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stomach
  stomach
 

The major function of the stomach is to temporarily store food and release it slowly into the duodenum. It processes the food to a semi-solid chyme, which enables better contact with the mucous membrane of the intestine, thereby facilitating absorption of nutrients. In addition, the stomach is an important site of enzyme production.

Parameter list

  anatomy
 

The anatomy of the human stomach is shown in figure 1. The cardia surrounds the superior opening of the stomach. The rounded portion superior to the body and to the left of the cardia is the fundus. Inferior to the fundus is the large central portion of the stomach, called the body. The region of the stomach that connects to the duodenum is the pylorus. It has two parts, the pyloric antrum, which connects to the body of the stomach, and the pyloric canal, which leads into the duodenum. The pylorus communicates with the duodenum of the small intestine via the pyloric sphincter (valve). This valve regulates the passage of chyme from stomach to duodenum and it prevents backflow of chyme from duodenum to stomach (Tortora and Grabowski, 1996). The stomach wall is composed of four layers: mucosa, submucosa, muscularis and serosal (figure 2).



Figure 1. External and internal anatomy of the stomach of man (Tortora and Grabowski, 1996).



Figure 2. Histology of the stomach. a three-dimensional view of layers of the stomach (Tortora and Grabowski, 1996).

  juvenile to adult
 

During the first days of life, gastric motility is very low. In addition, gastric contractions in neonates are less pronounced than in infants. As a result, the rate of gastric emptying is variable during the neonatal period and is affected by gestational maturity, postnatal age, the type of feeding and clinical disease states (see table). The age at which the gastric emptying time of infants approaches that of adults remains poorly defined, although some authors believe that this transition occurs within the first 6 to 8 months of life (Besunder et al., 1988; Heimann, 1980).

Factors affecting gastric emptying rate (Besunder et al., 1988)

increase

decrease

human milk

prematurity

 

long chain fatty acids

 

gastro-oesophageal reflux

 

congenital hearth disease

 

respiratory distress syndrome

  factors affecting gastric emptying rate
 

increase

decrease

human milk

prematurity

 

long chain fatty acids

 

gastro-oesophageal reflux

 

congenital hearth disease

 

respiratory distress syndrome

Besunder et al., 1988

 
Laatste wijziging: 17 december 2007