[1] GI Secretions Flashcards
How much liquid does the small intestine absorb per day?
8.5L
3 Principle Regulatory Mechanisms
Endocrine
Neurocrine
Paracrine
Define: Chemosenses
Nerve endings found on the eyes, nose, mouth, and throat
Olfactory Cells
Gustatory Cells
Common Chemical Senses
What elicits secretions?
Secretagons
How much saliva produced in a day?
1.5L
Functions of Saliva
- Moisten food
- Begin chemical digestion (amylase)
- Adjust appetite and facilitate taste
- Bacteriostatic action (bacteriolysin)
- Neutralization of refluxed gastric contents
- Aid in speech
Secretion: Chief Cell
Pepsinogen
Gastric Lipase
Secretion: Parietal Cell
HCL
IF
Secretion: G Cell
Gastrin
Secretion: D Cell
Somatostatin
Function: Gastric Lipase
Fat breakdown
Function: Pepsinogen
Peptide bond breakdown
Function: IF
Vitamin B12 Absorption
Rates of Secretion of Gastric Acid
Greater in night/morning?
Night
Function: Somatostatin
Inhibit acid secretion
Agonists of Acid Secretion
Ach: Cholinergic Nerve Terminals (Neurocrine)
Gastrin: G Cells via Bloodstream (Endocrine)
Histamine: ECL cells by Diffusion (Paracrine)
Strongest Agonist of Acid Secretion
Acetylcholine
Best Inhibitor of Acid
Acid itself when pH < 1.8
Most Important Inhibitor of Acid
Somatostatin
What is the receptor for Gastrin?
CCK2
What is the receptor for Acetylcholine?
Muscarinic Receptors
What is the receptor for Histamine?
H2 Receptors
[Lecturer “For the Exam” Question]
All of the following acts through a mechanism where you have increased cytosolic calcium except?
Histamine
pH of the Gastric Mucosal Barrier
Cell Surface: 7
Gastric Lumen: 1-2
Inhibitors of Mucus and HCO3 Secretions
Aspirin
NSAIDS
[Lecturer “For the Exam” Question]
- Secretin would result in what kind of pancreatic fluid?
- CCK would result in what kind of pancreatic fluid?
- Fluid rich in HCO3
2. Enzyme Rich
In the salivary gland the primary secretion is elaborated by?
A. Acinar Cells
B. Intercalated Ducts
C. Excretory Ducts
A
Under what type of control is salivary secretion?
Predominantly Neural (Both Sympathetic and Parasympathetic, with PS being greater)
Under what type of control is salivary secretion?
Predominantly Neural (Both Sympathetic and Parasympathetic, with PS being greater)
[Cause and Effect]
- Ach and CCK on Ca
- Secretin and VIP on cAMP
- Somatostatin on cAMP
- Increases
- Increases
- Decreases
[Cause and Effect]
- Ach and CCK on Ca
- Secretin and VIP on cAMP
- Somatostatin on cAMP
- Increases
- Increases
- Decreases