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Anatomy of upper gi

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Page 1: Anatomy of upper gi
Page 2: Anatomy of upper gi

OESOPHAGUSNarrow muscular tube Extent – lower border of cricoid cartilage to

cardiac end of stomach25cmFlattened AntPostlyPharyngo-oesophageal jn

Page 3: Anatomy of upper gi
Page 4: Anatomy of upper gi
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CurvaturesGenerally vertical2 side to side curvatures(to left)AP curvatures correspond to that of

cervicothoracic spine

Page 6: Anatomy of upper gi

ConstrictionsAt beginning (15cm)Crossed by aortic arch(22.5cm)Left bonchus(27.5cm)On piercing diaphragm(37.5cm)

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BLOOD SUPPLYInf thyroid arteries ---------------

Eosophageal branches of aorta-----------------------------

Oesophageal branches of Left gastric artery ----------------------

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CONTD… VENOUS• upper- brachiocephalic middle- azygos lower- left gastic LYMPHATIC cervical deep cervical Thoracic post mediastinal Abdominal left gastric

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Nerve supplyParasymp upper half - recurrent laryngeal lower half -oesophageal plexus by 2

vagi• Symp upper – middle cervical ganglion lower – upper 4 thoracic ganglia

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STOMACHMuscular bag that forms the widest & most

distensible part of digestive tubeOesophagus to duodenumLocation – epigastric, umbilical & left hypochondriac• 25cm long• Capacity – 1.5 to 2L• Parts

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CONTD…• Lesser curvature- Concave, right border,Lesser omentum• Greater curvature-Convex, left border,greater omentum, gastrosplenic& gastrophrenic ligament• 2 surfaces

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RELATIONS

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ARTERIAL SUPPLY

Venous drainage – portal, superior mesenteric & splenic

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CONTD…Left gastric,

panc-spleniccoeliac&hepatic

rt gastroepi

pyloric

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Nerve supplySymp – T6 to T10Parasymp – from vagi through oesophageal

plexus & gastric nerves

Page 17: Anatomy of upper gi