Hepatic plexus

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Hepatic plexus
Gray848.png
The celiac ganglia with the sympathetic plexuses of the abdominal viscera radiating from the ganglia. (Hepatic plexus labeled at center left.)
Details
Identifiers
Latin plexus hepaticus
TA98 A14.3.03.022
TA2 6697
FMA 6632
Anatomical terms of neuroanatomy

The hepatic plexus is a sympathetic and parasympathetic nerve plexus that provides innervation to the parenchyma of the liver as well as contributing innervation to some other abdominal structures.

Contents

Its sympathetic component is derived from the coeliac and superior mesenteric plexuses; its parasympathetic component is derived from the anterior and posterior vagal trunks.

Anatomy

Afferents

Sympathetic

The plexus receives post-ganglionic sympathetic afferents from the celiac plexus, [1] [2] and the superior mesenteric plexus. [1] The hepatic plexus is the largest derivative of the celiac plexus. [2]

Parasympathetic

The plexus receives pre-ganglionic parasymathetic afferents primarily [1] from the anterior vagal trunk, [1] [2] with a lesser contribution from [1] the posterior vagal trunk. [1] [2] The anterior vagal trunk issues one or more hepatic branches of anterior vagal trunk that pass in the superior portion of the lesser omentum to reach the hepatic plexus. [3] :250–252

Efferents and distribution

The plexus is the primary source of innervation for the parenchyma of the liver. Efferents of the plexus accompany the branches of the portal triad through the porta hepatis into the liver, ultimately reaching as far as the individual hepatocytes. [1]

Multiple fine branches arise from the plexus to be distributed to the gallbladder, and the extrahepatic bile ducts. [1]

Some accompany the gastroomental artery to provide a minor contribution to the innervation of the stomach. Some efferents from the plexus accompany the right gastric artery to reach and contribute to the innervation of the pylorus. Some accompany the gastroduodenal artery and its branches to reach the pylorus, proximal duodenum, and the pancreas. [1]

Physiology

Hepatic

Other than their role in mediating vasoconstriction, the function of the plexus' efferents is unclear. [2] Efferents are apparently involved in regulating hepatic metabolism, and sinusoidal blood flow control. The plexus is however not functionally essential, as demonstrated by the continued functioning of transplanted livers where the efferents of the plexus are cut during the transplantation process. [1]

Efferents to the liver are involved in cholinergic, aminergic, peptidergic, and nitrergic neurotransmission. [1]

Biliary

The parasympathetic component of the plexus' efferents to the gallbladder and extrahepatic bile duct is visceral motor and innervates the smooth muscle in the walls of the ducts and gallbladder. [1]

Related Research Articles

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<span class="mw-page-title-main">Celiac plexus</span> Complex network of nerves located in the upper abdomen

The celiac plexus, also known as the solar plexus because of its radiating nerve fibers, is a complex network of nerves located in the abdomen, near where the celiac trunk, superior mesenteric artery, and renal arteries branch from the abdominal aorta. It is behind the stomach and the omental bursa, and in front of the crura of the diaphragm, on the level of the first lumbar vertebra.

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The cystic artery is (usually) a branch of the right hepatic artery that provides arterial supply to the gallbladder and contributes arterial supply to the extrahepatic bile ducts.

<span class="mw-page-title-main">Midgut</span> Embryonic structure from which most of the human intestines develop

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The celiac ganglia or coeliac ganglia are two large irregularly shaped masses of nerve tissue in the upper abdomen. Part of the sympathetic subdivision of the autonomic nervous system (ANS), the two celiac ganglia are the largest ganglia in the ANS, and they innervate most of the digestive tract.

<span class="mw-page-title-main">Superior mesenteric plexus</span>

The superior mesenteric plexus is a continuation of the lower part of the celiac plexus, receiving a branch from the junction of the right vagus nerve with the plexus.

<span class="mw-page-title-main">Superior mesenteric ganglion</span>

The superior mesenteric ganglion is a ganglion in the upper part of the superior mesenteric plexus. It lies close to the origin of the superior mesenteric artery.

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The esophageal plexus is formed by nerve fibers from two sources, branches of the vagus nerve, and visceral branches of the sympathetic trunk. The esophageal plexus and the cardiac plexus contain the same types of fibers and are both considered thoracic autonomic plexus.

<span class="mw-page-title-main">Anterior vagal trunk</span>

The anterior vagal trunk is one of the two divisions into which the vagus nerve splits as it passes through the esophageal hiatus to enter the abdominal cavity. The anterior and posterior vagal trunks represent the inferior continuation of the esophageal nervous plexus inferior to the diaphragm. The majority of nerve fibres in the anterior vagal trunk are derived from the left vagus nerve.

<span class="mw-page-title-main">Portal venous system</span> The capillary bed pools into another through veins without first going through the heart

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The hepatic branches of anterior vagal trunk are branches of the anterior vagal trunk that provide parasympathetic innervation the liver, and gallbladder. Each anterior vagal trunk issues 1-2 hepatic branches which pass through the superior part of the omentum minus to reach and join the hepatic (nervous) plexus before proceeding to the porta hepatis. The anterior vagal trunk is the main source of parasymathetic afferents for the hepatic plexus.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

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The cystic plexus is the derivation of the hepatic plexus, which is the largest offshoot from the celiac plexus.

References

  1. 1 2 3 4 5 6 7 8 9 10 11 12 Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42th ed.). New York. p. 1214. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  2. 1 2 3 4 5 Moore, Keith L.; Dalley, Arthur F.; Agur, Anne M. R. (2017). Essential Clinical Anatomy (6th ed.). Lippincott Williams & Wilkins. pp. 500–501. ISBN   978-1496347213.
  3. McMinn (2011). Last's Anatomy (12th ed.). Elsevier Australia. ISBN   978-0-7295-3752-0.