STOMACH

- Blood Supply: ESOPHAGUS

o Left gastric artery (celiac trunk) - Blood Supply:
o Right gastric artery (hepatic artery proper) o Cervical
o Left gastroepiploic artery (splenic artery)  inferior thyroid artery (subclavian artery)
o Right gastroepiploic artery (gastroduodenal artery) o Thoracic
o Short gastric arteries (splenic arteries)  esophageal branches of aorta
o Posterior gastric artery (splenic artery)  bronchial arteries
- Venous drainage: o Abdominal
o Left gastric vein  portal vein  esophageal branches of left gastric artery
o Right gastric vein  portal vein  left phrenic artery
o Left gastroepiploic vein  splenic vein  portal vein - Venous drainage:
o Cervical:
o Right gastroepiploic vein  SMV  portal vein
 Inferior thyroid vein (subclavian vein)
o Short gastric vein  splenic vein
o Thoracic:
o Posterior gastric vein  splenic vein
 Azygos veins
- Lymphatic drainage:
o Abdominal:
o Superior 2/3 of stomach
 Left gastric vein  portal vein
 Gastric lymph nodes (via gastric vessels)
- Lymphatic drainage:
 Pancreaticosplenic lymph nodes (via short gastric & left
o Cervical:
gastroepiploic vessels)
 Supraclavicular lymph nodes
o Right 2/3 of inferior 1/3
o Thoracic:
 Pyloric lymph nodes (via right gastroepiploic vessels)
 Tracheal
o Left 1/3 of inferior 1/3
 Tracheobronchial
 Pancreaticoduodenal lymph nodes (via short gastric and
 Posterior mediastinal
splenic vessels)
 Diaphragmatic
o FLOW:
o Abdominal:
 Lymph from anterior & posterior surfaces  empty into
 Celiac lymph nodes
curvatures  gastro & gastro-omental nodes  celiac
- Innervation:
nodes
o Sympathetic:
- Innervation:
 Sympathetic trunks
o Sympathetic:
o Parasympathetic:
 Greater splanchnic nerves (T5-T9)
 Vagus nerves
 Lesser splanchnic nerve (T10-T11)
 Left vagus – anterior vagal trunk
 Celiac plexus
o Parasympathetic:  Right vagus – posterior vagal trunk
 Forms the esophageal plexus together
 Posterior vagal trunk (from right vagus nerve) – with
celiac branches
 Anterior vagal trunk (from left vagus nerve) – with
hepatic and duodenal branches
  Jejunal & ileal veins  superior mesenteric vein 
receives splenic vein  hepatic portal vein
DUODENUM
- Blood supply: - Lymphatic drainage:
o Proximal to the entry of the bile duct: o Lacteals  intramural lymphatic plexus  lymphatic plexus of the
 Gastroduodenal artery (celiac trunk) mesentery  drains into:
 Superior pancreaticoduodenal artery (gastroduodenal  Juxta-intestinal lymph nodes – near intestinal wall
artery)  Mesenteric lymph nodes – scattered among arcades
o Distal to the entry of the bile duct:  Superior central lymph nodes – proximal to SMA
 Inferior pancreaticoduodenal artery (superior o Drains into the  superior mesenteric lymph nodes
mesenteric artery) o Terminal ileum  Iliocolic lymph nodes
- Venous drainage: - Innervation:
o Hepatic portal vein (direct) o Sympathetic:
o Superior mesenteric vein  hepatic portal vein  Superior mesenteric nerve plexus
- Lymphatic drainage:  Sympathetic trunks
o Anterior lymphatics  Splanchnic nerves
 Pancreaticoduodenal lymph nodes  Celiac & superior mesenteric ganglia
 Pyloric lymph nodes o Parasympathetic:
o Posterior lymphatics  Posterior vagal trunks
 Superior mesenteric lymph nodes
o Both empty into the – celiac lymph nodes ASCENDING COLON
- Innervation: - Blood supply:
o Sympathetic: o Ileocolic artery (superior mesenteric artery)
 Greater (abdominopelvic) splanchnic nerves o Appendicular artery (ileocolic artery)
 Lesser (abdominopelvic) splanchnic nerves - Venous drainage:
o Parasympathetic: o Ileocolic vein  superior mesenteric vein  hepatic portal vein
 Vagus nerve - Lymphatic drainage:
o Celiac plexus o Ileocolic lymph nodes  superior mesenteric lymph nodes
o Superior mesenteric plexus - Innervation:
o Superior mesenteric plexus
JEJUNUM & ILEUM  Sympathetic fibers: lower thoracic part of spinal cord
- Blood Supply:  Parasympathetic: Vagus nerves
o Superior mesenteric artery
 Jejunal arteries
 Ileal arteres
o Arteries form loops/arches  Arterial arcades  Vasa recta
(straight arteries)
- Venous drainage:
o Superior mesenteric vein