The stomach is a J-shaped organ located in the upper abdomen between the esophagus and small intestine. It acts as a reservoir for food and aids in the digestion of carbohydrates, proteins, and fats. The stomach has two openings - the cardiac orifice where it connects to the esophagus and the pyloric orifice where it connects to the small intestine. It is divided into sections including the fundus, body, antrum, and pyloric canal. The stomach receives blood supply from branches of the celiac artery and drains into gastric lymph nodes. It is innervated by both the sympathetic and parasympathetic nervous systems to aid in digestion. Diseases that commonly
anatomy of duodenum, location or position of duodenum, parts of duodenum, relations of each parts of duodenum, ligaments of treitz, visceral and peritoneal relation of duodenum, blood supply of duodenum, innervation of duodenum, clinical aspects of duodenum, duodenal ulcer, diverticulum, deodinitis, duodenal obstruction
anatomy of duodenum, location or position of duodenum, parts of duodenum, relations of each parts of duodenum, ligaments of treitz, visceral and peritoneal relation of duodenum, blood supply of duodenum, innervation of duodenum, clinical aspects of duodenum, duodenal ulcer, diverticulum, deodinitis, duodenal obstruction
anatomy of stomach,functions of stomach, location, shape position and parts of stomach,orifices of stomach, curvature of stomach, relations of stomach, blood supply, innervation, lymphatic drainage, clinical relation , GERD, peptic ulcer,
Anatomy of urinary bladder. surfaces, border of urinary bladder its relation , ligament support, peritoneal relation in male and females, pouches, blood supply of bladder, nerve supply of bladder, true and false ligament of urinary bladder,
The small intestine or small bowel is an organ in the gastrointestinal tract where most of the absorption of nutrients from food takes place. It lies between the stomach and large intestine, and receives bile and pancreatic juice through the pancreatic duct to aid in digestion. The small intestine is about 5.5 metres (18 feet) long and folds many times to fit in the abdomen. Although it is longer than the large intestine, it is called the small intestine because it is narrower in diameter.
The small intestine has three distinct regions – the duodenum, jejunum, and ileum. The duodenum, the shortest, is where preparation for absorption through small finger-like protrusions called villi begins.[2] The jejunum is specialized for the absorption through its lining by enterocytes: small nutrient particles which have been previously digested by enzymes in the duodenum. The main function of the ileum is to absorb vitamin B12, bile salts, and whatever products of digestion that were not absorbed by the jejunum.
anatomy of large intestine, its section, ceacum, ascending colon, transverse colon, descending colon, sigmoid colon, functions of large intestine , relations of each components of large intestine, carddinal siggns of large intestine, iliocecal junstion, difference between large and small intestine. abdominal angina, superior mesenteric and inferior mesenteric artery, lymphatic drainage, colonoscophy,
This is an easy ppt of stomach anatomy .One can make notes from this too. If you like this ppt like and follow .
Tell me in comment section if any suggestions or query.
It includes structure of stomach, stomach bed, function and internal structure.
Give your like & share with other nursing students.
The stomach is an important organ and the most dilated portion of the digestive system. The esophagus precedes it, and the small intestine follows. It is a large, muscular, and hollow organ allowing for a capacity to hold food. It is comprised of 4 main regions, the cardia, fundus, body, and pylorus.
anatomy of stomach,functions of stomach, location, shape position and parts of stomach,orifices of stomach, curvature of stomach, relations of stomach, blood supply, innervation, lymphatic drainage, clinical relation , GERD, peptic ulcer,
Anatomy of urinary bladder. surfaces, border of urinary bladder its relation , ligament support, peritoneal relation in male and females, pouches, blood supply of bladder, nerve supply of bladder, true and false ligament of urinary bladder,
The small intestine or small bowel is an organ in the gastrointestinal tract where most of the absorption of nutrients from food takes place. It lies between the stomach and large intestine, and receives bile and pancreatic juice through the pancreatic duct to aid in digestion. The small intestine is about 5.5 metres (18 feet) long and folds many times to fit in the abdomen. Although it is longer than the large intestine, it is called the small intestine because it is narrower in diameter.
The small intestine has three distinct regions – the duodenum, jejunum, and ileum. The duodenum, the shortest, is where preparation for absorption through small finger-like protrusions called villi begins.[2] The jejunum is specialized for the absorption through its lining by enterocytes: small nutrient particles which have been previously digested by enzymes in the duodenum. The main function of the ileum is to absorb vitamin B12, bile salts, and whatever products of digestion that were not absorbed by the jejunum.
anatomy of large intestine, its section, ceacum, ascending colon, transverse colon, descending colon, sigmoid colon, functions of large intestine , relations of each components of large intestine, carddinal siggns of large intestine, iliocecal junstion, difference between large and small intestine. abdominal angina, superior mesenteric and inferior mesenteric artery, lymphatic drainage, colonoscophy,
This is an easy ppt of stomach anatomy .One can make notes from this too. If you like this ppt like and follow .
Tell me in comment section if any suggestions or query.
It includes structure of stomach, stomach bed, function and internal structure.
Give your like & share with other nursing students.
The stomach is an important organ and the most dilated portion of the digestive system. The esophagus precedes it, and the small intestine follows. It is a large, muscular, and hollow organ allowing for a capacity to hold food. It is comprised of 4 main regions, the cardia, fundus, body, and pylorus.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
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i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Prix Galien International 2024 Forum ProgramLevi Shapiro
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June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2.  The stomach is a muscular
bag forming the widest
and most distensible part
of digestive tube.
 It is connected above with
the lower end of
oesophagus, and below
with the duodenum.
 It acts as a reservoir of
food and helps in
digestion of carbohydrates
, protein and fats.
3. LOCATION-
• Stomach is located at level of T10 - L3 vertebrae.
• It is obliquely situated in the upper and left part of the abdomen,
occupying the epigastric , umbilical and left hypochondriac regions.
• most of it lies under cover of the left costal margins and the ribs.
Shape:
J-shaped in normal persons
• Shape of stomach is depends upon the degree of tone of muscles.
• Empty stomach – j shaped
• When partially distended- piriform in shape
• In obese persons – horizontal
Size-
Length – 25cm or 10 inch
CAPACITY
At birth- 30 ml
At puberty- 1 liter
Adult – 1.5 -2 liter or more
4. EXTERNAL FEATURES
The stomach has:
two openings
 cardiac orifice
 pyloric orifice;
Two curvatures-
 greater curvature;
 lesser curvature
Two surfaces-
 anterior
 posterior surfaces.
5. Curvatures of the stomach
• The lesser curvature-
Forms the right border of the stomach and extends
from the cardiac orifice to the pylorus.
• It is suspended from the liver by the lesser omentum.
greatercurvature-
Much longer than the lesser curvature and extends from the left of
the cardiac orifice, over the dome of the fundus, and along the left
border of the stomach to the pylorus. It provide attachments to the
 greater omentum ,
 gastrosplenic ligament
 the gastrophrenic ligaments.
6.
7. ï‚— Openings of the stomach
 Gastroesophageal/Cardiac orifice-
Jioned by lower end of oesophagus. It lies behind the 7th
costal cartilage 2.5 cm from its junction with sternum, at
the level of T11.
 Pyloric orifice-
Opens into duodenum . In empty stomach and in supine
position , it lies ½ inch right to the median plane , at the
level of the L1.
8. ï‚— the cardial notch,
which is the superior
angle created whenthe
esophagus enters the
stomach.
ï‚— the angular notch,
which is a bend onthe
lesser curvature.
9. PARTS OF STOMACH
The stomach is divided into two Parts-
(1) Cardiac part
(2) Pyloric part
The cardiac part is subdivided
into two parts-
(1)Fundus
(2)Body
The smaller pyloric part is
subdivided into two parts-
(1) Pyloric antrum
(2) Pyloric canal
10. 1.Fundus: This is upper convex dome-shaped part situated above a
horizontal line drawn at the level of cardiac orifice. It is usually full
of gas.
2.Body: Lies b/w fundus and pyloric antrum.
The gastric glands distributed in the fundus and body of stomach.
contain all three types of secretory cells, namely
a. The mucous cells
b. The chief peptic . cells which secrete the digestive enzymes.
c. The parietal or oxyntic cells which secrete HCL
11. Pyloric Part
(1)The pyloric antrum- is separated from the pyloric canal by an
inconstant sulcus, sulcus intermedius present on the greater
curvature. It is about 7.5 cm long. The pyloric glands are richest in
mucous cells.
(2) The pyloric canal –
is about 2.5 cm long.
It is narrow and tubular.
At its right end,
it terminates at the pylorus.
12. Relations of stomach
Peritoneal Relations
stomach is lined by peritoneum on both its surfaces.
• At the lesser curvature, the layers of peritoneum lining the anterior and
posterior surfaces meet and become continuous with the lesser
omentum.
• Along the greater part of the greater curvature, the two lawyers meet to
form the greater omentum.
• Near the fundus, the two layers meet to form the gastrosplenic ligament.
• Near the cardiac end, the peritoneum on the posterior surface is
reflected on to the diaphragm as the gastrophrenic ligament.
• Cranial to this ligament a small part of the posterior surface of the
stomach is in direct contact with the diaphragm (left crus). This is the
bare area of the stomach.
13.
14. Visceral Relations
The anterior surface of the stomach is related to the liver, the diaphragm,
transverse colon and the anterior abdominal wall.
The diaphragm separates the stomach from the left pleura, the pericardium,
and the sixth to ninth ribs.
The space between left . costal margin and lower edge of left lung on
stomach is known as Traube's space Normally, on percussion, there is
resonant note over this space; but in splenomegaly or pleural effusion, a dull
note is felt at this site.
15. Posterior relations
The posterior surface of the stomach is related to structures forming the
stomach bed.
These structures are:
a. Diaphragm
b. Left kidney
c. Left suprarenal gland
d. Pancreas .
e. Transverse mesocolon
f. Splenic flexure of the colon
g. Splenic artery
16.
17. Interior of the stomach
The stomach wall composed four layers-
(1)The mucosa –
• innermost layer of stomach . Mucosa of an empty stomach is thrown into folds
termed as gastric rugae. The rugae are longitudinal along the lesser curvature
and may be irregular elsewhere.
• The rugae are flattened in a distended stomach. On the mucosal surface there
are numerous small depressions that can be seen with a hand lens. These are
the gastric pits. The gastric glands open into these pits.
18. (2)Submucous coat - is made of connective tissue, arterioles and nerve
plexus.
(3)Muscle coat is arranged as under:
a. Longitudinal fibres are most superficial, mainly along the curvature.
b. Inner circular fibres encircle the body and are thickened at pylorus to
form pyloric sphincter
c. The deepest layer consists of oblique fibres which loop over the cardiac
notch. Some fibres spread in the fundus and body of stomach. Rest from a
well-developed ridge on each side of the lesser curvature. These fibres on
contraction form gastric canal" for the passage of fluids.
(4) Serous coat consists of the peritoneal covering.
19. Arterial blood supply:
• Arteries of the stomach: All are branches of the celiac artery
• 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.
20. • 3. Short gastric arteries: arise from the splenic artery and
supply fundus of the stomach
• 4. Left gastroepiploic artery: arises from splenic artery and
supply the greater curvature.
• 5. Right gastroepiploic artery: arises from the gastroduodenal
branch of the hepatic artery, and supplies the stomach along
the lower part of the greatercurvature.
25. The stomach can be divided into four lymphatic territories. The
drainage of these areas is as follows.
(a)upper part of left 1/3rd drains into the
pancreaticosplenic nodes lying along the
splenic artery, i.s. on the back of the
stomach. Lymph vessels from these nodes
travel along the splenic artery to reach the
coeliac nodes.
(b), i.e. right 2/3rd drains into the left gastric
nodes lying along the artery of the same name.
These nodes also drain the abdominal part of
the oesophagus.
Lymph from these nodes drains into the coeliac nodes. Area (c), i.e. lower part
of left 1/3rd drains into the right gastroepiploic nodes that lie along the artery
of the same name. Lymph vessels arising in these nodes drain into the
subpyloric nodes which lie in the angle between the first and second parts of
26. ï‚— Proximal portion of the
greater
supplied
lymphatic
traverse
curvature is
by the
vessels that
the
pancreaticosplenic
nodes.
ï‚— Antral portion of the
greater curvature drains
into the subpyloric and
omental nodal groups.
27. The main innervations are Left and Right Vagus Nerves.
The sympathetic nerve supply-
derived from thoracic six to ten segments of the spinal cord, via the
greater splanchnic nerves, coeliac and hepatic plexus. They travel
along the arteries supplying the stomach.
28. The parasympathetic nerves are derived from the vagi, through the
esophageal plexus and gastric nerves.
1. The anterior gastric nerve- contains mainly the left vagal fibres.
but it does contain fibers from the right vagus. The anterior
gastric nerve divides into
 A number of gastric branches for the anterior surface of the
fundus and body of the stomach.
 Two pyloric branches,one for the pyloric antrum and another for
the pylorus.
29. posterior gastric nerve -contains mainly the right vagal fibres. but
contains fibers from the left vagus nerve.
The posterior gastric nerve divides into:
 Smaller, gastric branches for the posterior surface of the
fundus, the body and the pyloric antrum.
 Larger, coeliac branches for the coeliac plexus.
30. Clinical anatomy of stomach
 Gastric pain - is felt in the epigastrium because the stomach is supplied
from segments T6 to T9 of the spinal cord, which also supply the upper
part of the abdominal wall. Pain is produced either by spasm of muscle, or
by over-distension.
 Pyloric stenosis-Pyloric stenosis is a narrowing of the opening from the
stomach to the first part of the small intestine (the pylorus).
• Normally, a muscular valve (pylorus) between the stomach and small
intestine holds food in the stomach until it is ready for the next stage in
the digestive process. In pyloric stenosis, the pylorus muscles thicken and
become abnormally large, blocking food from reaching the small intestine.
31.  Gastric ulcer - occurs typically along the lesser curvature
This is possibly due to the following peculiarities of lesser
curvature.
A. Mucosa is not freely movable over the muscular coat.
B. The epithelium is comparatively thin.
C. Blood supply is less abundant and there are fewer
anastomoses.
D. Nerve supply is more abundant, with large ganglia
E. Because of the gastric canal, it receives most of the insult
from irritating drinks. •
 Gastric carcinoma is common and occurs along the
greater curvature. On this account, the lymphatic drainage
of stomach assumes importance. Metastasis can occur
through the thoracic duct to the left supraclavicular lymph
node (Troisier's sign). These lymph nodes are called as
"signal vomiting after meals (thin and long).