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Anatomy of esophagus and duodenum Colin Lee MAHSA MBBS

GIN PBL Anatomy of Esophagus and Duodenum

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Anatomy of esophagus and duodenumColin Lee MAHSA MBBSWhat is the esophagus?25 cm long muscular tubeSTART - Lower border of CcEND - Cardiac orifice of stomach 2 Sexy curves 3 constrictions 3 portions - CTA

Lymphatic drainageAbdominal part

left gastric lymph nodes

Thoracic part

Posterior mediastinal nodesthoracic duct

Cervical part

Deep cervical nodesNerve SupplyCervical: recurrent laryngeal nerve & cervical sympathetic trunk Thoracic: vagal trunks & thoracic sympathetic trunk & oesophageal plexus Abdominal: vagal trunks & thoracic sympathetic trunk Esophageal pain mimics cardiac angina due to common nerve supply

Histologically, the esophagus has the following 4 concentric layers:

Mucosal layerSubmucosal layerMuscular layerAdventitial / Serosal layer

Gastroduodenal Junction (Duodenum)

References 1. B Viswanatha, MBBS, MS, DLO; Chief Editor: Thomas R Gest, PhD .Esophagus Anatomy. http://emedicine.medscape.com/article/1948973-overview#aw2aab6b3 (accessed 25 September 2014).2. Vinay Kumar Kapoor, MBBS, MS, FRCSEd, FACS, FACG, FICS, FAMS; Chief Editor: Thomas R Gest, PhD .Duodenal Anatomy. http://emedicine.medscape.com/article/1898874-overview (accessed 25 September 2014).3. B Viswanatha, MBBS, MS, DLO; Chief Editor: Thomas R Gest, PhD .Esophagus Anatomy. http://emedicine.medscape.com/article/1948973-overview#showall (accessed 25 September 2014).Thank You!