NOTES NURSING & MEDICAL STUDENTS Notes for medical studentand nursing student
stomach
introduction::
-The stomach is the dilated portion of the alimentary canal .
-it is situated in the upper part of the abdomen.
-the extending from beneath the left costal margin rigion into the epigastric and umblical regions.
-much of the stomach lies under cover of the lower ribs .
-the stomach relatively fixed at both ends but is very mobile in between.
structure of the stomach:-
-the stomach is J shaped organ
-two opening the stomach ,cardiac and pyloric orifices.
-two curvatures,the greater and lesser curvatures .
-two surfaces ,anterior and posterior surfaces .
1) anterior relations :-
-anterior abdominal
-left costal margin
-left pleura and lung
-diaphragm
-left lobe of the liver
2)posterior relations :-
-lesser sac
-diaphragm
-spleen
-left suprarenal gland
-splenic artery
-pancreas
part of stomach:
1) fundas-
2)body -
3)pyloric -
4)pylorus-
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1)fundas ---
-this is dome shaped and projrcts upwadrd and to the left of the cardiac orifice.
2) body---
-this extends from the level of the cardiac orifice to the level of the incisura angulinris , a
constant notch in the lower part of the lesser curvature.
3)pyloric--
-Extends from the incisura angularis to the pylorus
4) pylorus
blood supply of stomach:-
1)left gastric artery-
- arises from the celiac artery .it supplies the lower third of the esophagus and the upper
right part of the stomach.
2) right gastric artery :-
-arises from the hepatic artery at the upper border of the pylorus and supplies the lower
right part of the stomach .
3)short gastric arteries:-
-arise from the splenic artery and supply fundas of the stomach .
4) left gastroepiploic artery:-
-arise from splenic artery and supply the greater curvaturecurvature.
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