CARCINOMA

STOMACH

SURGICAL ANATOMY

PARTS OF STOMACH

•TO RECOGNISE SIDE IN PLAIN XRAY ABDOMEN•ACHALASIA CARDIA-NO GAS SHADOW •DURING SPLENECTOMY SHORT GASTRIC ARTERIES NEED TO BE SEPERATED AND LIGATED

•RECEPTIVE RELAXATION•CLASSICAL ANT. & POST. GJ•Ca. MAY INFILTRATE UNDERLYING PANCREAS

•COMMON SITE FOR GASTRITIS,ULCER AND CARCINOMA•INCOMPETENCE--REFLUX FROM DUODENUM•CLOSE TO HEAD OF PANCREAS

LAYERS OF STOMACH

RUGAE

•NSAID s•BILE•ALCOHOL•TRAUMA•SHOCK

HISTOLOGY

BLOOD SUPPLY

VENOUS DRAINAGE

LYMPHATIC DRAINAGE

D2D1D3

NERVE SUPPLY

GASTRIC SECRETION

CELLS INVOLVED

CELLS INVOLVED

•PARIETAL CELLSH+ IONS

•CHIEF CELLSPEPSINOGEN 1&2

• G CELLSGASTRIN

• ECL CELLSHISTAMINE

• D CELLSSOMATOSTATIN

MECHANISM OF GASTRIC SECRETION

THANK U

CREATED BYTARUN

POWERED BYMICROSOFT

SOURCE INTERNET