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Duodenojejunal flexure

From Wikipedia, the free encyclopedia
Border between the duodenum and the jejunum
Duodenojejunal flexure
Superior and inferior duodenal fossæ.
Small intestine
Details
Identifiers
Latinflexura duodenojejunalis
TA98A05.6.02.009
TA22952
FMA15957
Anatomical terminology

Theduodenojejunal flexure orduodenojejunal junction, also known as theangle of Treitz,[1][2] is the border between theduodenum and thejejunum.

Structure

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The ascending portion of theduodenum ascends on the left side of theaorta, as far as the level of the upper border of the secondlumbar vertebra. At this point, it turns abruptly forward to merge with thejejunum, forming the duodenojejunal flexure. This forms the beginning of the jejunum.[3] The duodenojejunal flexure is surrounded by thesuspensory muscle of the duodenum.[4]: 274  It isretroperitoneal, so is less mobile than the jejunum that comes after it, helping to stabilise the jejunum.[5]

The duodenojejunal flexure lies in front of the leftpsoas major muscle, theleft renal artery, and theleft renal vein. It is covered in front, and partly at the sides, byperitoneum continuous with the left portion of themesentery.

Clinical significance

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Theligament of Treitz, a peritoneal fold, from theright crus of diaphragm, is an identification point for the duodenojejunal flexure duringabdominal surgery.[6]: 85 

Additional images

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See also

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This article usesanatomical terminology.

References

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Public domainThis article incorporates text in thepublic domain frompage 1170 of the 20th edition ofGray's Anatomy(1918)

  1. ^Bracale, Umberto et.al.Laparoscopic segmental resection for tumours of the Angle of Treitz: a challenging but feasible surgical option. Results from a retrospective case-series analysis.Updates Surg. 2021; 73(1): 179–186.doi:10.1007/s13304-020-00910-7
  2. ^Lissauer et.al.Neonatology at a Glance. John Wiley & Sons, 2020, p.125.
  3. ^Federle, Michael P.; Rosado-de-Christenson, Melissa L.; Raman, Siva P.; Carter, Brett W., eds. (2017-01-01),"Small Intestine",Imaging Anatomy: Chest, Abdomen, Pelvis (Second Edition), Elsevier, pp. 636–665,doi:10.1016/B978-0-323-47781-9.50031-3,ISBN 978-0-323-47781-9, retrieved2021-01-26
  4. ^Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005).Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone.ISBN 978-0-8089-2306-0.
  5. ^Schneider, Armin; Feussner, Hubertus (2017-01-01), Schneider, Armin; Feussner, Hubertus (eds.),"Chapter 2 - Anatomy, Physiology, and Selected Pathologies of the Gastrointestinal Tract",Biomedical Engineering in Gastrointestinal Surgery, Academic Press, pp. 11–39,ISBN 978-0-12-803230-5, retrieved2021-01-26
  6. ^Jacob, S. (2007) Chapter 4: Abdomen; Human anatomy, A clinically-orientated approach.

External links

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Anatomy of thegastrointestinal tract, excluding themouth
Upper
Pharynx
Esophagus
Stomach
Lower
Small intestine
Microanatomy
Duodenum
Jejunum
  • No substructures
Ileum
Large intestine
Cecum
Colon
Rectum
Anal canal
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