Vasculature of Esophagus |
Areterial
Blood Supply
Extremely varried.
From the inferior thyroid aryery→Cervical
esophagus
Accessory arteries
from the subclavian,
common
carotid,
vertebral,
ascending
pharyngeal,
superficial
cervical and
costocervical trunk.
Esophagealbraches→Thoracic esophagus
Bronchial arteries
(varried; 2 left and 1 right is the standard),
additional twings from the aorta,
aortic
arch, uppermost
intercostals,
internal
mammary and carotid.
→Abdominal esophgus
receives from the left gastric,
short
gastric and the recurrent
branches of the left inferior
phrenic arteries.
Venous
Blood Drainage
Empty into various single
veins and into the azygos
and
hemiazygos
system
Begins in a submucosal venous plexus
→ after piercing the
muscle layers
→ venous plexus
on the external
surface of
the esophagus
Cervical periesophageal
venous plexus → inferior
thyroid vein
→ right or left brachiocephalic ( innominate
) vein, or into both
Thoracic periesophageal
plexus on the right, join the azygos,
right brachiocephalic
and occasional vertebral vein;
on the left
join the hemiazygos,
accesory
hemiazygos, left brachiocephalic
and vertebral vein
Tributaries from the short abdominal
esophagus → the left gastric
( coronary ) vein of the stomach; others
→ short gastric veins,
splenic veins
and left gastro-epiploic veins
or of the branches of
left inferior phrenic, the latter joinning
the inferior vena cava;
or suprarenal
enters the renal vein
Caval system
At the E-C junction,
branches from coronary vein
are in continuity
with the lower esophageal brr.
through which blood may be
shunted into the SVC
via the azygos
and hemiazygos veins.
From
this same area, blood may be shunted into the splenic
veins,
retroperitoneal veins and
inferior phrenic vein
of the diaphrgma,
through which communication is established with the caval
system.
Backflow of the
venous blood through the esophageal veins leads to
their dilatation,
with formation of varicosities.
Since short gastrics pass up from the splenic to the cardio-esophageal
end of the stomach, thrombosis
of the splenic vein
may readily lead
to esophageal varices
and fetal hemorrhages.
Lymphatic Drainage of Esophagus |
Histology of Esophagus |