Stomach, Duodenum, Coeliac Vessels Flashcards

(39 cards)

1
Q

What is the inlet of the stomach?

A

The Gastro-Oesophageal Junction

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2
Q

What is the outlet of the stomach?

A

The Pylorus

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3
Q

What are the parts of the Stomach?

A
  1. Cardia
  2. Fundus
  3. Body
  4. Pylorus
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4
Q

What are the Omenta and Ligaments attaching to the Stomach?

A
  1. Greater Omentum
  2. Lesser Omentum
  3. GastroPhrenic Ligament
  4. GastroSplenic Ligament
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5
Q

What are the Muscle Layers of the stomach?

A
  1. Outer Longitudinal
  2. Inner Circular
  3. Innermost Oblique
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6
Q

What are the types of Mucosa found within the body of the stomach?

A
  1. Rugae
  2. Magenstrasse
  3. Nodules/Pits that produce the mucus
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7
Q

What is the blood supply to the stomach?

A

All from Coeliac Trunk:

  1. Left Gastric
  2. Right Gastric
  3. Left and Right GastroEpiploics
  4. Short Gastrics
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8
Q

What is the Lymphatic Drainage of the Stomach?

A

3 Areas all draining to Coeliac Nodes:

  1. Superior 2/3 directly to coeliac
  2. Upper left to Splenic Nodes and Pancreatic nodes then Coeliac
  3. Lower Left to Pyloric and Retroduodenal nodes then Coeliac
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9
Q

What is Troisier’s Sign?

A

Swollen Lymph node above the clavicle (Virchow’s node) indicating cancer in the stomach

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10
Q

What are the branches of the Coeliac Trunk?

A
  1. Common Hepatic Artery
  2. Splenic Artery
  3. Left Gastric Artery
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11
Q

What arteries come off the Common Hepatic Artery?

A
  1. Cystic Artery
  2. Right and Left Hepatic Arteries
  3. Gastroduodenal Artery
  4. Right Gastric Artery
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12
Q

What arteries come off the Splenic Artery?

A
  1. Short Gastrics

2. Left Gastroepiploic Artery

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13
Q

What arteries come off the Left Gastric artery?

A

Oesophageal Artery

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14
Q

What arteries come off the Gastroduodenal Artery?

A
  1. Superior Pancreaticduodenal Artery

2. Right Gastroepiploic Artery

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15
Q

What is the nerve supply to the stomach?

A
  1. Sympathetics from Coeliac Plexus

2. Parasympathetic from Vagus Nerve–> Anterior and Posterior along lesser curvature

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16
Q

What are the anterior relations of the stomach?

A
  1. Abdominal Wall
  2. Costal margin
  3. Diaphragm
  4. Left Lobe of Liver
17
Q

What are the posterior relations of the stomach?

A
  1. Lesser Sac
  2. Pancreas
  3. Splenic Artery
  4. Spleen
  5. Left Kidney and Adrenal
  6. Transverse Mesocolon
18
Q

What are the borders of the Epiploic Foramen (Foramen of Winslow)?

A

Superior: Caudate lobe of Liver
Inferior: Part 1 of Duodenum
Anterior: Free Edge of Lesser Omentum
Posterior: Inferior Vena Cava

19
Q

How many parts of Duodenum are there?

20
Q

How long is the first part of duodenum?

A

5cm (2 inches)

21
Q

Is the first part of duodenum intraperitoneal or retroperitoneal?

A

First 2cm is intraperitoneal, next 3cm is retroperitoneal

22
Q

How long is the second part of duodenum?

23
Q

What is the importance of the second part of duodenum?

A

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

24
Q

What structure is in the second part of duodenum?

A

Major Duodenal Papillae

25
What gland is in the first part of duodenum?
Brunner's Glands
26
What is the function of Brunner's Glands?
Secrete alkaline fluid into the duodenum to neutralise acid from the stomach
27
How long is the third part of duodenum?
4 inches
28
How long is the fourth part of duodenum?
1 inch
29
What structures are anterior to the first part of duodenum?
1. Liver | 2. Gallbladder
30
What structures are posterior to the first part of duodenum?
1. Portal Vein 2. Common Bile Duct 3. Gastroduodenal Artery
31
What structures are anterior to the second part of duodenum?
Transverse Colon
32
What structures are posterior to the second part of duodenum?
1. Right Kidney | 2. Right Ureter
33
What structures are anterior to the third part of duodenum?
1. Root of Mesentery | 2. Superior Mesenteric Artery and Vein
34
What structures are posterior to the third part of duodenum?
1. Inferior Vena Cava | 2. Aorta
35
What is anterior and posterior to the fourth part of duodenum?
Suspensory Ligament of Treitz
36
What is the Suspensory Ligament of Treitz?
This band of smooth muscle from the right crus of the diaphragm which passes anterior to the aorta/renal vessels but being the pancreas, to blend with outer coat of the duodenojejunal flexure
37
What is the blood supply to duodenum?
1st part: Hepatic, Gastroduodenal, Right Gastric and Right Gastroepiploic 2nd Part: Superior Pancreaticoduodenal Artery and Gastroduodenal Artery 3rd and 4th part: Inferior Pancreaticoduodenal Artery
38
What are the Peritoneal Recesses?
1. Superior Duodenal Recess 2. Inferior Duodenal Recess 3. Paraduodeal Recess 4. Retroduodenal Recess
39
Why are the Peritoneal Recess important?
They are potential areas for internal herniation of bowel or other structures