Stomach, Duodenum, Coeliac Vessels Flashcards
(39 cards)
What is the inlet of the stomach?
The Gastro-Oesophageal Junction
What is the outlet of the stomach?
The Pylorus
What are the parts of the Stomach?
- Cardia
- Fundus
- Body
- Pylorus
What are the Omenta and Ligaments attaching to the Stomach?
- Greater Omentum
- Lesser Omentum
- GastroPhrenic Ligament
- GastroSplenic Ligament
What are the Muscle Layers of the stomach?
- Outer Longitudinal
- Inner Circular
- Innermost Oblique
What are the types of Mucosa found within the body of the stomach?
- Rugae
- Magenstrasse
- Nodules/Pits that produce the mucus
What is the blood supply to the stomach?
All from Coeliac Trunk:
- Left Gastric
- Right Gastric
- Left and Right GastroEpiploics
- Short Gastrics
What is the Lymphatic Drainage of the Stomach?
3 Areas all draining to Coeliac Nodes:
- Superior 2/3 directly to coeliac
- Upper left to Splenic Nodes and Pancreatic nodes then Coeliac
- Lower Left to Pyloric and Retroduodenal nodes then Coeliac
What is Troisier’s Sign?
Swollen Lymph node above the clavicle (Virchow’s node) indicating cancer in the stomach
What are the branches of the Coeliac Trunk?
- Common Hepatic Artery
- Splenic Artery
- Left Gastric Artery
What arteries come off the Common Hepatic Artery?
- Cystic Artery
- Right and Left Hepatic Arteries
- Gastroduodenal Artery
- Right Gastric Artery
What arteries come off the Splenic Artery?
- Short Gastrics
2. Left Gastroepiploic Artery
What arteries come off the Left Gastric artery?
Oesophageal Artery
What arteries come off the Gastroduodenal Artery?
- Superior Pancreaticduodenal Artery
2. Right Gastroepiploic Artery
What is the nerve supply to the stomach?
- Sympathetics from Coeliac Plexus
2. Parasympathetic from Vagus Nerve–> Anterior and Posterior along lesser curvature
What are the anterior relations of the stomach?
- Abdominal Wall
- Costal margin
- Diaphragm
- Left Lobe of Liver
What are the posterior relations of the stomach?
- Lesser Sac
- Pancreas
- Splenic Artery
- Spleen
- Left Kidney and Adrenal
- Transverse Mesocolon
What are the borders of the Epiploic Foramen (Foramen of Winslow)?
Superior: Caudate lobe of Liver
Inferior: Part 1 of Duodenum
Anterior: Free Edge of Lesser Omentum
Posterior: Inferior Vena Cava
How many parts of Duodenum are there?
4 parts
How long is the first part of duodenum?
5cm (2 inches)
Is the first part of duodenum intraperitoneal or retroperitoneal?
First 2cm is intraperitoneal, next 3cm is retroperitoneal
How long is the second part of duodenum?
3 inches
What is the importance of the second part of duodenum?
It is where the common bile duct and pancreatic duct merge to form the Ampulla of Vater and enter the duodenum at the Sphincter of Oddi
What structure is in the second part of duodenum?
Major Duodenal Papillae