Anatomy of stomach

Anatomy of stomach

1. ANATOMY OF STOMACH

2. INTRODUCTION OF STOMACH

3. SITUATION OF STOMACH

4. Capacity of stomach

5. Shapes of stomach In Cadaver In Living - Sthenic or normal type - Hypersthenic type - Hyposthenic type or asthenic type

6. Presenting parts Two orifices Two curvatures Two surfaces Three subdivisions

7. Two orifices & CURVATURES

8. Two surfaces

9. Antero superior surface & its relations

10. Postero inferior surface & its relations

11. Three subdivisions

12. Ligaments of stomach Lesser omentum Greater omentum Gastro- splenic ligament or third omentum Gasto phrenic ligament Left or superior gastro pancreatic fold

13. Histology of stomach

14. Arterial supply of stomach

15. Venous drainage

16. Lymphatic drainage

17. Nerve supply of stomach

18. Applied anatomy Hypertropic pyloric stenosis Truncal vagotomy Gastric ulcers Gastritis

19. GASTRIC TRIANGLE

20. Boundaries – Gastric Triangle Right side- Lower border of Liver Left side- Left costal margin Below- T ransverse colon Clinical Importance: In complete oesophageal obstruction, a tube is introduced in the stomach through the gastric triangle for feeding the patient (Gastrostomy operation)

21. TRAUBES SPACE

22. Boundaries Above- Lower border of left lung Below- Left costal margin Right side- Lower border of left lobe of liver Left side- Lateral end of the spleen Clinical Importance: Traube’s space may be obliterated by the enlargement of liver, spleen or in pleural effusion.