presentation by f.k
,Th e Esophagus
Surface Anatomy
Begins at C6
Passes Esophageal hiatus at T10
Ends in the Cardia at T10/T11
Name 3 constrictions
A: Cervical (origin)
B: Thoracic (broncho-aortic) crossed
by aortic arch & L main bronchus
C: Diaphragmatic: through E.Hiatus
Describe the blood supply to the
abdominal part of the esopahgus
Abdominal Aorta
Celiac Trunk
Left Gastric A. Inferior phrenic A
Esophagus presentation by f.k
,Nerve Supply
Pancreaticospl
Anterior & Posterior
Vagal Trunks
Venous Drainage
Pancreatico
Left Gastric Vein
Splenic Vein
Portal Vein
Omentum
Lesser Omentum> Liver
Connects stomach & proximal Pyloric Nodes
duodenum to the liver. Blood Supply:
GreaTer Omentum> CELIAC TRUNK
Connect stomach & proximal
duodenum to transverse colon
Common Hepatic
Left Gastric A
Left, Little, Less
Splenic A Lesser curvature
Joins right gastric A.
Proper Hepatic Gastroduodenal
Right Gastric A > Right gastroepiploic A > (snake-like)
Inferior part of < curvature greater curvature
Branches to stomach:
Left gastoepiploic: > curvature
Short gastrics: fundus
, The Stomach
Surface Anatomy Relations
Cardiac Orifice
- 6th left costal cartilage, T11
Fundus
- Posterior to Fifth rib
- Midclavicular plane
Lesser & Greater Curvature
- From10th costal cartilage
- To pyloric antrum
Pylorus
- 9 (like a reverse P) costal cartilage
- L1 when supine (lying down)
- L2-L3 when erect
Less omentum
- Connects stomach & proximal
duodenum to liver.
Greater omentum
- Connects stomach & proximal
duodenum to transverse colon.
presentation by F.K
, The Liver & Gallbladder
presentation by f.k