Feb 11, 2012

Gastrointestinal Tract


Esophagus (Abdominal Portion)
      The esophagus is a muscular, collapsible tube about 10 in. (25 cm) long that joins the         
      pharynx to the stomach.
      The greater part of the esophagus lies within the thorax.
      The esophagus enters the abdomen through an opening in the right crus of th diaphragm.
      After a course of about 0.5 in. (1.25 cm), it enters the stomach on its right side.
Relations
The esophagus is related : anteriorly to the posterior surface of the left lobe of the liver.
posteriorly to the left crus of the diaphragm.
The left and right vagi lie on its anterior and posterior surfaces, respectively.

Blood Supply
Arteries
The arteries are branches from the left gastric artery.
Veins
The veins drain into the left gastric vein, a tributary of the portal vein.

Lymph Drainage
The lymph vessels follow the arteries into the left gastric nodes.

Nerve Supply
The nerve supply is the anterior and posterior gastric nerves (vagi) and sympathetic branches of the thoracic part of the sympathetic trunk.

Function
The esophagus conducts food from the pharynx into the stomach.
Wavelike contractions of the muscular coat, called peristalsis, propel the food onward.

Gastro esophageal Sphincter
No anatomic sphincter exists at the lower end of the esophagus. However, the circular layer of smooth muscle in this region serves as a physiologic sphincter.
 As the food descends through the esophagus, relaxation of the muscle at the lower end occurs ahead of the peristaltic wave so that the food enters the stomach.
The tonic contraction of this sphincter prevents the stomach contents from regurgitating into the esophagus.

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