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8/18/2019 Duodenum[1]
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4/25/2016 Duodenum
http://www.wesnorman.com/duodenum.htm
Duodenum
The duodenum, into which the stomach opens, is about 25 cm long, C-shaped andbegins at the pyloric sphincter. It is almost entirely retroperitoneal and is the mostfixed part of the small intestine.
The duodenum is
described as having fourparts:
1. Part one, superior part(SD)
2. Part two, descendingpart (DD)
3. Part three, horizontalpart (HD)
4. part four, ascending
part (AD)
The fourth part of theduodenum terminates at theduodenojejunal flexure DJFwith the jejunum.
The ligament of Treitz is amusculofibrous band thatextends from the upper
aspect of the ascending partof the duodenum to theright crus of the diaphragmand tissue around the celiacartery.
As you can see, the head of the pancreas sits in the C-shaped duodenum, so aslong as we are here, we
may as well point out thestructures here:
head of the pancreasPHuncinate process of thehead of the pancreasPUPneck of the pancreasPN where the superiormesenteric artery and
8/18/2019 Duodenum[1]
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4/25/2016 Duodenum
http://www.wesnorman.com/duodenum.htm
vein pass behind the
pancreasbody of the pancreasPBtail of the pancreas PT.This part is withinperitoneum and abutsthe spleen
The other structures in thearea are the:
inferior vena cava IVCportal vein PVaorta aortaceliac trunk Ckidneys
Blood Supply of the Duodenum
superior pancreaticoduodenalanterior and posterior branches
inferior pancreaticoduodenalanterior and posterior branches
Most duodenal ulcers occur within 5 cm of the pylorus and most frequently onthe anterior wall.
Stomach
Jejunum and Ileum
Abdominal CavityStomachIleum and JejunumLarge IntestineLiverPancreasSpleen
http://www.wesnorman.com/spleen.htmhttp://www.wesnorman.com/pancreas.htmhttp://www.wesnorman.com/liver.htmhttp://www.wesnorman.com/largeintestine.htmhttp://www.wesnorman.com/jejunumileum.htmhttp://www.wesnorman.com/stomach.htmhttp://www.wesnorman.com/abdominalcavity.htmhttp://www.wesnorman.com/jejunumileum.htmhttp://www.wesnorman.com/stomach.htm
8/18/2019 Duodenum[1]
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4/25/2016 Duodenum
http://www.wesnorman.com/duodenum.htm
This is copyrighted©1999 by Wesley Norman, PhD