Abstract
The role of the stomach in the digestive system is that of a food blender and a reservoir. Inside the stomach mechanical and chemical breakdown into a liquid mass, the chyme, takes place. Food particles have to be as small as 1–2 mm in diameter before they pass to the duodenum. The reservoir function is reflected by the fact that an empty stomach contains approximately 100 ml, while a full stomach may contain more than 2 l and may even extend as low as the pelvic brim. The reflux of gastric content is prevented by, among others, the lower esophageal sphincter and emptying into the duodenum is regulated by the pyloric sphincter. The functional aspects make the stomach a highly mobile and distensible sac.
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References
Waldeyer W. Die Magenstrasse. Sitzungsberichte Der Königlich Preussischen Akademie Der Wissenschaften. 1908;391:595–606.
Thor KB, Hill LD, Mercer DD, Kozarek RD. Reappraisal of the flap valve mechanism in the gastroesophageal junction. A study of a new valvuloplasty procedure in cadavers. Acta Chir Scand. 1987;153:25–8.
Brenkman HJF, van der Wielen NI, Ruurda JP, et al. Surgical anatomy of the omental bursa and the stomach based on a minimally invasive approach: different approaches and technical steps to resection and lymphadenectomy. J Thorac Dis. 2017;9:S809–16.
Lanz T von, Wachsmuth W. Praktische Anatomie. Zweiter Band, Teil 6, Bauch. Berlin, Springer Verlag; 1993. p.188
Buunen M, Rooijens PP, Smaal HJ, et al. Vascular anatomy of the stomach related to gastric tube construction. Dis Esophagus. 2008;21:272–4.
Suzuki K, Prates JC, Didio LJA. Incidence and Surgical Importance of the Posterior Gastric Artery. Ann Surg. 1978;187:134–6.
Kajitani T. The general rules for the gastric cancer study in surgery and pathology. Part I Clinical classification. Jpn J Surg. 1981;11:127–39.
Wagner PK1, Ramaswamy A, Rüschoff J, et al. Lymph node counts in the upper abdomen: anatomical basis for lymphadenectomy in gastric cancer. Br J Surg. 1991;78:825–7.
Skandalakis LJ, Gray SW, Skandalakis JE. The history and surgical anatomy of the vagus nerve. Surg Gynecol Obstet. 1986;162:75–85.
Latarjet A. Preliminarre sur I’innervation et I’enervation de I’estomac. Lyon Med. 1921;130:166.
Skandalakis JE, Gray SW, Soria RE, et al. Distribution of the vagus nerve to the stomach. Am Surg. 1980;46:130–9.
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Bleys, R.L.A.W., Weijs, T.J. (2021). Surgical Anatomy of the Stomach and the Omental Bursa. In: Asunción Acosta, M., Cuesta, M.A., Bruna, M. (eds) Atlas of Minimally Invasive Techniques in Upper Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-55176-6_25
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DOI: https://doi.org/10.1007/978-3-030-55176-6_25
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