Ch 21, Ch24 Flashcards
How much does the stomach hold at full expansion?
2-3L
What is the name of the nervous network in the GI tract?
Enteric nervous system
What gastric secretion cleaves proteins and activates at a low pH?
Pepsin/pepsinogen
What effect does histamine have on the GI tract?
Stomach acid secretion
What does the parietal cell use to pump hydrochloric acid into the stomach?
First cellular water is cleaved by CA. Apical H+-K+ATPase (pulls luminal K+ into cell). Also performs the chloride shift (HCO3- pumped into basolateral ECF while Cl- is pumped into cell. Then Cl- leaks into lumen follow charge of H+)
What cells secrete pepsinogen?
Chief cells
What cells secrete somatostatin in the stomach?
D cells
What stomach cells secrete histamine?
Enterochromaffin-like cells (ECL)
What hormone stimulates peristalsis?
Seratonin
What stimulates the activation of D cells? What is the secretion?
Too low of stomach pH stimulates the D cells to secrete somatostatin
What are the most common causes of ulcers?
NSAIDS and H. pylori
Where does most digestion and absorption happen?
Duodenum and jejunum
What portion of the circulatory system does the digestive system dump absorbed nutrients into?
Hepatic portal system
How are the liver and kidney portal systems different?
Liver capillary beds perform absorption then filtration, while kidney capillary beds perform filtration then absorption
What does the lymphatic system absorb from the digestive system?
Fats
Where are intestinal enzymes bound? What are some examples?
Bound to apical membranes of brush border cells
Peptidases and disaccharidases
How is trypsinogen activated? What enzyme is it related to and how is it different?
Trypsinogen is converted to trypsin by the brush border enzyme enteropeptidase
Related to pepsin, but trypsin works at a more neutral pH
What enzymes are secreted by the pancreas?
Pancreatic amylase, lipase, proteases and exopeptidases
What structures access the GI tract via the ampulla of Vater/ sphincter of Oddi?
Common bile bile/pancreatic duct
What stimulates bicarbonate secretion from the pancreas?
Neural input and the hormone secretin
What are 3 key components of bile?
Bile salts for fat digestion
Bile pigments like bilirubin
Cholesterol
What do the bacteria of the large intestine do?
Break down undigested complex carbs and proteins
Produce absorbable vitamins (Vitamin K)
How much water enters/leaves the large intestine a day?
1.5L/day enters, 0.1L/day lost to feces
Why does aldosterone affect the colon?
The colon performs like the kidney with aldosterone, absorbing Na+ and secretin K+