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Life Science Dictionary

Esophagus

Human Anatomy · Physiology

Say it: ih-SOF-uh-gus

The esophagus is the muscular tube, about 25 centimeters long, that carries swallowed food and liquid from the pharynx down to the stomach.

UK spelling: oesophagus

Also: gullet, food pipe

Definition

What is the esophagus?

The esophagus begins in the neck as the continuation of the lowest part of the pharynx, at about the sixth cervical vertebra (C6). It runs down through the mediastinum, behind the trachea and the heart and in front of the vertebral column, passes through the esophageal hiatus of the diaphragm and opens into the stomach. Between swallows it lies flat and collapsed.

Its lining is a tough, non-keratinized stratified squamous epithelium with mucus glands that protect it from rough food. The muscle coat changes along its length, from skeletal muscle in the upper third, through a mixture, to smooth muscle in the lower third, and its outer layer is loose connective tissue, the adventitia, rather than the serosa found on most of the gut. Swallowing starts waves of peristalsis that push a food bolus to the stomach in a few seconds. An upper esophageal sphincter keeps air out, and a lower esophageal sphincter at the junction with the stomach relaxes to let food through and then tightens to stop acid flowing back.

When the lower sphincter is weak, acid reflux causes heartburn and gastroesophageal reflux disease. Years of reflux can replace the lining with intestine-like columnar cells, a change called Barrett's esophagus, which raises the risk of esophageal adenocarcinoma.

Word parts

Where does the word “esophagus” come from?

eso-
will carryGreek ois-, a stem of pherein (to carry)
-phagus
eating, foodGreek phagein (to eat)

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