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University Of SULAIMANI   College Of Science  Department: BIOLOGY        StomachPrepared   by:                  Peshawa Ya...
Index   Description   Functions of Stomach   Shape   Histology   Structural anatomy   Functional anatomy   Gross An...
Description   The stomach is an expanded    J-shaped    organ in the upper left region of the abdominal    cavity.   It ...
Functions of Stomach   Digestion.   Produce acid.   Reservoir for food.   Slows food entering intestines.   Help with...
Stomach shape   Its shape and position are strongly    associated with organogenesis.   Any developmental abnormality of...
Stomach Shapes
Histology   The stomach is lined by a simple columnar    epithelium.   This epithelium contains surface mucous cells    ...
Structural anatomy   The cardia connects the esophagus to the upper    stomach (fundus), which merges with the body    (c...
Functional anatomy   The stomach can be divided into a proximal    and a distal segment.   The proximal stomach mainly s...
Gross Anatomy   The adult stomach varies from 15 to 25 cm    long, but its diameter and volume depend    on how much food...
Stomach size   Stomach is the most    dilated part of the    digestive tract.   Stomach size is    dependent on the    d...
Gastric emptying   Solid food remains in the stomach until it has    been broken down into small particles    (diameter o...
When empty, thestomach collapsesinward, throwing itsmucosa intolarge, longitudinalfolds called rugae(roo’ge).
Indigestible substances   Indigestible substances (bone, fiber, foreign bodies) do not    leave the stomach during the di...
Mechanical Digestion   The walls of stomach have several layers of    smooth muscle. There are three layers of    muscle,...
Chemical Digestion   Gastric fluid carries out chemical digestion in    the stomach.   Gastric enzymes:     Pepsin  spl...
Gastrectomy   About half of the patients subjected to total    gastrectomy experience weight loss.   Malabsorption, part...
Total and subtotal   In a total gastrectomy, the intestine is    joined to the end of the esophagus,    whilst   In a pa...
sub
Total
Total and subtotal   Patients who had a total gastrectomy continued    to suffer from alimentary symptoms, especially    ...
Common After-Effects of Gastrectomy   Prolonged period of recovery.   Reduces size of the food reservoir – this can lead...
Comparison between different animals
References   Books       Elaine N. Marieb, Katja Hoehn. (2013). Human anatomy &        physiology. 9th ed. Pearson Educa...
References   Articles:       Burdan F. and R.K. Ingrid. (2012). Anatomical classification of        the shape and topogr...
“   THANK     YOU ”
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Stomach

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Biology Dept. / Comparative Anatomy of Chordates - Seminar

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Stomach

  1. 1. University Of SULAIMANI College Of Science Department: BIOLOGY StomachPrepared by: Peshawa Yasin
  2. 2. Index Description Functions of Stomach Shape Histology Structural anatomy Functional anatomy Gross Anatomy Stomach size Gastric emptying Mechanical & Chemical Digestion Gastrectomy
  3. 3. Description The stomach is an expanded J-shaped organ in the upper left region of the abdominal cavity. It is continuous with the esophagus superiorly and empties into the duodenum of the small intestine inferiorly. It continues the mechanical and chemical digestion of the bolus. After the bolus has been completely processed in the stomach, the product is called chyme.
  4. 4. Functions of Stomach Digestion. Produce acid. Reservoir for food. Slows food entering intestines. Help with vitamin absorption (Vitamin B12).
  5. 5. Stomach shape Its shape and position are strongly associated with organogenesis. Any developmental abnormality of the organ itself or nearby located viscera and peritoneum, as well as their vessels and nerves may influence stomach morphology.
  6. 6. Stomach Shapes
  7. 7. Histology The stomach is lined by a simple columnar epithelium. This epithelium contains surface mucous cells which secrete mucin onto the epithelial lining. The muscularis:  It is composed of three smooth muscle layers instead of two:  Inner oblique layer.  Middle circular layer, and o  Outer longitudinal layer.
  8. 8. Structural anatomy The cardia connects the esophagus to the upper stomach (fundus), which merges with the body (corpus) followed by the antrum of the stomach. The lower outlet of the stomach (pylorus) merges with the duodenum. The left-facing arch of the stomach is the greater curvature, whereas the right surface forms the lesser curvature. The superior rounded portion under the left side of the diaphragm is the stomach‘s fundus.
  9. 9. Functional anatomy The stomach can be divided into a proximal and a distal segment. The proximal stomach mainly serves as a food reservoir. Its tone determines the rate at which food passes to the distal stomach. In the distal stomach, food is further processed (chyme formation), it is also responsible for portioning chyme delivery to the small intestine.
  10. 10. Gross Anatomy The adult stomach varies from 15 to 25 cm long, but its diameter and volume depend on how much food it contains. An empty stomach has a volume of about 50 ml and a cross-sectional diameter only slightly larger than the large intestine, but when it is really distended it can hold about 1.5 L of food.
  11. 11. Stomach size Stomach is the most dilated part of the digestive tract. Stomach size is dependent on the degree of gastric filling, but this distension is mainly limited to the proximal stomach.
  12. 12. Gastric emptying Solid food remains in the stomach until it has been broken down into small particles (diameter of !1mm) and suspended in chyme. The chyme then passes to the duodenum. The time required for 50% of the ingested volume to leave the stomach varies, for instance:  10—20 min for water and  1–4 hours for solids (carbohydrates, proteins, fats).
  13. 13. When empty, thestomach collapsesinward, throwing itsmucosa intolarge, longitudinalfolds called rugae(roo’ge).
  14. 14. Indigestible substances Indigestible substances (bone, fiber, foreign bodies) do not leave the stomach during the digestive phase. Special contraction waves called migrating motor complexes (MMC) pass through the stomach and small intestine roughly every 1.5 hours during the ensuing interdigestive phase, as determined by an intrinsic ―biological clock‖. These peristaltic waves transport indigestible substances from the stomach and bacteria from the small intestine to the large intestine.
  15. 15. Mechanical Digestion The walls of stomach have several layers of smooth muscle. There are three layers of muscle, when food is present, these muscles work together to churn the content of stomach. You have probably heard your stomach ―growl‖ when it has been empty for some times. These sounds are made by the contraction of smooth muscles that form the walls of stomach.
  16. 16. Chemical Digestion Gastric fluid carries out chemical digestion in the stomach. Gastric enzymes:  Pepsin splits complex protein molecules into shorter chains of amino acids.  Hydrochloric acid in the stomach not only ensure the low pH, but also dissolves minerals and kills bacteria that enter the stomach along with food.
  17. 17. Gastrectomy About half of the patients subjected to total gastrectomy experience weight loss. Malabsorption, particularly fat malabsorption, is a common feature after total gastrectomy. This may be due to shortened intestinal transit time and small bowel bacterial overgrowth, but is less often due to diarrhea or pancreatic exocrine insufficiency.
  18. 18. Total and subtotal In a total gastrectomy, the intestine is joined to the end of the esophagus, whilst In a partial (or sub-total) gastrectomy the intestine is joined to the remaining healthy stomach.
  19. 19. sub
  20. 20. Total
  21. 21. Total and subtotal Patients who had a total gastrectomy continued to suffer from alimentary symptoms, especially indigestion and diarrhea, during the entire follow- up period. However, patients who underwent subtotal gastrectomy had a significantly better outcome already during the first postoperative yr. Patients given a gastric substitute after gastrectomy improved with the passage of time and had an even better outcome in the long run.
  22. 22. Common After-Effects of Gastrectomy Prolonged period of recovery. Reduces size of the food reservoir – this can lead to reduced food intake and weight loss. Vitamin B12 not available from diet – so B12 will be needed by injection. No stomach acid means that the stomach is more susceptible to infections. Rapid movement of food to small intestine – this causes ‗dumping syndrome‘.
  23. 23. Comparison between different animals
  24. 24. References Books  Elaine N. Marieb, Katja Hoehn. (2013). Human anatomy & physiology. 9th ed. Pearson Education, Inc. USA. 1107 pp.  Fox, Stuart Ira. (2011). Human physiology. 12th ed. McGraw-Hill Companies, Inc. USA. 749 pp.  Freudenrich c.c. and Tortora G. J. (2010). Visualizing Human Anatomy and Physiology. John wiley & Sons, Inc. USA 400-415 pp.  Johnson M.D. (2010). Human Biology Concepts and Currents. 6th ed. Pearson Education, Inc. 327-341 pp.  John H. postlethwait, Janet L. Hopson. (2006). Modern Biology. Holt, Rinehart and Winston. USA. 1130.  Agamemnon Despopoulos, Stefan Silbernagl. (2003). Color Atlas of Physiology 5th ed. Georg Thieme Verlag. Germany. 436 pp.
  25. 25. References Articles:  Burdan F. and R.K. Ingrid. (2012). Anatomical classification of the shape and topography of the stomach. 34(2): 171–178 pp.  Jan Svedlund MD, and Sullivan M. (1999). Long term consequences of gastrectomy for patients quality of life: the impact of reconstructive techniques. 94, 438–445.  Lars Olbe M.D. and Lars Lundell M.D. (1987). Intestinal function after total gastrectomy and possible consequences of gastric replacement. Volume 11, Issue 6, pp 713-719. Website:  http://www.gics.org.uk/content/3.pdf
  26. 26. “ THANK YOU ”

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