Stomach Flashcards

(29 cards)

1
Q

What is the abdomen?

A
  • The body cavity between the diaphragm and the pelvic inlet
  • It is separated from the thorax but not the pelvis
  • It is a multi-layered musculoaponeurotic wall
  • Adipose tissue
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2
Q

What are the 9 regions of the abdomen?

A
  1. R hypochondrium
  2. Epigastric
  3. L hypochondrium
  4. R lumbar
  5. Umbilical
  6. L lumbar
  7. R iliac fossa
  8. Suprapubic
  9. L iliac fossa
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3
Q

What is found in the R hypochondrium region of the abdomen?

A

The liver

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4
Q

What is found in the L hypochondrium/epigastric region of the abdomen?

A

The stomach

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5
Q

What is found in the R lumbar region of the abdomen?

A

Parts of the large intestine

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6
Q

What is found in the umbilical region of the abdomen?

A

Parts of the small intestine

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7
Q

What is found in the R iliac fossa region of the abdomen?

A

The appendix

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8
Q

What is meant by distension?

A
  • The ability to fill up
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9
Q

What is anterior and superior to the stomach

A
  • Lower ribs/diaphragm

- Liver

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10
Q

What is the second largest organ in the body?

A

The liver

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11
Q

What is the largest organ in the body?

A

Skin

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12
Q

What is posterior and inferior to the stomach?

A
  • Diaphragm
  • Spleen
  • Kidney (L)
  • Adrenal gland
  • Pancreas
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13
Q

What is Omentum?

A

A fold of peritoneum connecting the stomach with other abdominal organs

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14
Q

Where does the greater Omentum attach to the stomach?

A

The greater curvature of the stomach

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15
Q

What are the 4 areas if the stomach?

A
  • Cardia (next to heart)
  • Fundus (where air sits)
  • Body (main)
  • Pylorus (next to the pyloric sphincter)
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16
Q

What is the name of the sphincter between the stomach and the duodenum?

A

The pyloric sphincter

17
Q

what are the different layers of the stomach?

A

in the stomach as well as the inner circular layer and outer longitudinal layer of muscle there is an additional layer - so 3 layers of muscle in total
- The additional layer is called the oblique layer

18
Q

What is the function of the additional layer of muscle in the stomach (the oblique layer)?

A

To make sure there is churning in the stomach

19
Q

What are the functions of the stomach?

A
  • Stores swallowed food
  • ‘Retention’ of food
  • Mixing of gastric ‘juice’
  • Chemical and mechanical functions
  • Limited absorption except alcohol
20
Q

Where are mucous secreting cells located in the stomach and what do they secrete?

A
  • Luminal surface and gastric pits

- Alkaline secretions which protect stomach acid from damaging the rest of the body if leakage of gastric ‘juices’

21
Q

What do parietal cells secrete?

A
  • HCl

- Intrinsic factor (need for vitamin B12 absorption)

22
Q

What do chief cells secrete?

A
  • Pepsinogen (inactive form): converted into pepsin by HCl for protein digestion
23
Q

What do endocrine cells secrete in the stomach?

A

Gastrin - Hormones that increase contractions of later part of the GIT

24
Q

What is the blood supply of the stomach?

A
  • The greater curvature of the stomach receives its blood supply from the left gastroepiploic artery along its top edge and from the right gastroepiploic along its lower edge
  • The upper portion of the greater curvature of the stomach, along with the fundus, receives blood from the short gastric artery
  • The lesser curvature of the stomach receives blood from the left gastric artery (this also supplies the cardia region) and the right gastric artery
25
What is the venous drainage of the stomach?
- R and L gastric arteries --> portal vein - Short gastric veins and L gastroepiploic --> splenic --> superior mesenteric - R gastroepiploic --> superior mesenteric
26
What are oesophageal varices?
- If pressure in the liver is increased it backflows through the veins in the stomach and into the oesophagus - If these veins balloon they burst, due to increased portal pressure
27
What is the name for increased portal pressure?
Portal hypertension
28
What is gastric by-pass surgery - Roux-en-Y?
An anastomosis of the distal divided end of the small bowel to another organ such as the stomach, pancreas or oesophagus. The proximal end is anastomosed t the small bowel below the anastomosis
29
Why do you need to re-connect the duodenum after gastric bypass surgery?
Because of bile and pancreatic secretions