Difference between revisions of "Duodenum - Anatomy & Physiology"
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==Introduction== | ==Introduction== | ||
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The duodenum is the proximal part of the small intestine and extends from the '''pylorus''' of the [[Monogastric Stomach - Anatomy & Physiology|stomach]] to the '''[[Jejunum - Anatomy & Physiology|jejunum]]'''. It has descending and ascending portions and both portions have digestive and absorptive functions. | The duodenum is the proximal part of the small intestine and extends from the '''pylorus''' of the [[Monogastric Stomach - Anatomy & Physiology|stomach]] to the '''[[Jejunum - Anatomy & Physiology|jejunum]]'''. It has descending and ascending portions and both portions have digestive and absorptive functions. | ||
==Structure== | ==Structure== | ||
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The descending duodenum passes out of the '''pylorus''' of the [[Monogastric Stomach - Anatomy & Physiology|stomach]] (on the right side of the abdomen) and has a sigmoid flexure. It passes towards the right abdominal wall and rises dorsally. In its passage, it is related dorsally to the right lobe of the [[Pancreas - Anatomy & Physiology|pancreas]], ventrally to the [[Jejunum - Anatomy & Physiology|jejunum]] and medially to the ascending [[Colon - Anatomy & Physiology|colon]] and [[Caecum - Anatomy & Physiology|caecum]]. | The descending duodenum passes out of the '''pylorus''' of the [[Monogastric Stomach - Anatomy & Physiology|stomach]] (on the right side of the abdomen) and has a sigmoid flexure. It passes towards the right abdominal wall and rises dorsally. In its passage, it is related dorsally to the right lobe of the [[Pancreas - Anatomy & Physiology|pancreas]], ventrally to the [[Jejunum - Anatomy & Physiology|jejunum]] and medially to the ascending [[Colon - Anatomy & Physiology|colon]] and [[Caecum - Anatomy & Physiology|caecum]]. | ||
| − | At a point between the right [[Renal Anatomy - Anatomy & Physiology#Common Anatomy|kidney]] and pelvic inlet, it turns medially and cranially around the root of the mesentery to become the ascending duodenum. The point of turn is called the ''caudal flexure'' of the duodenum. | + | At a point between the right [[Macroscopic Renal Anatomy - Anatomy & Physiology#Common Anatomy|kidney]] and pelvic inlet, it turns medially and cranially around the root of the mesentery to become the ascending duodenum. The point of turn is called the ''caudal flexure'' of the duodenum. |
The ascending duodenum is shorter and bends ventrally to enter the mesentery and becomes the [[Jejunum - Anatomy & Physiology|jejunum]]. The '''mesoduodenum''' attaches the duodenum to the dorsal abdominal wall. Within the mesoduodenum is the right lobe of the [[Pancreas - Anatomy & Physiology|pancreas]]. The pancreatic and bile ducts open into the duodenum. The bile duct and one of the pancreatic ducts discharge into the proximal part of the duodenum by separate ''major duodenal papillae''. The second pancreatic duct discharges a little more distally on a smaller papilla. The cranial part of the descending duodenum is attached to the [[Liver - Anatomy & Physiology|liver]] by the '''hepatoduodenal ligament'''. This is a remnant of the [[Monogastric Stomach - Anatomy & Physiology|ventral mesogastrium]] in the embryo. The bile duct runs within the '''hepatoduodenal ligament'''. | The ascending duodenum is shorter and bends ventrally to enter the mesentery and becomes the [[Jejunum - Anatomy & Physiology|jejunum]]. The '''mesoduodenum''' attaches the duodenum to the dorsal abdominal wall. Within the mesoduodenum is the right lobe of the [[Pancreas - Anatomy & Physiology|pancreas]]. The pancreatic and bile ducts open into the duodenum. The bile duct and one of the pancreatic ducts discharge into the proximal part of the duodenum by separate ''major duodenal papillae''. The second pancreatic duct discharges a little more distally on a smaller papilla. The cranial part of the descending duodenum is attached to the [[Liver - Anatomy & Physiology|liver]] by the '''hepatoduodenal ligament'''. This is a remnant of the [[Monogastric Stomach - Anatomy & Physiology|ventral mesogastrium]] in the embryo. The bile duct runs within the '''hepatoduodenal ligament'''. | ||
==Vasculature== | ==Vasculature== | ||
| − | The duodenum | + | The duodenum recieves blood from the '''coeliac artery''' and the '''cranial mesenteric artery'''. Both are branches of the aorta. The '''cranial mesenteric vein''' drains blood from the duodenum into the '''portal vein'''. This blood, carrying the products of digestion, enters the [[Liver - Anatomy & Physiology|liver]]. |
==Species Differences== | ==Species Differences== | ||
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===Equine=== | ===Equine=== | ||
| − | The mesoduodenum is relatively short, so the duodenum is closely tethered in a constant position. The descending duodenum is attached to the base of the [[Caecum - Anatomy & Physiology|caecum]]. The descending duodenum runs caudally beneath the [[Liver - Anatomy & Physiology|liver]] to the caudal pole of the right kidney where it has it's caudal flexure to become the ascending duodenum. | + | [[Image:Section of duodenum from horse.JPG|thumb|right|250px|Section of equine duodenum- © RVC 2008]] |
| + | The mesoduodenum is relatively short, so the duodenum is closely tethered in a constant position. The descending duodenum is attached to the base of the [[Caecum - Anatomy & Physiology|caecum]]. The descending duodenum runs caudally beneath the [[Liver - Anatomy & Physiology|liver]] to the caudal pole of the right [[Urinary System - Anatomy & Physiology|kidney]] where it has it's caudal flexure to become the ascending duodenum. | ||
===Ruminant=== | ===Ruminant=== | ||
| − | The mesoduodenum is relatively short. The first part of the descending duodenum rises almost vertically within the ribcage, in close apposition to the liver. It turns level with the tuber coxae. The first part of the duodenum is attached to the [[Liver - Anatomy & Physiology|liver]] by the lesser omentum. The descending duodenum also provides attachment for the superficial and deep sheets of the greater omentum. | + | The mesoduodenum is relatively short. The first part of the descending duodenum rises almost vertically within the ribcage, in close apposition to the [[Liver - Anatomy & Physiology|liver]]. It turns level with the tuber coxae. The first part of the duodenum is attached to the [[Liver - Anatomy & Physiology|liver]] by the lesser omentum. The descending duodenum also provides attachment for the superficial and deep sheets of the greater omentum. |
===Porcine=== | ===Porcine=== | ||
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==Links== | ==Links== | ||
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| + | '''Test yourself with the [[Duodenum - Anatomy & Physiology - Flashcards| Duodenum Flashcards]]''' | ||
'''Click here for more information on the [[Intestines, Small and Large - Pathology| Pathology of the Small and Large Intestine]]''' | '''Click here for more information on the [[Intestines, Small and Large - Pathology| Pathology of the Small and Large Intestine]]''' | ||
| − | + | '''Video links:''' | |
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| − | + | 1.[http://stream2.rvc.ac.uk/Anatomy/canine/Pot0036.mp4 Pot 36 The Canine Abdomen] | |
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| − | + | 2.[http://stream2.rvc.ac.uk/Frean/Pony/left_topography.mp4 Left Sided topography of the Equine abdomen] | |
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| + | 3.[http://stream2.rvc.ac.uk/Anatomy/feline/pot0357.mp4 Pot 357 The Feline Abdomen] | ||
| − | + | 4.[http://stream2.rvc.ac.uk/Frean/sheep/RightSideTopography.mp4 Right sided topography of the Ovine Abdomen] | |
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[[Category:Small Intestine - Anatomy & Physiology]] | [[Category:Small Intestine - Anatomy & Physiology]] | ||
| − | [[Category: | + | [[Category:To Do - AimeeHicks]][[Category:To Do - AP Review]] |
Revision as of 12:15, 18 October 2010
Introduction
The duodenum is the proximal part of the small intestine and extends from the pylorus of the stomach to the jejunum. It has descending and ascending portions and both portions have digestive and absorptive functions.
Structure
The descending duodenum passes out of the pylorus of the stomach (on the right side of the abdomen) and has a sigmoid flexure. It passes towards the right abdominal wall and rises dorsally. In its passage, it is related dorsally to the right lobe of the pancreas, ventrally to the jejunum and medially to the ascending colon and caecum. At a point between the right kidney and pelvic inlet, it turns medially and cranially around the root of the mesentery to become the ascending duodenum. The point of turn is called the caudal flexure of the duodenum. The ascending duodenum is shorter and bends ventrally to enter the mesentery and becomes the jejunum. The mesoduodenum attaches the duodenum to the dorsal abdominal wall. Within the mesoduodenum is the right lobe of the pancreas. The pancreatic and bile ducts open into the duodenum. The bile duct and one of the pancreatic ducts discharge into the proximal part of the duodenum by separate major duodenal papillae. The second pancreatic duct discharges a little more distally on a smaller papilla. The cranial part of the descending duodenum is attached to the liver by the hepatoduodenal ligament. This is a remnant of the ventral mesogastrium in the embryo. The bile duct runs within the hepatoduodenal ligament.
Vasculature
The duodenum recieves blood from the coeliac artery and the cranial mesenteric artery. Both are branches of the aorta. The cranial mesenteric vein drains blood from the duodenum into the portal vein. This blood, carrying the products of digestion, enters the liver.
Species Differences
Canine
The duodenum is about 25cm long in canine species. The mesoduodenum is relatively long.
Equine
The mesoduodenum is relatively short, so the duodenum is closely tethered in a constant position. The descending duodenum is attached to the base of the caecum. The descending duodenum runs caudally beneath the liver to the caudal pole of the right kidney where it has it's caudal flexure to become the ascending duodenum.
Ruminant
The mesoduodenum is relatively short. The first part of the descending duodenum rises almost vertically within the ribcage, in close apposition to the liver. It turns level with the tuber coxae. The first part of the duodenum is attached to the liver by the lesser omentum. The descending duodenum also provides attachment for the superficial and deep sheets of the greater omentum.
Porcine
The small intestine is comparable to the dog. The mesoduodenum is relatively long.
Links
Test yourself with the Duodenum Flashcards
Click here for more information on the Pathology of the Small and Large Intestine
Video links: