Surgical anatomy of Lower

Gastro-intestinal Tract

Prabakar G, Assistant Professor of Surgery

Learning objectives

1. Anatomy of small and large intestines

2. Investigations of GIT – X-ray , endoscopy

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Small intestine

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Jejunum vs Ileum

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Small bowel dilatation

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Small bowel obstruction

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Pneumoperitoneum

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Pneumoperitoneum

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SMA &
IMA

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Colon

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Colon

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Radiolog
y

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Obstruction

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Rule of 3,6,9
• 3 cm – small intestine
• 5-6 cm – large intestine
• 9 cm - caecum

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Ileocaecal junction

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Ileocaecal junction - colonoscopy

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Appendix - positions

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Appendix

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Endoscopy

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Endoscopy

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Endoscopy

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Endoscopy

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Venous
drainage

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Venous
drainage

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Portosystemic anastomoses

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Varices

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Varices

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GUT

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Radiology

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Capsule endoscopy

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Capsule endoscopy

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References

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