6
Q

what is the pylorus?

A

the bit that connects the duodenum and the stomach

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7
Q

what is the pylorus split into?

A

pyloric antrum
pyloric canal
pyloric sphincter

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8
Q

wat vertebral level is the pyloric plane at?

A

L1

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9
Q

what is the greater curvature?

A

it forms the long, convex, lateral border of the stomach

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10
Q

what is the position of the greater curvature?

A

arises from the cardiac notch
arches backwards and passes inferiorly to the left
curved to the right and continues medially to reach the pyloric antrum

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11
Q

what is the greater curvature supplied by?

A

short gastric arteries
right and left gastro-mental arteries

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12
Q

what is the lesser curvature?

A

forms the shorter, concave, medial surface of the stomach

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13
Q

what is the most inferior part of the lesser curvature?

A

incisura angularis

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14
Q

what does the incisura angular is of the lesser curvature indicate?

A

the junction of the stomach body and pyloric region

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15
Q

what does the lesser curvature give attachment to?

A

the hepatogastric ligament

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16
Q

what is the lesser curvature supplied by?

A

left gastric artery
right gastric branch of the common hepatic artery

17
Q

what is the gastro-oesophageal junction?

A

an abrupt change from the stratified squamous epithelium of the oesophagus to simple columnar epithelium of the cardia

18
Q

what does the pyloric sphincter do?

A

controls the flow of why,e from the stomach to the duodenum
smooth muscle = autonomic

19
Q

where does the arterial supply to the stomach come from?

A

the celiac trunk and its branches

20
Q

what do the right and left gastric arteries run along?

A

the lesser curvature
anastomose together

21
Q

where does the right gastric artery arise from?

A

it is a branch of the common hepatic artery

22
Q

where does the left gastric artery come from?

A

it arises directly form the celiac trunk

23
Q

where do the left and right gastro-omental arteries run along?

A

the greater curvature
anastomose together

24
Q

where does the left gastro-mental artery arise from?

A

it is a branch from the splenic artery

25
Q

where does the right gastro-mental artery arise from?

A

it is the terminal branch of the gastroduodenal artery

26
Q

where does the right and left gastric veins drain into?

A

the splenic vein
which then further drains into the hepatic portal vein

27
Q

where does the short gastric and right and left gastro-mental veins drain into?

A

ultimately the superior mesenteric vein

28
Q

what is the parasympathetic innervation of the stomach?

A

vagus nerve
via the vagal trunk

29
Q

what is the sympathetic innervation of the stomahc?

A

coeliac plexus
via the greater splanchnic nerve

30
Q

where to the gastric and gastro-omental lymph nodes drain into?

A

the coelic lymph nodes