Stomach Flashcards

(51 cards)

1
Q

where does the stomach extend between?

A

T7-L3

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2
Q

where is the stomach located between?

A

oesophagus and duodenum

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3
Q

what is the anterior and posterior surfaces of the stomach covered in?

A

smoothly rounded with a peritoneum covering

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4
Q

what are the 4 regions of the stomach?

A

cardia, fundus, body, pylorus

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5
Q

what is the cardia?

A

surrounds the superior opening of the stomach

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6
Q

what is the fundus?

A

the rounded portion superior to and left of the cardia

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7
Q

what is the body?

A

the large central portion inferior to the fundus

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8
Q

what is the pylorus of the stomach?

A

connects the stomach to the duodenum

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9
Q

what are the medial and lateral borders of the stomach known as? why?

A

medial & lateral borders of the stomach are curved

known as the lesser and greater curvatures

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10
Q

what does the greater curvature of the stomach form?

A

long convex lateral border of the stomach

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11
Q

where does the greater curvature of the stomach arise from?

A

the cardiac orifice

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12
Q

describe the greater curvature of the stomach

A

cardiac orifice, arches backwards and passes inferiorly to the left

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13
Q

what happens to the greater curvature of the stomach as it continues medially? what does it reach?

A

curves to the right as it continues medially to reach the pyloric antrum

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14
Q

which arteries supply the greater curvature of the stomach?

A

short gastric arteries

right & left gastro-omental arteries

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15
Q

what does the lesser curvature of the stomach form?

A

forms the shorter concave medial surface of the stomach

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16
Q

what is the angular incisure?

A

the most inferior part of the lesser curvature

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17
Q

what does the angular incisure indicate?

A

the junction of the body and pyloric region

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18
Q

what does the lesser curvature give attachment to?

A

hepatogastric ligament

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19
Q

which artery supplies the lesser curvature?

A

left gastric artery and right gastric branch of the hepatic artery

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20
Q

where does the stomach lie in a supine position?

A

lies in the right and left upper quadrants or epigastric, umbilical, left hypochondrium and flank regions

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21
Q

where does the stomach move in an erect position?

A

moves inferiorly

22
Q

what happens to the internal surface (mucosa) of the stomach when it is empty?

A

the mucosa lies in folds called rugae

23
Q

where do rugae (folds) become most prominent in the stomach?

A

toward the pyloric part and greater curvature

24
Q

what happens to the rugae during swallowing?

A

the rugae can form a temporary groove along the lesser curvature

25
what is the temporary groove along the lesser curvature called?
gastric canal
26
what is the function of the gastric canal?
masticated food and fluid drain along the canal to the pyloric canal when the stomach is empty
27
how many sphincters are there in the stomach and where are they located?
2 sphincters of the stomach, one at each end
28
what is the function of the sphincters of the stomach?
function to control what enters and exists the stomach and when
29
where is the inferior oesophageal sphincter?
the sphincter between the oesophagus and the stomach
30
where is the superior oesophageal sphincter located?
in the pharynx
31
where is the inferior oesophageal sphincter located anatomically?
to the left of the T11 vertebra
32
how is the inferior oesophageal sphincter marked histologically?
marked by an abrupt change from oesophageal to gastric mucosa
33
what is located immediately superior to the inferior oesophageal sphincter?
oesophageal hiatus
34
what is the oesophageal hiatus?
a hole in the diaphragm through which the oesophagus travels
35
what is the inferior oesophageal sphincter called? why?
physiological (or functional) sphincter
36
why is the inferior oesophageal sphincter called a physiological sphincter?
it does not have any specific sphincteric muscle, instead, a number of extrinsic forces act
37
what happens at the oesophageal hiatus?
the right crus exerts pressure on the oesophageal wall
38
in the normal (non-eating) state, how is the lumen of the oesophagus like?
collapsed
39
how does the oesophagus enter the stomach?
at an angle
40
why does the oesophagus enter the stomach at an angle?
when the stomach is full, this closes off entry to the stomach
41
where is the pyloric sphincter found?
between the pylorus and the duodenum
42
what does the pyloric sphincter control?
the exit of chyme (food and gastric acid mixture)
43
what type of sphincter is the pyloric sphincter?
an anatomical sphincter
44
why is the pyloric sphincter a type of anatomical sphincter?
it contains smooth muscle
45
what is the function of the smooth muscle in the pyloric sphincter?
thickens to control the discharge of stomach contents through the orifice
46
how does emptying of stomach occur?
intermittently when intragastric pressure overcomes the resistance of the pylorus
47
how does the pylorus normally contract? why?
pylorus contracts tonically so that the orifice is small and food can stay in the stomach for a suitable period
48
what is the function of gastric peristalsis?
gastric peristalsis pushes the chyme through the pyloric canal into the duodenum for further digestion
49
what are organs within the abdominal cavity covered with?
double layered membrane called peritoneum
50
what is the function of the peritoneum?
supports viscera and attaches them to the abdominal wall
51
what is the greater and lesser omenta?
2 structures that consist of peritoneum folded over itself (2 layers of peritoneum, or 4 membrane layers)