Introduction
61+62
STOMACH (Intraperitoneal)
- Definition: the most dilatable part of the digestive system, connecting esophagus to duodenum.
- Site: occupies part of left hypochondrium, epigastrium, and umbilical regions.
- Shape: the stomach is J-shaped (most common, steer horn (less common)
- The stomach has :
- 2 ends
- 2 borders (curves)
- 2 surfaces
- 2 parts
Ends of the stomach :
1. Cardiac
- At junction between esophagus and stomach.
- 1 inch to the left from median plane (behind 7ᵗʰ costal cartilage).
- Related anteriorly to left lobe of liver.
- It has no anatomical sphincter (physiological sphincter)
- Esophagus enter the stomach at an acute angle.
2. Pyloric
- At junction between stomach and small intestine.
- 1 inch to the right of the median plane (at L1 level) (?).
- Related anteriorly to quadrate lobe of liver.
- It has anatomical sphincter (marked by circular groove and vein of Mayo, connecting right gastric and right gastroepiploic veins).
Lymphatic drainage:
- Fundus → Pancreatico-splenic lymph nods
- Lesser curve → superior gastric " "
- Greater curve → inferior gastric " "
- Pylorus → Sup. gastric, sub-pyloric or hepatic nodes
The celiac lymph nodes are the terminal group of lymph drainage of the stomach.