消化學-- 食道疾病PD↓to Diseases of the Esophagus

                                             Anatomy

 
        Topography , Contour & Normal Constrictions of Esophagus

    Cervical esophagus  :  continuation of the pharynx
                                        at the level of 6th cervical vertebra ( C6 )
                                        lower portion of the neck → superior and
                                        posterior mediastina of the thorax 、、、
                                        On each side the carotid sheath and the structures
                                        it contains accompany the cervical esophagus.
                                        The lobes of the thyroid gland partially overlap the
                                        esophagus on each side.

    Thoracic  esophagus :    To lie posterior to the trachea as far as the level
                                        of the 5th thoracic body, where the trachea bifurcates.
                                        The trachea slightly deviates to the right at its lower end,
                                        so the left main bronchus crosses in front of the esophagus.
                                   Below this point the esophagus is seperated from the left
                                        atrium of the heart by the pericardium. In the lowest of
                                   thoracic esophagus passes behind the diaphrgm to
 

 Abdominal esophagus :    esophageal hiatus of the diaphragm
                                        to join the cardia of the stomach at the
                                        level of 10th thoracic vertebra ( T10 )
                                        ( The esophagogastric junction  )  、、、
 
 
                                   Esophagogastric junction

                                        Viewed from the front : assumes a form of
                                        gentle reversed "S" .  The upper 2 lateral curvatures
                                        is convex toward the left; the lower thorax and
                                        abdomen is toward the right.

                                  Anterior to the cervical esophagus lies the membranous
                                        wall of the trachea loosely connected by areolar tissue.

                                      Posteriorly, the esophagus lies upon the vertebral
                                        bodies and the longus colli mm. with fascia intervening.
                  In the grooves on each sides between them ascend the recurrent laryngeal nerves.

Next Page↓
Vasculature of Esophagus : Blood Supply, Venous Drainage &
                                        Lymphatic Drainage of Esophagus
Histology of Esophagus