MRCEM Notes

Oesophagus

Oesophagus Key Points

  • The oesophagus starts at the level of C6 and ends at T11
  • It pierces the diaphragm at T10
  • Innervation is from branches of the vagus nerve & sympathetic trunk and can result in referred chest pain
  • The oesophagus has 3 constrictions

ConstrictionVertebral leveldistance from incisors
oesophageal inlet/cricopharynxC614-16cm
Aortic arch and left main bronchusT4-T525-27cm
Diaphragmatic piercingT1038-40cm

It should be noted that some texts quote different values to those above. We have used Snell and Grey anatomy texts and a number of internet resources and listed the most commonly used values.

Image illustrating anatomy of the oesophagus

Wikipedia

Image illustrating relations of the oesophagus in the thorax

Full-size image