anatomy of the small intestine Flashcards

1
Q

discuss general features of small intestine structure

A
  • lumen contains chyme, food bacteria toxins viruses secretions and FBs
  • muscosa = 2 parts: single epithelial layer mucus covered and lamina propria (loose connective tissue and immune cells)
  • submucosa for structural support carries vessels, lymphatics and nerves
  • tunica muscularis = smooth muscle, circular and longitudinal sections for motility
  • serosa = visceral peritoneum
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2
Q

what adaptations to the small intestine increase the surface area

A
  • ridges and folds
  • vili
  • microvili attached to cells of vili
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3
Q

what are crypts of lieberkuhn

A

pits below base which contain stem cells which produce immature enterocytes and other gut cells (because get rubbed off easily so need to reproduce)

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4
Q

mature enterocytes on microvilli absorb which nutrients

A
  • carbohydrates
  • amino acids
  • lipids
  • vitamins
  • minerals
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5
Q

mature enterocytes are able to absorb nutrients from the chyme filled lumen by:

A

enzymes bound to surface of cells so product itself is then bound to cell to absorb

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6
Q

what are lacteals

A

blind end lymphatic capillaires which transport emulsified fats into GIT lymphatic drainage then to cranial vena cava

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7
Q

describe the location and appearance of the duodenum

A
  • always on right side of animal
  • distinctive U/J shape
  • short mesentery
  • wraps cranial mestenteric artery which marks start of jejunum
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8
Q

what are brunners glands

A
  • compund tubular sub-mucosal glands
  • stop stomach acid from attacking wall of small intesting (mucus and/or bicarb)
  • distinctive of the duodenum
  • provides alkaline environment for intestinal enzymes to be active
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9
Q

the ileum is identifiable by:

A
  • has mesentery on BOTH sides
  • connected to caecum bu ileocaecal fold
  • look for unique antimesenteric blood vessels (antimesenteric = side where no mesentery)
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10
Q

what are the 6 cell types of the small intestin

A
  • enterocyte
  • entero-endocrine cell
  • goblet cells
  • paneth cells
  • M cells
  • tuft cells
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11
Q

what are enterocytes doing and what do they look like

A
  • columnar epithelial cells covered with microvilli
  • smoot ER allows intracellular transport of nutrients
  • pinocytsis into enterocyte allows foreign material to enter cell as vesicles
  • important for antibody absorption in neonates
  • protective: dont let foreign mterial enter circulation
  • cell-cell junctions are tight so only what needs to be absorbed is absorbed
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12
Q

discuss teh distribution of cells in the small intestine

A
  • stem cells at neck of crypts
  • produce all 6 cell types
  • 4 of them migrate upwards on villi
  • paneth cells micrate down into crypts
  • M cells cover peyers patches
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13
Q

what do enteroendocrine cells do and what do they look like

A
  • small dark basal granules
  • scattered along epithelium of entire GIT
  • sample intestinal lumen and react (chemosensors)
  • different types
  • important for endocrine control of digestive secretions and motility
  • link to immune system
  • secrete gastrin, secretin, cholecystokinin, serotonin, gastric inhibitoy polypeptide, somatostatin etc
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14
Q

what is an open type entero endocrine cell vs a closed type

A

open = mucosal sensor region
closed = cell sits on basement membrane

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15
Q

what do goblet cells do and what do they look like

A
  • produce mucin
  • look like goblets
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16
Q

What do paneth cells do and what do they look like

A
  • apical granules with innate mucosal defences defensins and lysosymes
  • only in equids and bovids
  • migrate to base of crypts
  • keep crypt clear of high bacterial count
17
Q

what are peyers patches

A
  • slightly raised ovoid areas in the mucosa of the distal SI
  • visible grossly
  • always in antimesenteric mucosa
  • lots of lymphocytes and macrophages
  • covered by M cells which transport Ag to the lymphocytes and macros
  • reactive to changes in gut flora
18
Q

what are M cells

A
  • special epithelial cells which cover peyers patches
  • single layer of cells
  • no mucus layer so are in girect contact with ingesta
  • on th basal surface there is a large indentation which contains lymphocytes and macrophages
  • means immune cells are very close to gut lumen
  • transport antigen from lumen to immune cells
  • enable immune response to occur
19
Q

what are tuft cells

A
  • sparse cells making links to immune system
  • to do with parasite immunity
20
Q

where does the pancreas sit

A

in the U bend of the duodenum

21
Q

discuss blood supply to the small intestine and pancreas

A

3 unpaired branches of the aorta:
- coeliac artery = liver, stomach, spleen, duodenum and pancreas
- cranial mesenteric = duodenum, jejunum, ileum, caecum, large colon
- caudal mesenteric = part of descending colon and rectum

22
Q

list major branches of ceoliac artery

A
  1. left gastric
  2. hepatic
    - hepatic branches
    - cyctic branches
    - right gastric!!
    - cranial pancreatico-duodenal
    - right gastro-epicolic
  3. splenic
    - pancreatic branches
    - splenic branches!!!
    - short gastric!!
    - left gastro-epiploic

!!! = NTK

23
Q

list branches of crainial mesenteric artery

A
  • caudal pancreatico-duodenal
  • jejunal
  • ileo-colic (middle colic, right colic, colic, ileal, caecal)
24
Q

list branches of caudal menesteric artery

A
  • left colic
  • cranial rectal
25
Q
A
26
Q

smooth muscles of the GIT are controlled by which 2 local nerve plexi

A
  • meissners plexus in submucosa
  • auerbach’s plexus between smooth muscle layers
27
Q

sensory information of the SI interns via

A

mechanosense and chemosense: vagus
pain: sympathetic
intra-pelvic viscera = pelvic plexus