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Introduction to Gastrointestinal tract Gastrointestinal tract The tube that extends from the mouth to the anus in which the movement of muscles and release of hormones and enzymes digest food. Also called alimentary canal, digestive tract and, the GI tract. Parts of GIT Gastrointestinal tract consists of Mouth Esophagus Stomach Duodenum Small intestine large intestine (colon) Rectum Anus. Accessory organs of GIT Liver Gall bladder pancreas Mouth Contains: lips Cheeks Palate Tongue Teeth salivary glands Masticatory/facial muscles Bones Anteriorly bounded by the lips Posteriorly bounded by the oropharynx. Esophagus A hollow collapsible tube Length- 10 inches Made up of stratified squamos epithelium The upper third contains skeletal muscles The middle third contains mixed skeletal and smooth muscles The lower third contains smooth muscles and the esophago-gastric/ cardiac sphincter is found here Stomach J-shaped organ in the epigastrium Contains four parts Fundus Cardia Body Pylorus The cardiac sphincter prevents the reflux of the contents into the esophagus The pyloric sphincter regulates the rate of gastric emptying into the duodenum Capacity is 1,500 ml! Small intestine Grossly divided into: Duodenum Jejunum Ileum The duodenum contains the two openings for the bile and pancreatic ducts The ileum is the longest part (about 12 feet) Large intestine Approximately 5 feet long, with parts: 1. Cecum widest diameter, prone to rupture 2. Appendix 3. Ascending colon 4. Transverse colon 5. Descending colon 6. Sigmoid colon most mobile, prone to twisting 7. Rectum Liver Largest gland of human body Largest internal organ Weighs 1.4 – 1.6 kg Rests on diaphragm on the right side of abdomen. Gall bladder Hollow pouch, sits beneath the liver. Measures approximately 8 cm in length and 4 cm in diameter when fully distended. Divided into three sections: – Fundus – Body – Neck The neck tapers and connects to the biliary tree via the cystic duct, which then joins the common hepatic duct to become the common bile duct. Pancreas Part of digestive system as well as endocrine system. Composed of the following parts: Head lies within the concavity of the duodenum. Uncinate process. Body lies behind the stomach. Tail is the left end of the pancreas Abdominal Quadrants One quarter of a circle, or half a semicircle Abdomen is divided into four quadrants by two planes , umblical plane and median plane, meeting at a point at umblicus. Right Upper Quadrant (RUQ) Left Upper Quadrant (LUQ) Right Lower Quadrant (RLQ) Left Lower Quadrant (LLQ) Right Upper Quadrant (RUQ) Contents are: – Liver – Gall bladder – Duodenum – Head of pancreas – Hepatic flexure of colon Left Upper Quadrant (RUQ) Contents are: – Stomach – Spleen – Left lobe of liver – Body of pancreas – Left kidney and adrenal gland – Splenic flexure of colon – Parts of transverse and descending colon Right Lower Quadrant (RLQ) Contents are: – Cecum – Appendix – Ascending colon – Right ovary and fallopian tube – Right ureter. Left Lower Quadrant (LLQ) Contents are: – Descending colon – Sigmoid colon – Left ovary and fallopian tube – Left ureter Abdominal regions Three horizontal and two vertical lines divide the abdomen into nine "regions." "hypo" means "below" "epi" means "above" "chond“ means "cartilage" (in this case, the cartilage of the rib) "gast" means stomach. Abdominal regions right hypochondriac right lumbar right inguinal/iliac epigastric umbilical hypogastric/pubic left hypochondriac left lumbar left inguinal/iliac Contents of abdominal regions References Gray’s textbook of human anatomy Internet