✅1.9 PHYSIOLOGY - GI Flashcards
Location of submucosal plexus
Between submucosa and inner circular muscle
Basic GI layers
Mucosa
Submucosa
Muscularis
Serosa
Other name for submucosal plexus
Meissner’s plexus
Function of submucosal plexus is mainly for
Secretion
Function of myenteric plexus
Motility
Other name for the myenteric plexus
Auerbach’s plexus
Location of the myenteric plexus
Between inner circular and outer longhitudinal muscle
3 parts of the mucosa
Epithelium
Lamina propria
Muscularis mucosa
Innervation of the muscularis mucosa (mucosa)
Meissner’s plexus
Brunner’s glands vs peyer’s patches
Function, location (gross and layer)
Brunner’s - duodenum, HCO3 secretion, submucosa
Peyer’s patches - ileum, IgA secretion, lamina propria
Which layer is not seen in the esophagus?
Serosa
Strongest layer of the esophagus
Submucosa
Bolus vs chyme vs feces
Bolus - esophagus and stomach
Chyme- mixed with HCl, SI
Feces - nutrients absorbed, found in the LI
Function of CCK
Bile secretion and inhibition of gastric emptying
3 incretins
Glucagon
GLP-1
GIP
Number one trigger of CCK secretion
Fatty acids
CCK is secreted by what cells in the _____
I cells
Duodenum and jejunum
Motilin does not have effects on the
Large intestine
Stimulus for motilin
Fasting
“Janitor” GI hormone
Motilin
Motilin is from what cells in the ______
M cells
Duodenum and jejunum
Function of motilin
Interdigestive/migrating myoelectric complex
GIP is produced from what cells in the _____
K cells , duodenum
Function of GIP
Increases insulin secretion
3 parts of the mucosa
Epithelium
Lamina propria
Muscularis mucosa
2 muscles in the muscularis layer
Inner circular
Outer longhitudinal
Other name for serosa
Adventitia or mesothelium
Muscular layers in the stomach
Inner oblique
Middle circular
Outer longhitudinal
The myenteric plexus is mainly excitatory except for which regions
Pyloric sphincter and ileocecal valve
Cell source of CCK
I cells duodenum
Cell sources of GIP and GLP-1
GIP- k cells
GLP-1 L cells
Main stimulus for CCK
Fatty acids
Main stimulus for incretins
Oral glucose
Effect of motilkn
Stimulates interdigestive myoelectric complexes
Stimulus for motilin
Fasting
Effect of CCK
Inc bile
GB contraction
Inhibits gastric emptying time
Most potent stimuli for gastrin secretion
Phenylalanine
Tryptophan
Methionine
Neurocrine from vagus nerve to G crlls
GRP / Bombesin
GI hormones classified as incretins
GLP-1
GIP
Candidate GI hormones
Pancreatic polypeptide
Enteroglucagon
GLP-1
Function of enteroglucagon
Secreted by intestinal cells in response to hypoglycemia
GI paracrines
Somatostatin
Histamine
Mnemonic for function of somatostatin
Somato STOP IT
inhibits release of all GI hormones
Histamine is secreted by
Mast cells of GI mucosa
Function of ACH and norepi in sphincters
ACH relaxes sphincters while Norepi contracts sphincterd