Chapter 15 - Digestive Tract Flashcards

1
Q

Functions of DT

A
  • ingestion
  • mechanical processing and propulsion
  • chemical digestion
  • absorption
  • elimination
  • surveillance and defense against toxic molecules and pathogens
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2
Q

Serosa

A
  • outermost layer
  • visceral peritoneum
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3
Q

Muscularis (muscularis externa)

A
  • second outermost layer
  • smooth muscle
  • outer, longitudinal layer is parallel to length of DT
  • inner, circular layer
  • Auerbachs’ plexus
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4
Q

Submucosa (muscularis mucosa)

A
  • second innermost layer
  • may contain nerve plexuses (Meissner’s), glands, lymphoid folllicles
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5
Q

Mucosa

A
  • Innermost layer
  • lamina propria - loose CT that underlies the epithelium of the mucosa
  • glands, villi
  • simple columnar epithelium (lines stomach to the colon)
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6
Q

Oral cavity

A
  • lined with stratified squamous epithelium (mainly nonkeratinzed)
  • digestion begins here - both mechanical and chemical (amylase)
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7
Q

Esophagus

A
  • stratified squamous epithelium
  • esophageal glands in submucosa
  • upper portion has skeletal muscle in musclaris externa
  • lower portion has smooth muscle, forms gastroesophageal sphincter
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8
Q

Stomach

A
  • transforms material from oral cavity into chyme
  • chemical digestion begins in earnest here
  • gastric juice contains HCl, pepsinogen and intrinsic factor
  • hormone gastrin stimulates motility in the stomach and the release of pepsinogen
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9
Q

Muscularis externa of stomach

A
  • 3 layers of smooth muscle - aids in churning and mixing of food with pepsin and HCl
  • outer - longitudinal
  • middle - circular
  • inner - oblique
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10
Q

Gastric juice of stomach

A
  • HCl
  • pepsinogen - made by gastric cells and cleaved into pepsin in low pH - pepsin begins protein cleavage of food
  • intrinsic factor binds vitamin B12 which is absorbed in the ileum
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11
Q

Small intestine

A
  • duodenum, jejunum, ileum
  • majority of chemical digestion and nutrient absorption occurs here - secretion from liver and pancreas released into duodenum
  • mucosa has large surface area for absorption
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12
Q

Structure of SI

A
  • plicae circulares - large folds of mucosa and submucosa - mainly in jeju
  • villi - upward extension of epitheium and lamina proporia
  • covered w/ columnar epithelium (absorption, have microvilli on surface)
  • glands (crypts of lieberkuhn) - mucus secretion
  • lymphocytes
  • lymphoid nodules (Peyer’s patches) in lamina propria and submucosa
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13
Q

What do the microvilli in the SI do?

A
  • goblet cells secrete mucus
  • Paneth’s cells make lysozyme that breaks down peptidoglycan in bacterial cell walls
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14
Q

What are microvilli on enterocytes in the SI called?

A

brush border

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15
Q

Absorption in SI

A
  • columnar epithelial cells take up sugars, peptides, amino acids and lipids
  • lipids converted to chylomicrons and released into lacteals in villi and go to liver first through lymphatic capillaries
  • other nutrients released into capillaries in villi
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16
Q

Lactose intolerance

A
  • columnar cells synthesize disaccharides such as lactase
  • cleave the beta-1,4 glycosidic bond btwn galactose and glucose
  • Glc and gal then transported into the cell
  • lactase production decreases with age, thus decreasing the ability to digest lactose
  • sometimes confused with lipid malabsorption
17
Q

Symptoms and treatment of lactose intolerance

A
  • symptoms caused by metabolism of lactose by intestinal bacteria
  • no treatment, but lactaid and lactase treated dairy products can help
18
Q

Glands of the SI

A
  • crypts of lieberkuhn
  • mucus secretion
  • goblet cells - secrete mucus
  • stem cells
  • enteroendocrine cells - secrete peptide hormones that act locally to regulate DT - diffuse DNES
19
Q

Duodenum

A
  • 1st section of SI
  • Brunner’s glands in submucosa (secrete alkaline mucous that neutralizes chyme from stomach)
20
Q

Jejunum

A
  • no glands in submucosa
  • plicae circularis - inward folds of submucosa
21
Q

Ileum

A
  • nonencapsulated lymphoid follicles in lamina propria and submucosa
22
Q

Colon

A
  • 4 segments - ascending, transverse, descending, sigmoid
  • absorbs water and produces mucus
  • contains largest bacterial population in lamina propria
23
Q

Structural elements of Colon

A
  • columnar epithelial cells and goblet cells lcoated in intestinal glands (crypts)
  • no folds or villi
  • circular layer of muscularis externa is complete, longitudinal layer is not - called teniae coli
24
Q

Chemotherapy

A
  • target rapidly dividing cells
  • very rapid turnover of intestinal epithelium
  • GI disturbances during chemo caused by inhibition of mitosis in gastric pits, intestinal glands, and colonic crypts