Changing Function Through The GI Tract Flashcards

1
Q

Phases of the GI tract

A
Ingestion
Fragmentation
Digestion
Absorption
Elimination
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2
Q

Basic layout and organisation of the GI tract

A

Hollow tube with regional, histological, functional differences

Mucosa
Submucosa
Muscularis propria (externa)
Adventitious/Serosa

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3
Q

Describe the mucosal layers

A

Specialised surface epithelium
On basal lamina

Lamina propria
-Loose connective tissue w blood and lymph vessels, nerve fibres and smooth muscle

Muscularis mucosae

  • Thin double layer of smooth muscle
  • Separates mucosa from submucosa
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4
Q

Describe the epithelium of the mucosa throughout the GI tract

A

Protective, squamous stratified
Secretory, columnar simple
Absorptive, brush border, columnar simple
Protective at the end

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5
Q

Describe the submucosa

A

Consists of loose connective tissue w

  • Blood vessels
  • Submucosal/Meissners plexus
  • Leukocytes
  • Varying amounts of adipocytes
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6
Q

Smooth muscle function

Muscularis mucosa

A

Local control of mucosa, to accommodate changes in the lumen contents
Gentle movements of mucosa to help expel contents of glands and agitation of luminal content

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7
Q

Smooth muscle function

Muscularis externa

A

Peristalsis along and out of GI tract

Inner circular layer, outer longitudinal layer

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8
Q

Smooth muscle function

Adventitia/serosa

A

Thin connective tissue layer continuous w surrounding organs

Serosa if more mobile
Bound by mesothelium (simple squamous)

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9
Q

Describe the epithelium found at the oesophagus

A

Stratified squamous
Physical protection, subject to mechanical abrasion
Kept moist by glandular secretions

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10
Q

Describe the function and the structure of the stomach

A

Mechanical, biological, chemical breakdown

3 muscularis externa layers, inner oblique, circular, longitudinal

Pepsin, HCl initiates biological/chemical breakdown
Simple columnar epithelial layer of mucous secreting cells

Invagination form gastric pits

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11
Q

Describe the structure of the gastric pits

A

Simple tubular glands
Insthmus, parietal cells
Neck, mucous cells, stem cells, parietal cells
Base, peptic, parietal, mucous, neuroendocrine cells found here

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12
Q

Secretions from the gastric pits and glands

A
Mucous
Pepsin
HCl
IF
Gastric
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13
Q

Function of stomach cells

Surface mucous cells

A

Mucous and HCO3-

-Protection from acidic, enzymatic properties of gastric juices and ingested foods

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14
Q

Function of stomach cells

Mucous neck cells

A

Line upper parts of gastric pits and secrete mucous

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15
Q

Function of the stomach cells

Stem cell

A

Divide every 3 days to regenerate cells

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16
Q

Function of the stomach cells

Chief cells/peptic/zymogenic cells

A

Lower regions of gastric glands
Release zymogen granules
Acidic environment activates pepsin

17
Q

Function of the stomach cells

Parietal

A

Secrete HCl, IF

Has a central nucleus

18
Q

Composition of the stomach mucosa in the pylorus

A

Deep pits, branching, filed
Mucous secreting
Gastrin secreting

19
Q

Composition of the mucosa in the cardiac region of the stomach

A

Mainly mucous producing

Sparse

20
Q

Composition of the mucosa in the body of the stomach

A
Gastric juices (acid+enzymes)
Densely packed
21
Q

Small intestine mucosa adaptations to increase SA for absorption

A

Site of terminal food digestion
Plicae cirularis, covered in villi
Epithelium, simple columnar w brush border
Lacteals take away chylomicrons

T and B cells in connective tissue, IgA secretion

22
Q

Describe the structure of microvilli

A

Shape maintained by actin filaments, anchored to cell membrane via IF
Glycocalyx, glycoprotein, glycolipid projects from plasma membrane, protects from auto digestion

23
Q

Types of epithelial cells found in the small intestine

A
Enter oysters
Goblet, mucous secreting
Paneth, release digestive enzymes, immunoglobulins, lysozomes
Endocrine, hormone secretion
Stem cells
24
Q

Characteristic features of the duodenum

A

Characterised by submucosal mucus secreting Bruner glands

25
Q

Characteristic features of the jejunum

A

Tallest villi, no Brunner glands, few lymphoid follicles

26
Q

Characteristic features of the ileum

A

Aggregation of Peyer’s patches

27
Q

Describe the mucosa found at the appendix

A

Mucosa heavily infiltrated with lymphocytes

Large colony of gut bacteria, restore gut flora

28
Q

Describe the mucosa found at the colon

A

No villi
Columnar with microvilli and goblet cells
Goblet cells in mucosa
Outer longitudinal layer in 3 teniae coli

29
Q

Describe the epithelium and the mucosa found at the anorectal junction

A

Sudden transition from simple columnar to stratified squamous
Branched, tubular anal glands, mucus secreting onto anal surface

Internal anal sphincter, smooth muscle
External anal sphincter, skeletal muscle

30
Q

Describe the structure of the anal canal

A

Inner circular muscle thickens into the internal anal sphincter
Apocrine circumanal glands open onto skin around orifice