the general development anatomy of digestive system
DESCRIPTION
digestive system,anatomy of digestive system,the general devlopment anatomy of digestive system,development of digestive systemTRANSCRIPT
The general developmental
Anatomy of digestive
system
E. Suryadi
Faculty of Medicine GMU
Behavioral objectives
Students understand on the principles and
concepts developmental process of the
human digestive system organs
Students understand of the developmental
anatomy of the gastrointestinal tract.
Zygote
Embryoblast Trophoblast
Endoderm Mesoderm Ectoderm
M Axialis M Intermediate M Lateralis
Splanchnicus Somaticus
Visceral organs
of digestive system
(Intraembryonic coelom)
Pleural & peritoneal
Cavity
THE DIGESTIVE TRACT FORMATION
Origin from endoderm & splanchnic mesoderm Fore gut
Cephalocaudal Mid Gut
becaused by development of
central nervous system Hind Gut
Folding
Laterally ductus vitelinus
becaused by somits
formation 0BLITERATION
The gut are occurred passively as a fixation mid gut
c
5
1. Yolk sac
2. Surface ectoderm
3. Amniotic cavity
4. Neural tube
5. Splanchnic mesoderm
6. Somatic mesoderm
1. Gut endoderm
2. Intraembryonic coelomic
cavity
3. Amniotic cavity
4. Dorsal mesentery
5. Splanchnic mesoderm
6. Somatic mesoderm
7. Neural tube
THE LATERALLY FOLDING
RELATIONSHIP OF
PRIMORDIAL GUT – YOLK SACK
Stomodaeum Epithelium
Cranial(oral)
Ectoderm Epithelium
proctodaeum Caudal(anal)
Muscular tissues
splanchnic
mesoderm
Fibrous tissues
Primitive Gut
Epithelium
endoderm
Glands
FORMATION OF THE GUT
1. Foregut
2. Hindgut
3. Midgut
4. Central nervous system
5. Tracheobronchial diverticulum
6. Heart
7. Liver bud
8. Buccopharyngeal membrane
9. Vitelline duct
10. Allantois
11. Cloacal membrane
PRIMITIVE GUT
The primitive gut is divided into four parts:
a) the pharyngeal gut which extends
from the buccopharyngeal (oro-
pharyngeal) membrane to the
respiratory (tracheobronchial)
diverticulum;
b) the foregut, liver ; billiary
apparatus; part of duodenum
gaster, esophagus
c) the midgut, 2/3 the transverse
colon in the adult ; duodenum;
small intestinum; cecum;appendix
d) the hindgut, 1/3 transverse
colon; descending colon; sigmoid;
rectum; upper part of the anal
canal; cloacal
1. Foregut
2. Stomach
3. Hindgut
4. Midgut
5. Pharyngeal gut
6. Esophagus
7. Tracheobronchial diverticulum
8. Buccopharyngeal membrane
9. Cloacal membrane
10. Stomodeum
11. Cloaca
12. Gallbladder
13. Liver
14. Pancreas
15. Vitelline duct
16. Allantois
Specific Process of the GI
development
Rotation
Fusion
Obliteration
Recanalitation
Some process organogenesis
The first of gut is the tube form from oral to anal
Some places of the gut arise buds:
Laringotracheal diverticulum lung bud bronchopulmonary bud
Hepatic diverticulum hepatic cord and gall bladder
Pancreatic bud dorsal and ventral become pancreas
The primitive gut forms during the 4th week of the development as a result of cephalocaudal and lateral folding of the embryo.
This endoderm lined cavity is incorporated into the embryo, while the yolk sac and the allantois remain temporarily by outside the embryo.
The endoderm of the primitive gut gives rise to the epithelium and glands of the digestive organ.
The muscular and fibrous elements of the digestive tract are derived from the splanchnic mesoderm.
The epithelium at the cranial and caudal extremities of the digestive tract is derived from the ectoderm of the stomodeum (oral cavity epithelium and enamelum) and the proctodeum (anal pit)
Fixative of Gut
Gut is surrounded by an intra embryonic
cavity (coelom)
Ventral mesentery: connecting between
gut with ventral body wall.
Dorsal mesentery: connecting between gut
with dorsal body wall
Vitelline duct and artery
FORE GUT
• ESOPHAGUS, GASTER,
• DUODENUM, LIVER
• BILLIARY APPARATUS
• PANCREAS
The liver, billiary apparatus, pancreas and the respiratory system arise as diverticula from the foregut.
Along the entire length, the intestinal tube is suspended from the dorsal body wall by a dorsal mesentery.
Along the segment of its length, it is attached to the ventral body wall by a ventral mesentery.
The esophagus
Initially the esophagus is very short, but it elongates rapidly, reaching its final relative length by about seven weeks..
The endoderm of the esophagus proliferate and almost obliterates the lumen; recanalization occurs by the end of the embryonic period (the 8th week)
The striated muscle in the upper esophagus is derived from the caudal branchial arches.
The smooth muscle of the esophagus develops from the surrounding splanchnic mesoderm
In the 4th developmental week, a small diverticulum appears at the ventral wall of the foregut - the respiratory (tracheobronchial) diverticulum.
It becomes gradually separated from the foregut by the esophagotracheal septum.
Initially very short esophagus lengthens rapidly.
DEVELOPMENT OF ESOPHAGUS
FORMATION OF EOSOPHAGUS
1. Respiratory diverticulum
2. Foregut
3. Esophagotracheal septum
1. Pharynx
2. Trachea
3. Esophagus
4. Lung buds
DEVELOPMENT OF STOMACH
1. Foregut
2. Stomach
3. Hindgut
4. Midgut
5. Pharyngeal gut
6. Esophagus
7. Tracheobronchial diverticulum
8. Buccopharyngeal membrane
9. Cloacal membrane
10. Stomodeum
11. Cloaca
12. Gallbladder
13. Liver
14. Pancreas
15. Vitelline duct
16. Allantois
The stomach appears as a fusiform dilatation of the foregut in the 4th week of development. The dorsal border grows faster than the ventral border, thus producing the greater curvature.
The stomach rotates along the longitudinal and antero-posterior axis.
The rotation of the stomach along the longitudinal axis causes its left side to face anteriorly, and its right side to face posteriorly.
The stomach is attached to the dorsal and ventral body wall by the dorsal and ventral mesogatrium. During rotation, the dorsal mesogastrium is pulled to the left, forming the omental bursa.
The dorsal mesogastrium extends tremendously as a double-layered flap of the mesentery, the greater omentum, which lies over the intestine.
As the spleen forms in the dorsal mesogastrium, the lienorenal and gastrolienal ligaments develop as remnants or dorsal mesogastrium.
The ventral mesogastrium attaches the lower esophagus, stomach and proximal duodenum to the ventral body wall.
Growth of the liver causes the formation of the lesser omentum and falciform ligament in the ventral mesogastrium.
The stomach enlarge and acquires its adult shape, it slowly rotates 90 degree in aclockwise direction around its longitudinal axis.
The ventral border (lesser curvatura) moves to the right and the dorsal border (great curvature) move to the left
Cleft in dorsal mesogastrium omental bursa (lesser peritoneal saccus)
Dorsal region inferior stomach
ventral region superior stomach
Stomach and dorsal mesentery
1. Liver
2. Stomach
3. Spleen
4. Pancreas
5. Adrenal gland
6. Aorta
7. Dorsal mesogastrium
8. Omental bursa
9. Falciform ligament
10. Lesser omentum
ROTATION OF THE STOMACH
STOMACH MESENTERIES OF
STOMACH
OMENTAL BURSA
•Before rotation, the
cranial and caudal of
the stomach are in the
median plane
•During rotation and
growth of the stomach
sinistral region
anterior
dextral region
posterior
•After rotation, the
stomach assumes its
final position with its
long axis almost
transverse to the long
axis of the body
•Curvatura mayor
•Curvatura minor
•The mesentery is
originally in the median
plane
•During rotation its
carried to the left and
formation of the omental
bursa or lesser sac of
peritoneum
•After rotation, a ventral
mesentery attaches the
stomach and duodenum
to the liver and the
abdominal wall
•Isolated clefts develop in the
mesencyhme forming the thick
dorsal mesogastrium. The clefts
single cavity Omental Bursa
greater omentum
•Rotation of the stomach, pulls the
dorsal mesogastrium to the left,
enlarging the bursa, a large recess
of the peritoneal cavity
SPLEEN
SPLEEN
The spleen is a lymphatic organ which appears during the 5th developmental week as a focus of mesenchymal proliferation between the layers of the dorsal mesogastrium.
As the stomach rotates, the left part of the dorsal mesogastrium comprises the gastrolineal and lienorenal ligaments.
The mesenchymal cells differentiate into the parenchymal cells, connective tissue and the surface capsule.
The spleen functions as a hematopoietic center until late fetal life.
DEVELOPMENT OF LIVER,
GALLBLADDER DAN BILLIARY
APPARATUS
Liver, Gallbladder and billiary
apparatus The liver, gallbladder and the billiary duct system arise
as a bud of the endodermal epithelium at the distal end of the foregut.
The hepatic diverticulum (liver bud) grows into the septum transversum. Septum transversum is the mesodermal plate between the pericardial cavity and the stalk of the yolk sac.
Cranial part of the septum transversum forms the tendinous portion of diaphragm, while its caudal part contributes to the ventral mesogastrium.
The large part of the liver bud forms the parenchyme of the liver and billiary apparatus.
The fibrous, hemopoietic tissue and Kupffer cells derive from the mesenchyme of the septum transversum.
A small caudal portion of the liver bud expands to form gallbladder and bile duct.
Mesodermal plate Cranial tendinous portion of diaphragm
Between pericardial cavity & Stalk VS Hematopoeitic tissue
Septum transversum mesenchym Kuffer cell
Fibrous
Caudal contributes to the ventral
mesogastrium
Epithel Endoderm Cranial Primordium of the liver
foregut Hepatic cord hep.sinusoid
Hepatic Caudal Gall bladder & bile duct
Diverticulum (small)
Stalk Cystic duct
Development of the liver and
Billiary Apparatus 1. Esophagus
2. Hindgut
3. Stomach
4. Tracheobronchial diverticulum
5. Duodenum
6. Midgut loop
7. Septum transversum
8. Cloaca
9. Gallbladder
10. Liver
11. Cloacal membrane
12. Pancreas
13. Heart
14. Ventral mesogastrium
15. Dorsal mesogastrium
Liver
DEVELOPMENT OF PANCREAS
Endoderm of duodenum
Dorsal pancreatic bud Body of pancreas
Tail of pancreas
Duct pancreaticus
Pancreatic bud
Ventral pancreatic bud Head of pancreas
Uncinate process
PANCREAS gland
Proximal Accesory pancreatic duct
Duct of the
dorsal bud
Distal
Main pancreatic duct
Duct of the
ventral bud
DEVELOPMENT DUCT OF THE
PANCREAS
DEVELOPMENT OF PANCREAS
1. Liver bud
2. Dorsal pancreas
3. Gallbladder
4. Ventral pancreas
5. Cystic duct
6. Hepatic duct
7. Bile duct
1. Liver bud
2. Stomach
3. Gallbladder
4. Ventral pancreatic bud
5. Dorsal pancreatic bud
1. Stomach
2. Gallbladder
3. Cystic duct
4. Hepatic duct
5. Bile duct
6. Pancreas
7. Accessory pancreatic duct
8. Main pancreatic duct
9. Ventral pancreatic duct
Ventral pancreatic bud Ventral pancreatic bud
MID GUT
DUODENUM
SMALL INTESTINE
CAECUM
APPENDIX
COLON ASCENDEN
2/3 COLON TRANSVERSUM
MIDGUT The derivatives of the midgut are: most of the
duodenum, small intestine, cecum, vermiform appendix, ascending colon and right 2/3 of the transverse colon.
The wide communication of the midgut and the yolk sac is gradually reduced to the narrow yolk stalk (vitelline duct).
Rapid elongation of the midgut and its mesentery results in the formation of the midgut loop which projects into the umbilical cord (physiological umbilical herniation).
The cephalic limb of the loop develops into the duodenum, jejunum and part of the ileum, while the caudal limb gives rise to the rest of the midgut derivatives.
The midgut loop rotates 270º counterclockwise around the axis formed by the superior mesenteric artery.
The duodenum develops from the caudal portion
of the foregut and cranial portion of the midgut.
The entrance of the bile duct into the duodenum
lies just proximal to their junction.
The loop of the duodenum rotates to the right
and comes to lie retroperitoneally.
The duodenal epithelium grows rapidly and
temporarily obliterates the lumen of the gut tube.
DEVELOPMENT OF DUODENUM
Fixation of the duodenum
1. Dorsal mesoduodenum
2. Pancreas
3. Duodenum
4. Parietal peritoneum
5. Aorta
6. Adrenal gland
INTRAPERITONEAL RETROPERITONEAL
MIDGUT LOOP
The midgut loop rotates 270º counterclockwise around the axis formed
by the superior mesenteric artery.
Cranial distal duodenum, jejunum, ileum
Caudal ileum, cecum, colon ascenden, 2/3 colon transversum
1. Vitelline duct
2. Superior mesenteric artery
3. Stomach
4. Duodenum
5. Cephalic limb of the loop
6. Caudal limb of the loop
1. Vitelline duct
2. Superior mesenteric artery
3. Stomach
4. Duodenum
5. Transverse colon
6. Small intestine
7. Cecal bud
1. Vitelline duct
2. Small intestine
3. Stomach
4. Duodenum
5. Transverse colon
6. Cecal bud
1. Hepatic flexture
2. Stomach
3. Duodenum
4. Transverse colon
5. Ascending colon
6. Descending colon
7. Sigmoid
8. Cecum
9. Appendix
10. Small Intestine
CECUM AND APPENDIX
The primordium of cecum and appendix is
the cecal diverticulum
The appendix increase rapidly in length so
that at birth it relatively long.
After birth the wall of the cecum grows
uniqueally, with the result that the
appendix comes to enter its medial side.
HERNIASI
Perkembangan mid gut ditandai dengan pertambahan panjang yang cepat di terutama di bagian cranial rongga perut tidak muat gelung usus masuk ke coelom ekstraembrional dalam tali pusat selama perkembangan minggu ke 6
RETRAKSI GELUNG USUS YG MENGALAMI
HERNIASI
Gelung usus masuk kembali ke rongga perut (mgg ke 10) karena menghilangnya mesonephros, mengecilnya hati, bertambah luasnya rongga perut
HIND GUT
1/3 transverse colon,
descending colon,
sigmoid,
rectum
upper part of the anal canal
cloaca
The teminal portion of the hindgut enters into the cloaca covered by the cloacal membrane.
The growth of the urorectal septum divides the cloaca into the primitive urogenital sinus anteriorly and the anorectal canal posteriorly.
By the end of the 6th week, the urorectal septum reaches the cloacal membrane, dividing it into the urogenital and anal membranes.
The mesenchymal swelling around the anal membrane forms the proctodeum (anal pit). In the 9th week, the anal membrane ruptures. The upper part of the anal canal is endodermal in origin, while the lower third is of the ectodermal origin.
DEVELOPMENT OF CLOACA
The anus and rectum formation
NO organ Congenital anomali
1 Esophagus Atresia esophagus and Fistula esofagotracheal : a
esophagus canal is clogged (atresia oesophagi)
Polyhidramnion : excessive of amnion in amniotic sac
Stenosis esophagus : narrowing of an esophagus lumen
Hiatus congenital hernia : abnormality of esophagus to
develops and then a gaster is pulled up.
2 Stomach Stenosis pilorus : muscular layer of pylorus hypertrophy
3 Liver and
Apparatus
billiaris
Atresia extrahepatic gall bladder : recanalitation failure
Atresia and hipoplasia biliverus duct (intrahepatik) .
Ductus biliverus abnormality
NO LOKASI
4 Pankreas Pancreas anularis Duodenum is surrounded by
pancreas obstruction
5 Colon cecum mobile : results from incomplete fixation of the
ascending colon
Hernia Retrocolika : terperangkapnya bagian usus kecil
di belakang mesokolon
Omphalocele :result from impaired growth of the
abdominal walls
Gastroschisis : result from a defect lateral to the median
plane of the anterior abdominal walls.
Omphaloenteric Fistula : ductus vitelinus persistent so
still canal be connected between intestinal tract with
umbilicus.
Volvulus : abnormality of intestinal cord so a part of
intestine is snared by other part of intestine
Megacolon : The enlarged colon, results from an
absence of ganglionic cells
6 Anus Anus imperforata
SUMMARY
The primordial gut forms during the fourth week from the
part of yolk sac that is incorporated into the embryo
Endoderm become epithelium, parenchyme and gland cells
of the gastrointestinal organs
Splanchnic mesoderm become muscular and fibrous
tissues of the gastrointestinal organs
Ventral mesentery become hepatogastric ligament,
hepatoduodenale ligament, omentum minus, falciform
ligament
Dorsal mesentery become: gastrolienale ligament,
splenirenale ligament, omentum majus, spleen,
mesenterium, mesocolon
Endoderm cells differentiation
Endoderm is differentiated become:
Epithelium of gastrointestinal tract
Epithelium of respiratory tract
Epithelium of the part of urinary tract
Parenchyme cells of pancreas, liver and
some salivary glands
Gland cells of thyroid, parathyroid and
thymus
foregut Midgut hindgut
organ Gaster, hepar, vesica
fellea, pancreas, lien,
1st half of duodenum
2nd half of dudenum,
jejunum, ileum,
coecum, colon
ascenden, 2/3 colon
transversum
Left 1/3 colon
transersum, colon
descenden, colon
sigmoid, rectum
arteries Truncus celiacus: a.
lienalis, a. gastrica
sinistra, a. hepatica
communis
A. Mesenterica
superior: a iliocolica, a
colica dextra, a. colica
media
A . Mesenterica
inferior: a. colica
sinistra, a rectalis
superior, a.
sigmoidea
Ventral
mesentery
Omentum minus,
Falciformis,
Coronarium,
Triangularis ligament.
Tidak ada Tidak ada
Dorsal
mesentery
Gastrolienalis, &
Lienorenalis,
Gastrocolica ligament,
omentum majus
Mesenterium,
mesoapendix,
mesocolon
transversum
Mesocolon
sigmoideum
Motor nerve
supply
Vagus Vagus Nervus
spanchnicus
pelvini