digestion and absorption part 1 Flashcards
what is basic structure of intestine
efficient absorption requires a large surface area
created by its length- small intestine is around 6cm long
the presence of deep, circular folds of mucosa submucosa
what are villi
0.5-1.5mm high and increase surface area by 10 fold
what are microvilli
enterocytes that are 1 micrometer long and 0.1 micrometer in diameter, increase surface area by 20 fold
estimated surface area for absorption is 200m^2
what is malabsorption syndrome
number of disorders in which the intestines ability to digest and absorb certain nutrients and fluids is affected
what is the pathalogical mechanism
intraluminal
intestinal
post epithelial
intraluminally-impaired digestion (bacterial overgrowth or pancreatic insufficiency)
intestinal-structural changes (coeliac disease or surgical resection)
impaired brush border hydrolase activity (lactase deficiency)
impaired transporter activity- glucose galactose malabsorption
postepithelial- obstruction of lymphatic system
what can cause modifications of villi and cause malabsorption
coeliac disease (caused by gluten intolerance)
moderate villus atrophy
complete villus atrophy
what are the free factors that determine absorption
surface area of intestine
extent and location of uptake
transport route and protein properties
how much nutrients and water are absorbed a day
8-10 L
1kg nutrients per day