Добавил:
kiopkiopkiop18@yandex.ru Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Скачиваний:
8
Добавлен:
03.02.2024
Размер:
76.04 Mб
Скачать

Esophagus Below the laryngopharynx the gut tube branches into an anterior respiratory tube, the larynx and a posterior digestive tube, the esophagus.

The esophagus is a narrow, collapsed muscular tube coursing from the laryngopharynx to the stomach. It is approximately 25 cm in length and begins near the level of the sixth cervical vertebra, where it runs inferiorly against the anterior surface of the thoracic vertebral column. At the level of the tenth thoracic vertebra it deviates slightly to the left passing through the esophageal hiatus of the diaphragm to enter the stomach. It functions as a muscular tube of transmission.

1

Esophagus

7

Lamina propria

2

Tunica mucosa

8

Muscularis mucosae

3

Tela submucosa

9

Tunica adventitia

4

Tunica muscularis circular layer

10

Stomach

5

Tunica muscularis longitudinal layer

11

Pharynx - dorsal wall

6

Stratified squamous epithelium

12

Vagus nerve

11

 

6

 

 

1

2

7

 

 

 

8

 

2

 

 

3

 

 

 

3

1

4

 

 

 

 

12

 

 

5

 

 

 

4

Step dissection of esophagus

Anterior view

5

10

 

9

Pharynx, esophagus, and stomach

Photomicrograph of esophageal wall

Anterior view

 

40x

304

Stomach The stomach is a J-shaped organ of variable size and shape and has the greatest diameter of any part of the gut tube. It occupies the upper left quadrant of

the abdominal cavity, where it is anchored to the posterior abdominal wall by a mesentery. The stomach performs several functions, the most important of which is to store ingested food until it can be emptied into the small intestine at a rate that allows for optimal digestion and absorption.

1

Stomach

7

Pylorus

13

Surface mucous cell

2

Cardia of stomach

8

Pyloric sphincter

14

Lamina propria

3

Fundus of stomach

9

Gastric rugae

15

Mucous neck cell

4

Body of stomach

10

Greater curvature

16

Gastric glands

5

Pyloric antrum

11

Lesser curvature

17

Liver

6

Pyloric canal

12

Gastric pit

18

Gallbladder

 

 

 

 

19

Spleen

 

 

 

 

20

Greater omentum

19

12 14

13

17

1

11

10

18

20

15

Abdominal dissection revealing stomach

Anterior view

78

8

3

 

2

6

15

 

11

9

5

4

16

16

 

10

Frontal section of stomach

Photomicrograph of stomach mucosa

Anterior view

with callout above

 

40x and 100x

305

Small Intestine

The small intestine is a highly coiled tube with a fairly consistent diameter from beginning to end. It is approximately 6 to 7 meters long in the cadaver but, because of its muscle

tone only around 4 to 5 meters in the living. The small intestine occupies the greater part of the midto lower abdominal cavity and consists of three regions. The retroperitoneal fi rst part is called the duodenum and is about 30 cm in length. This C-shaped region receives the secretions from the pancreas and liver. The remaining parts of the small intestine are the jejunum and ileum, which make up the bulk of the organ and are attached to the posterior wall of the abdomen by the mesentery. The small intestine is the principal site of digestion and absorption.

9

10

 

 

 

 

 

 

 

12

 

13

5

5

 

 

 

3

 

5

 

 

 

 

 

11

4

 

Sectioned small intestine

 

revealing circular folds

Small intestine in situ

Internal view

Anterior view

 

1

 

2

Entire small intestine sectioned to show changes in internal surface from the duodenal end to the ileal end

Internal view

306

1

Duodenal end

6

Simple columnar epithelium

11

Cecum

2

Ileal end

7

Goblet cell

12

Transverse colon

3

Jejunum

8

Lamina propria

13

Descending colon

4

Ileum

9

Liver

14

Mesentery

5

Circular folds

10

Stomach

15

Microvillus brush border

15

14

6

8

Loop of small intestine

Anterior view

7

Photomicrograph of cross-section of intestinal villus

400x

14

5

5

Loop of small intestine from unembalmed cadaver, opened to show circular folds

Anterior view

307