NEET PG Medical – 2016 – Question – 81
Stomach wall is mainly drained by all lymph nodes except?
a) Pyloric nodes
b) Short gastric vessel nodal group
c) Right gastroepiploic nodes
d) Inguinal nodes
Correct Answer – D
Ans. is ‘D’ i.e., Inguinal nodes [Ref Gray’s anatomy 20th edition]
The stomach is drained by four groups of lymph nodes :
1. Left gastric arterial nodal group, which follows the left gastric artery and drain into the celiac nodes. They drain the lesser curvature of the stomach to the left.
2. Short gastric and left gastroepiploic vessels nodal group. The lymphatic vessels which drain the left side of the greater curvature of the stomach follows these vessels and drain into the pancreatic splenic group of nodes.
3. Right gastroepiploic nodes, which drain the right half of the greater curvature of stomach as far as the pylorus
4. Pyloric nodes which drains the pyloric part of stomach to the hepatic , pyloric and left gastric nodes.
All the vessels enter into the celiac node. From these nodes they pass into the intestinal lymph trunks, which then enter the cisterna chyli or the abdominal confluence of lymph trunks. The cisterna chyli drains into the thoracic duct.