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The Esophagus

esophagus anatomy

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The Esophagus

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  1. The Esophagus

  2. The esophagus or gullet is a muscular canal, about 23 to 25 cm. long, extending from the pharynx to the stomach. It begins in the neck at the lower border of the cricoid cartilage, opposite the C6, descends along the front of the vertebral column, through the superior and posterior mediastinum, passes through the diaphragm, and, entering the abdomen, ends at the cardiac orifice of the stomach, opposite the T11.

  3. Upper EsophagealSphincter (UES) Esophageal Body(cervical & thoracic) 18 to 24 cm Lower EsophagealSphincter (LES)

  4. The general direction of the esophagus is vertical; but it presents two slight curves in its course. At its commencement it is placed in the middle line; but it inclines to the left side as far as the root of the neck, gradually passes to the middle line again at the level of the T5, and finally deviates to the left as it passes forward to the esophageal hiatus in the diaphragm.

  5. Relations: cervical part in front, with the trachea and the thyroid gland; behind, it rests upon the vertebral column and Longus colli muscles; on either side it is in relation with the common carotid artery, and parts of the lobes of the thyroid gland; the recurrent nerves ascend between it and the trachea; to its left side is the thoracic duct.

  6. Vessels and Nerves : The arteries supplying the cervical esophagus are derived from the inferior thyroid branch of the thyrocervicaltrunk.

  7.   The nerves are derived from the vagi and from the sympathetic trunks; they form a plexus, in which are groups of ganglion cells, between the two layers of the muscular coats, and also a second plexus in the submucous tissue.

  8. Good bye !

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