Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content +++ TEST TAKING TIPS ++ Test Taking Tips Know which nutrients are absorbed in which parts of the small intestine. Know the various surgical options for strictures in Crohn disease. Try to lean more toward stricturoplasty in an attempt to preserve bowel. Know the various stricturoplasties. +++ EMBRYOLOGY +++ What does the cranial limb of the midgut loop develop into? ++ Distal duodenum, jejunum, and proximal ilium +++ What does the caudal limb of the midgut loop develop into? ++ Distal ilium and proximal two-thirds of the transverse colon +++ What structure joins the yolk sac to the juncture of the cranial and caudal limbs of the midgut loop? ++ The vitelline duct +++ What is a persistent vitelline duct otherwise known as? ++ Meckel diverticulum +++ How much does midgut loop rotate during normal physiologic herniation of bowel? ++ 270° counterclockwise rotation +++ ANATOMY +++ How long is the entire small intestine, from the pylorus to the cecum? ++ ~6 m (20 ft) +++ How long is the duodenum? ++ 26 cm (9.8 in.) +++ How long is the jejunum? ++ 2.5 m (8.2 ft) +++ How long is the ileum? ++ 3.5 m (11.5 ft) +++ What peritoneal fold supports the duodenojejunal angle, which marks where the duodenum ends and the jejunum begin? ++ Ligament of Treitz ++ FIGURE 19-1. Blood supply and luminal surface of the small bowel. The arterial arcades of the small intestine increase in number from 1 or 2 in the proximal jejunum to 4 or 5 in the distal ileum, a finding that helps to distinguish proximal from distal bowel at operation. Plicae circulares are more prominent in the jejunum. (Reproduced with permission from Gerard M Doherty. CURRENT Diagnosis & Treatment: Surgery. 13th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.) Graphic Jump LocationView Full Size|Favorite Figure|Download Slide (.ppt) +++ What are plicae circulares? ++ Circular folds of mucosa in the small bowel lumen (also known as valvulae conniventes) +++ Excluding the proximal duodenum, what artery supplies the entire blood supply of the small bowel? ++ Except for the proximal duodenum that is supplied by branches of the celiac axis, the supply comes entirely from the superior mesenteric artery (SMA). +++ Where is the parasympathetic innervation of the small bowel derived from? ++ Parasympathetic fibers are derived from the vagus, which traverse the celiac ganglion to supply the small bowel. ... GET ACCESS TO THIS RESOURCE Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth Get Free Access Through Your Institution Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. Access My Subscription GET ACCESS TO THIS RESOURCE Subscription Options Pay Per View Timed Access to all of AccessSurgery 24 Hour $34.95 (USD) Buy Now 48 Hour $54.95 (USD) Buy Now Best Value AccessSurgery Full Site: One-Year Individual Subscription $995 USD Buy Now View All Subscription Options