dr. anand srinivasan 5 dec 2011. students at the end of the class should be able to : understand...

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EMBRYOLOGY OF DIGESTIVE SYSTEM - 2 Dr. ANAND SRINIVASAN 5 Dec 2011

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Page 1: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

EMBRYOLOGY OF DIGESTIVE SYSTEM - 2

Dr. ANAND SRINIVASAN

5 Dec 2011

Page 2: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

OBJECTIVES

Students at the end of the class should be able to :

Understand and explain the rotation of midgut and its clinical correlates

Formation, derivatives of hindgut and its clinical correlates

Page 3: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

MIDGUT

Communicates with yolk sac – Vitelline duct

Supplied by – Superior mesesteric A.

Formation of ‘primary intestinal loop’

Physiological umbilical herniation

Page 4: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical
Page 5: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Rotation of Midgut

Counterclockwise rotation – 90° + 180 °

Retraction of herniated loops

Cecal bud – last to enter abdominal cavity

Distal end of cecal bud – Appendix

Page 6: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Omphalocele

Page 7: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Gastrochisis

SURVIVAL RATES

Page 8: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Meckel’s diverticulumm

Page 9: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical
Page 10: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Abnormal rotation of gut

Page 11: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Reversed Rotation

Page 12: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Volvulus

Page 13: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Gut atresia and stenosis

Page 14: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

HINDGUT

Distal 1/3 of transverse colon – upper part of anal canal

Hind gut – Cloacal membrane

Allantois – Primitive urogenital sinus

Formation of ‘Urorectal septum’

Page 15: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical
Page 16: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical
Page 17: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical
Page 18: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Ectoderm part – proctodeum

Cloacal membrane (Anal membrane)

Pectinate line

Page 19: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Hindgut abnormalities

Page 20: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

Congenital megacolon

Page 21: Dr. ANAND SRINIVASAN 5 Dec 2011.  Students at the end of the class should be able to :  Understand and explain the rotation of midgut and its clinical

RECOMMENDED READING

LANGMAN’S MEDICAL EMBRYOLOGY – 11th edition

CHAPTER 14 – Digestive system Pgs. 223 – 233