Upper Gastrointestinal, Liver and Gallbladder Anatomy

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bontranger chap 14

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Biliary Tract and Upper Gastrointestinal System:

Chapter 14 Biliary Tract and Upper Gastrointestinal System Kenneth L. Bontrager John P. Lampignano Copyright © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.

Liver and Gallbladder:

2 Liver and Gallbladder

Liver and Gallbladder:

3 Liver and Gallbladder Anterior view Posterior/inferior view

Bile Route:

4 Bile Route Right and left hepatic ducts ▼ Common hepatic duct ▼ Common bile duct ▼ Pancreatic duct ▼ Duodenum

Gallbladder & Common Bile Duct:

5 Gallbladder & Common Bile Duct Storage of bile Concentration of bile Hydrolysis Choleliths (gallstones) Contraction when stimulated Cholecystokinin (CCK)

Body Habitus and Liver/Gallbladder Location:

6 Body Habitus and Liver/Gallbladder Location

Alimentary Canal (mouth—anus):

7 Alimentary Canal (mouth — anus) Upper GI tract Lower GI tract (Chapter 15) Accessory organs

Accessory Organs in the Mouth (oral cavity):

8 Accessory Organs in the Mouth (oral cavity) Terms Mastication Deglutition Peristalsis

Pharynx (three parts):

9 Pharynx (three parts)

Esophagus:

10 Esophagus

Esophagus in Mediastinum:

11 Esophagus in Mediastinum

Diaphragmatic Openings:

12 Diaphragmatic Openings

Stomach :

13 Stomach Gaster (Greek for “stomach”) Ventriculus (Latin for “little belly”) Gastro- (modern prefix for “stomach”)

Anatomy of Distal Esophagus and Stomach:

14 Anatomy of Distal Esophagus and Stomach

Stomach Orientation:

15 Stomach Orientation Fundus: most posterior Body: anterior/inferior to fundus Pylorus: posterior/distal to body

Coronal Sectional View of Stomach:

16 Coronal Sectional View of Stomach

Body Habitus:

17 Body Habitus Hypersthenic Sthenic Hyposthenic / Asthenic Stomach: High and transverse J-shaped J-shaped and low Duodenal bulb/GB: T11-T12 L1-L2 L3-L4 Large intestine: Widely distributed L colic flexure high Low near pelvis

Small Intestine:

Small Intestine 18

Duodenum:

19 Duodenum Shortest and widest C-loop “Romance of the abdomen” Retroperitoneal

PowerPoint Presentation:

20

PowerPoint Presentation:

21 Upper Gastrointestinal System - The End - Chapter 14

Quiz Me:

22 Quiz Me The distal end of the gallbladder is termed _____. Apex Base Fundus Neck

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23 Quiz Me The mucosal folds found within the cystic duct are termed _____. Rugae Circular folds Billiard villi Spiral valves

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24 Quiz Me The hepatopancreatic sphincter is located at _____. Terminal end of common bile duct Junction of common bile and pancreatic ducts Neck of gallbladder Junction of left and right hepatic ducts

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25 Quiz Me Which of the following is not one of the salivary glands? Submandibular Sublingual Parotid Supramandibular

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26 Quiz Me A wavelike series of involuntary muscular contractions that propel solid and semisolid materials through the alimentary tract is termed _____. Peristalsis Rhythmic segmentation Deglutition Mastication

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27 Quiz Me The angular notch is located _____. On the fundus next to the esophagogastric junction On the greater curvature On the lesser curvature Within the gastric canal

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28 Quiz Me What structure helps to create the C-loop of the duodenum? Tail of pancreas Liver Stomach Head of pancreas