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The esophageal plexus (oesophageal plexus in British English) is formed by nerve fibers from two sources, branches of the vagus nerve, [1] [2] and visceral branches of the sympathetic trunk. [ 3 ] [ 4 ] The esophageal plexus and the cardiac plexus contain the same types of fibers and are both considered thoracic autonomic plexus .
Achalasia is a motor disorder of the esophagus characterized by decrease in ganglion cell density in the myenteric plexus. The cause of the lesion is unknown. [11] Myenteric plexi destruction has been found to be secondary to Chagas disease (T. cruzi infection sequelae). Destruction occurs in the esophagus, intestines, and ureters.
This is very efficient as the major function of the vagus nerve from there on will be control of the gut smooth muscles and glands. As the esophageal plexus enter the abdomen through the esophageal hiatus anterior and posterior vagus trunks form. The vagus trunks then join with preaortic sympathetic ganglion around the aorta to disperse with ...
It gives rise to the left recurrent laryngeal nerve, which hooks around the aortic arch to the left of the ligamentum arteriosum and ascends between the trachea and esophagus. The left vagus further gives off thoracic cardiac branches, breaks up into the pulmonary plexus , continues into the esophageal plexus, and enters the abdomen as the ...
The plexus includes sensory receptors, such as chemoreceptors and mechanoreceptors, that are used to provide sensory input to the interneurons in the enteric nervous system. The plexus is the parasympathetic nucleus of origin for the vagus nerve and communicates with the medulla oblongata through both the anterior and posterior vagal nerves.
The anterior vagal trunk is one of the two divisions (the other being the posterior vagal trunk) into which the vagus nerve splits as it passes through the esophageal hiatus to enter the abdominal cavity. [1] The anterior and posterior vagal trunks represent the inferior continuation of the esophageal nervous plexus inferior to the diaphragm. [2]
After branching, the nerves typically ascend in a groove at the junction of the trachea and esophagus. [ 4 ] : 1346–1347 They then pass behind the posterior, middle part of the outer lobes of the thyroid gland and enter the larynx underneath the inferior constrictor muscle , [ 3 ] : 918 passing into the larynx just posterior to the ...
Between the two muscle layers is the myenteric plexus (Auerbach's plexus). This controls peristalsis. Activity is initiated by the pacemaker cells (interstitial cells of Cajal). The gut has intrinsic peristaltic activity (basal electrical rhythm) due to its self-contained enteric nervous system.