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The small intestine forms loops (B2) and slides back into the abdomen (B3) during resolution of the hernia. Meanwhile, the cecum moves from the left to the right side, which represents the additional 180° counterclockwise rotation of the intestine (C, central view). [3] In the process of lengthening growth, the intestinal duct herniates and ...
Intestinal malrotation is a congenital anomaly of rotation of the midgut. It occurs during the first trimester as the fetal gut undergoes a complex series of growth and development. Malrotation can lead to a dangerous complication called volvulus, in which cases emergency surgery is indicated. [1]
Later in development, the fetus's body catches up in size relative to the midgut and creates adequate room in the abdominal cavity for the entirety of the midgut to reside. The midgut loops slip back out of the umbilical cord and the physiological hernia ceases to exist.
During the fourth week of development, the stomach rotates. The stomach, originally lying in the midline of the embryo, rotates so that its body is on the left. This rotation also affects the part of the gastrointestinal tube immediately below the stomach, which will go on to become the duodenum.
As the stomach rotates during early development, the dorsal and ventral mesentery rotate with it; this rotation produces a space anterior to the expanding stomach called the greater sac, and a space posterior to the stomach called the lesser sac.
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The human stomach has receptors responsive to sodium glutamate [38] and this information is passed to the lateral hypothalamus and limbic system in the brain as a palatability signal through the vagus nerve. [39] The stomach can also sense, independently of tongue and oral taste receptors, glucose, [40] carbohydrates, [41] proteins, [41] and ...
50-60% of total gastric acid secretion occurs during this phase. The gastric phase is a period in which swallowed food and semidigested protein (peptides and amino acids) activate gastric activity. Ingested food stimulates gastric activity in two ways: by stretching the stomach and by gastric contents stimulating receptors in the stomach. [2]