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OESOPHAGUS
Narrow muscular tube
Extent – lower border of cricoid cartilage to cardiac
 end of stomach
25cm
Flattened AntPostly
Pharyngo-oesophageal jn
Curvatures
Generally vertical
2 side to side curvatures(to left)
AP curvatures correspond to that of cervicothoracic
 spine
Constrictions
At beginning (15cm)
Crossed by aortic arch(22.5cm)
Left bonchus(27.5cm)
On piercing diaphragm(37.5cm)
BLOOD SUPPLY
Inf thyroid arteries ---------------



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

Oesophageal branches of
Left gastric artery
----------------------
CONTD…
 VENOUS
•     upper- brachiocephalic
     middle- azygos
     lower- left gastic
 LYMPHATIC
     cervical  deep cervical
     Thoracic  post mediastinal
     Abdominal  left gastric
Nerve supply
Parasymp
     upper half - recurrent laryngeal
     lower half -oesophageal plexus by 2 vagi
• Symp
     upper – middle cervical ganglion
      lower – upper 4 thoracic ganglia
STOMACH
Muscular bag that forms the widest & most
  distensible part of digestive tube
Oesophagus to duodenum
Location – epigastric,
 umbilical & left
 hypochondriac
• 25cm long
• Capacity – 1.5 to 2L
• Parts
CONTD…
• Lesser curvature- Concave,
 right border,Lesser omentum
• Greater curvature-Convex,
 left border,greater omentum,
gastrosplenic&
gastrophrenic ligament
• 2 surfaces
RELATIONS
ARTERIAL SUPPLY




   Venous drainage – portal, superior
   mesenteric & splenic
CONTD…
Left gastric,    panc-
  splenic
coeliac&
hepatic



                  rt gastroepi

        pyloric
Nerve supply
Symp – T6 to T10
Parasymp – from vagi through oesophageal plexus &
 gastric nerves
Anatomy of upper gi

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