The Stomach
Structure and Functions of Stomach
Definition
- Stomach is a dilated portion of the alimentary tract
- situated in the upper part of the abdomen
Structure
- Continuous with oesophagus
- Cardiac orifice
- Pyloric orifice ' pyloric sphincter
- Opens into the duodenum
- The curved right border is called the lesser curvature
- The curved left border is called the greater curvature
- The upper opening of the stomach into the oesophagus is guarded by a physiological sphincter called cardiac sphincter.
The parts of stomach
- The part above the cardiac orifice ' fundus
- The main part ' body
- The lower part ' antrum
- The opening into the duodenum guarded by the pyloric sphincter - anatomical sphincter ' increased number of circular muscle fibres
Walls of the stomach
- adventitial layer peritoneum - extends beyond the greater curvature as the greater omentum
- muscle layer outer longitudinal fibres, middle layer of circular fibres, an inner layer of oblique fibres
- mucosa longitudinal folds of mucosa called rugae - disappear when the stomach is full. - gastric glands - gastric juice.
Blood supply
- coeliac artery : right gastric artery, left gastric artery, right gastroduodenal artery, left gastroduodenal artery, short gastric arteries
- venous drainage into the portal vein
Nerve supply
- sympathetic supply from coeliac plexus
- parasympathetic supply from the vagus nerves
Functions
- Temporary storage for food allowing time for the digestive enzymes to act
- Chemical digestion - pepsin converts proteins to polypeptides
- Mechanical digestion - the stomach contents are triturated and made into smaller particles chyme
- Limited absorption of water, alcohol and some lipid soluble drugs.
- Non-specific defence against microbes - by hydrochloric acid , vomiting
- Helps iron absorption to be done in the small intestines.
- Production of intrinsic factor needed for absoption of vitamin B12
- Controlled release of the stored contents into the duodenum.
The Anatomical Relations of the stomach
As mentioned in the diagram below :