Stomach

Location to Stomach

  • The stomach is the widest
    part of the alimentary
    tract and lies between the
    oesophagus and the
    duodenum.
  • It is situated in the upper
    abdomen, extending from
    the left upper quadrant
    downwards, forwards and to the right, lying in the
    left hypochondriac, epigastric and umbilical
    areas.

MEAN CAPACITY

  • The mean capacity of the stomach
  • 30 ml at birth
  • 1000 m] at puberty
  • approximately 1500 ml in adults.

PARTS OF THE STOMACH

  • For descriptive purposes, the stomach is divided by
    arbitrary lines drawn on its external surface into a
    fundus, body, pyloric antrum and pylorus

The Fundus

  • dome shaped and
    projects above and to
    the left of the cardiac
    orifice to lie in contact
    with the left dome of the
    diaphragm.
  • it lies above a line drawn horizontally from the
    incisura cardiaca to the greater curvature.

The pyloric antrum

  • extends from this line to
    the sulcus intermedius,
    where the stomach
    narrows to become the
    pyloric canal (1-2 cm
    long}, which terminates
    at the pyloric orifice.

Gastric Relations

  • GASTRIC CURVATURES ( Lesser curvature)
  • The lesser curvature extends between the cardiac and pyloric orifices and forms the medial (posterior and superior) border of the stomach.
  • medial – oesophagus
  • front -of the decussating fibres of the right crus of the diaphragm.
  • lies anterior -superior border of the pancreas
  • The lesser omentum is attached to the lesser curvature and contains the right and left gastric vessels

Greater Curvature

  • Itstarts from the incisura cardiaca
    formed between the lateral
    border of the abdominat
    oesophagus and the fundus of the
    stomach
  • approximately level with the left
    fifth intercostal space .
  • From this level it sweeps inferiorly
    and anteriorly, slightly convex to
    the left, almost as far as the tenth
    costal cartilage in the supine
    position
  • a groove, termed the sulcus
    intermedius, in the curvature
    chose to the pyloric constriction.
  • Relation of the greater
    curvature with the
    peritoneum
  • Laterally the greater
    curvature gives attachment
    to the gastrosplenic ligament
  • and beyond this to the
    greater omentum, which
    contains the gastroepiploic
    vessels.
  • The gastrosplenic ligament
    and the greater omentum,
    together with the
    gastrophrenic and
    splenorenal ligaments, are
    continuous parts of the
    original dorsal mesogastrium:
  • Axes of the empty and full stomach. As the stomach distends,
    the greater curvature ‘rolls’ downwards and the
    anterosuperior surface comes to lie almost completely
    vertical as the anterior surface.

Anterior Relation of Stomach

  1. On the right side-
    posterior surface of liver
    and the pylorus is
    anteriorly related to the
    quadrate lobe of the liver
  2. Left side- diaphragm
  3. Lower part- anterior
    abdominal wail

Posterior Relation of Stomach

  1. Left kidney
  2. Left suprarenal gland
  3. Splenic artery
  4. Pancreas
  5. Splenic flexure of the
    colon
  6. Transverse mesocolon

Gastric Orifices

  • Cardiac orifice and gestro-oesophageal junction
  • It is typically situated to the left of the midline behind the seventh costal cartilage at the level of the eleventh thoracic vertebra. It is typically 10 cm from the anterior abdominal wall and 40 cm from the incisor teeth.
  • The abdominal oesophagus is continuous with the cardiac orifice

Pyloric orifice

  • The pyloric orifice is the
    opening from the stomach
    into the duodenum, and
    typically lies 1-2 cm to the
    right of the midline in the transpyloric plane when the
    body is supine and the stomach empty.
  • The pyloric sphincter is a muscular ring formed by a
    marked thickening of the circular gastric muscle
    interlaced with some longitudinal fibres

GASTRIC FORM AND INTERNAL
APPEARANCES

  • Numerous factors influence both the form and position
    of the stomach L
  • The empty stomach is most commonly J-shaped, the
    fundus usually contains gas, and,
  • in the erect posture, the pylorus descends to the level
    of the second or the third lumbar vertebra.
  • In short, obese individuals, the axis of the stomach lies
    more towards the horizontal as a ‘steer-horn’ shape.
  • The extent of filling mainly affects the shape and
    position of the body, because the pyloric part usually
    remains contracted during digestion

Arterial Supply

Venous Drainage

Lymphatic Drainage

  • lymph = from the Prouimal portion of the stomach drains aiong the lesser cureature first Grains into superior gastric «lymph = nodes
    surrounding the Left Gastric Artery.
  • Distal portion of lesser curvature Grains through the suprapytoric nodes.

Nerve Innervation

Other Anatomy Notes

Mediastinum

Nose

Prevertebral Region

Joints of Head and Neck

Congenital Anomalies of Thyroid Gland

Suboccipital Muscles

Introduction To Abdomen

Peritoneum (Development & Introduction)

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