Figure 2.30. Abdominal part of esophagus and stomach.

A. The stomach and the greater and lesser omenta are shown. The left part
of the liver is cut away so that the lesser omentum and the omental foramen
(entrance to omental bursa) can be seen. The extent of the intact liver is
indicated by a dotted line. The stomach is inflated with air.
 Figure 2.30. Abdominal part of esophagus and stomach.
B. The internal surface (mucous membrane) is demonstrated. The longitudinal gastric folds, or
rugae, disappear on distension. Along the lesser curvature, several longitudinal mucosal folds
extend from the esophagus to the pylorus, making up the gastric canal along which ingested
liquids pass. C. The pylorus is the significantly constricted terminal part of the stomach. The pyloric
orifice is the distal opening of the pyloric canal into the duodenum.
The muscle layers of the oesophageal
and gastric walls
Arterial Supply to Stomach
 Rami Esophageales
A. Gastrica
sinistra
Cabang ke lambung
Arteriae gastrica
breves
Cabang-cabang ke
A. Splenica dalam lien
Truncus Arteria Gastro-
Celiacus omentalis sinistra
A.
Pancreaticoduodenalis
A. Gasroduodenalis superior
A. Gastro-omentalis
A. Hepatica dextra
communis Arteria gastrica dextra

A. Hepatica propria A. Hepatica sinistra

A. Hepatica dextra
 Veins of stomach
• The right and left gastric veins drain into the portal
vein
• The short gastric veins and left gastro-omental veins
drain into the splenic vein, which joins the superior
mesenteric vein (SMV) to form the portal vein.
• The right gastro-omental vein empties in the SMV.
• A prepyloric vein ascends over the pylorus to the right
gastric vein. Because this vein is obvious in living
persons, surgeons use it for identifying the pylorus.
Veins of stomach, duodenum, and spleen
 Innervation of stomach
• The parasympathetic nerve
supply of the stomach is from
the anterior and posterior
vagal trunks and their
branches, which enter the
abdomen through the
esophageal hiatus.
• The sympathetic nerve supply
of the stomach from the T6
through T9 segments of the
spinal cord passes to the celiac
plexus through the greater
splanchnic nerve and is
distributed through the
plexuses around the gastric and Distribution of the vagal nerves to the stomach. The
gastro-omental arteries two commonest variations in the anterior vagus are
shown in pink. A, Multiple main trunks. B, Low origin
of the hepatic/pyloric branch lying close to the lesser
curvature.