II. Images

  1. lungChestGrayBB1032.gif Lewis (1918) Gray's Anatomy 20th ed (in public domain at Yahoo or BartleBy)

III. Anatomy

  1. Esophagus is divided into three regions
    1. Cervical Esophagus
    2. Thoracic Esophagus
    3. Abdominal Esophaus
  2. Esophagus wall has three layers
    1. Mucosa (inner most layer)
    2. Submucosa
    3. Muscle
      1. Striated Muscle in the upper third of Esophagus
      2. Striated and Smooth Muscle in the middle third of Esophagus
      3. Smooth Muscle in the lower third of the Esophagus
  3. Innervation
    1. Sympathetic innervation (spinal nerves)
      1. Cervical Esophagus
    2. Parasympathetic innervation (Vagus Nerve)
      1. Thoracic and abdominal Esophagus
  4. Arterial Perfusion
    1. Inferior Thyroid artery supplies the upper Esophagus (proximal)
    2. Aorta supplies the middle Esophagus
    3. Left gastric artery supplies the lower third of the Esophagus

IV. Pathophysiology

  1. Food Impaction Sites
    1. Cricopharyngeal Muscle at C6 Vertebrae (most common site in children age <4 years old)
    2. Aortic arch at T4 Vertebrae
    3. Diaphragmatic hiatus and Lower Esophageal Sphincter (LES) at T10-11 (most common site in adults)
  2. Diverticular Sites
    1. Upper Esophageal Sphincter
      1. Zenker Diverticulum
    2. Upper Esophagus below circular esophageal Muscle
      1. Laimer Diverticulum
    3. Lower Esophageal Sphincter
      1. Epiphrenic Diverticulum

V. References

  1. Hagen and Pickle (2023) Crit Dec Emerg Med 37(6): 24-9

Images: Related links to external sites (from Bing)

Related Studies

Ontology: Esophageal Diseases (C0014852)

Definition (MEDLINEPLUS)

The esophagus is the tube that carries food, liquids and saliva from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot or too cold. You may also become aware of it when something is wrong.

The most common problem with the esophagus is gastroesophageal reflux disease (GERD). It happens when a band of muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the esophagus and irritate it. Over time, GERD can cause damage to the esophagus. Other problems include heartburn and cancer.

Treatment depends on the problem. Some get better with over-the-counter medicines or changes in diet. Others may need prescription medicines or surgery.

Definition (NCI) A non-neoplastic or neoplastic disorder that affects the esophagus. Representative examples of non-neoplastic disorders include esophagitis and esophageal ulcer. Representative examples of neoplastic disorders include carcinomas, lymphomas, and melanomas.
Definition (MSH) Pathological processes in the ESOPHAGUS.
Definition (CSP) disorder of the esophagus, the portion of the digestive canal between the pharynx and stomach.
Concepts Disease or Syndrome (T047)
MSH D004935
ICD9 530.9, 530
ICD10 K22.9
SnomedCT 37657006, 155680005, 155671005, 266497000, 196626000
English Disease of esophagus, Disease, Esophageal, Diseases, Esophageal, Esophageal Disease, Esophageal Diseases, Diseases of esophagus, Unspecified disorder of esophagus, esophagus disorder, DISEASES OF ESOPHAGUS, DISEASES OF OESOPHAGUS, Disease of oesophagus, Diseases of esophagus NOS, Diseases of oesophagus NOS, Disease of esophagus, unspecified, Disease of oesophagus, unspecified, Esophageal disorder NOS, ESOPHAGEAL DIS, esophageal disorders (diagnosis), esophageal disorders, Esophageal disease NOS, Oesophageal disease NOS, Esophageal disorder, Oesophageal disorder NOS, Unspecified disorder of oesophagus, Esophageal disorders, Esophageal Diseases [Disease/Finding], disease oesophagus, disorders oesophageal, esophageal dysfunction, esophagus disease, esophagus diseases, disease esophagus, disease of oesophagus, Disease;oesophageal, diseases disorders esophagus, disease of esophagus, diseases of oesophagus, diseases of the esophagus, esophageal disorder, diseases esophagus, disorders esophagus, esophageal diseases, diseases of esophagus, Esophagus Disorders, Diseases of esophagus NOS (disorder), Diseases of oesophagus NOS (disorder), Oesophageal diseases, Esophageal diseases, Esophagus--Diseases, Diseases of oesophagus, Oesophageal disorder, Esophagus disease, Oesophagus disease, esophagus; disease, Disease of esophagus, NOS, Disorder of esophagus, NOS, Disorder of esophagus, Disorder of oesophagus, Disease of esophagus (disorder), Disorder of esophagus (disorder), Esophageal Disorder, Disease;esophageal, esophageal disease, oesophageal disease
Italian Patologia dell'esofago, Disturbo dell'esofago, Patologia dell'esofago NAS, Malattia dell'esofago NAS, Malattia esofagea NAS, Disturbo non specificato dell'esofago, Malattie dell'esofago
Dutch ziektes van de slokdarm, oesofagusziekte NAO, oesofagusaandoening NAO, niet-gespecificeerde aandoening van de oesofagus, niet-gespecificeerde aandoening van de slokdarm, ziekten van de oesofagus, slokdarmziekte NAO, slokdarmaandoening, Ziekte oesophagus, oesofagus; aandoening, Ziekten van slokdarm, niet gespecificeerd, oesofagusaandoening, Oesofagusziekte, Oesofagusziekten, Ziekte, oesofagus-, Ziekten, oesofagus-
French Affection de l'oesophage, Maladie oesophagienne SAI, Atteintes oesophagiennes, Trouble oesophagien SAI, Trouble non précisé de l'oesophage, Affection non précisée de l'oesophage, MALADIES DE L'OESOPHAGE, Trouble oesophagien, Maladies oesophagiennes, Maladies de l'oesophage
German oesophageale Krankheit NNB, unspezifische Erkrankung des Oesophagus, Erkrankungen des Oesophagus, oesophageale Erkrankung, Erkrankung der Speiseroehre NNB, ERKRANKUNG OESOPHAGUS, Krankheit des Oesophagus, nicht naeher bezeichnet, Erkrankung der Speiseroehre, Ösophaguskrankheiten
Portuguese Afecção NE do esófago, Doenças do esófago, Doença do esófago NE, Afecção do esófago, DOENCAS DO ESOFAGO, Doença do esófago, Esofagopatias
Spanish Enfermedad esofágica NEOM, Trastorno esofágico NEOM, Trastorno no especificado del esófago, Enfermedades del esófago, enfermedad del esófago (trastorno), ESOFAGO, ENFERMEDADES, Diseases of oesophagus NOS, enfermedades del esófago, SAI, enfermedades del esófago, SAI (trastorno), Diseases of esophagus NOS, Enfermedades del Esófago, Trastorno esofágico, trastorno del esófago, trastorno del esófago (trastorno), enfermedad del esófago, Esofagopatías
Japanese 食道障害, 食道障害NOS, 食道疾患NOS, 食道疾患, ショクドウシッカンNOS, ショクドウショウガイ, ショクドウシッカン, ショクドウショウガイNOS, ショウサイフメイノショクドウショウガイ, 詳細不明の食道障害
Swedish Matstrupssjukdomar
Finnish Ruokatorven sairaudet
Russian PISHCHEVODA BOLEZNI, ПИЩЕВОДА БОЛЕЗНИ
Czech Porucha jícnu NOS, Blíže neurčená porucha jícnu, Onemocnění jícnu, Onemocnění jícnu NOS, Porucha jícnu, ezofagus - nemoci, nemoci ezofágu, nemoci jícnu, jícen - nemoci
Korean 상세불명의 식도질환
Croatian EZOFAGUSNE BOLESTI
Polish Choroby przełyku
Hungarian Oesophagus betegség, Nyelőcső betegségei, Oesophagus-betegségek, Nyelőcső nem meghatározott betegsége, Oesophagus betegsége k.m.n., Oesophagus nem meghatározott betegsége, Oesophagealis betegség, Nyelőcső betegség k.m.n., Oesophagus betegség k.m.n.
Norwegian Øsofagussykdommer, Sykdommer i spiserøret, Spiserørssykdommer

Ontology: Esophagus (C0014876)

Definition (FMA) Organ with organ cavity which is continuous superiorly with the pharynx and inferiorly with the stomach. Examples: There is only one esophagus.
Definition (CHV) digestive tube connecting the throat to the stomach
Definition (CHV) digestive tube connecting the throat to the stomach
Definition (CHV) digestive tube connecting the throat to the stomach
Definition (UWDA) Organ with organ cavity which is continuous proximally with the pharynx and distally with the stomach. Examples: There is only one esophagus.
Definition (NCI_CDISC) The portion of the digestive canal between the pharynx and stomach. It is about 25 cm long and consists of three parts: the cervical part, from the cricoid cartilage to the thoracic inlet; thoracic part, from thoracic inlet to the diaphragm; and abdominal part, below the diaphragm to the cardiac opening of the stomach. (NCI)
Definition (NCI_NCI-GLOSS) The muscular tube through which food passes from the throat to the stomach.
Definition (NCI) The portion of the digestive canal between the pharynx and stomach. It is about 25 cm long and consists of three parts: the cervical part, from the cricoid cartilage to the thoracic inlet; thoracic part, from thoracic inlet to the diaphragm; and abdominal part, below the diaphragm to the cardiac opening of the stomach.
Definition (MSH) The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
Definition (CSP) portion of the digestive canal between the pharynx and stomach.
Concepts Body Part, Organ, or Organ Component (T023)
MSH D004947
SnomedCT 32849002
HL7 ESO
LNC LP29941-9, MTHU011962, LA4018-3
English Esophagus, Gullet, Structure of esophagus, Structure of oesophagus, esophagus, oesophagus, gullet, ESOPHAGUS, Esophageal structure, Oesophageal structure, Oesophagus, Esophageal structure (body structure), Esophagus, NOS, Oesophagus, NOS, Gastrointestinal Tract, Esophagus
Swedish Matstrupe
Czech ezofágus, jícen
Finnish Ruokatorvi
Russian PISHCHEVOD, ПИЩЕВОД
Croatian EZOFAGUS
Latvian Barības vads
Polish Przełyk
Norwegian Spiserør, Øsofagus, Oesophagus
Spanish estructura esofágica (estructura corporal), estructura esofágica, esófago, Esófago
French Oesophage
German Ösophagus, Speiseröhre
Italian Esofago
Dutch Oesophagus, Slokdarm
Portuguese Esôfago