Digestive/Endocrine Flashcards
Liver Role in Digestion
Secretion of bile
Hepatic Triad
Hepatic Portal Vein
Bile Duct
Hepatic Artery
Hepatic Portal Vein
70% of blood that goes through the liver
Bile Duct
Collection of bile from all cells
Hepatic Artery
30% of blood that goes through the liver
Gallbladder
Stores bile produced in the liver and concentrates it
Pathway of Bile Secretion
- Bile capillaries
- Hepatic ducts create common hepatic duct
- Cystic duct (gallbladder) and common hepatic duct make common bile duct
- Common bile duct and pancreatic duct empty into duodenum
Components of Bile
- Water and cholesterol
- Bile salts (Na and K)
- Bile pigments (bilirubin) from hemoglobin molecule
Acini
Dark clusters in the pancreas
Exocrine
99% of pancreas
Produce pancreatic juice
Islets of Langerhans
1% of gland
Pale staining cells
Produce hormones
Pancreatic Juice Components
Water, enzymes, and sodium bicarbonate
Digestive Enzymes of Pancreas
Pancreatic amylase Pancreatic lipase Ribonuclease Deoxyribonuclease Zymogens
Zymogens of Pancreas
Trypsinogen
Chymotrypsinogen
Procarboxypeptidase
Activation of Zymogens
Trypsinogen converted to trypsin by intestinal epithelium
Trypsin converts other two zymogens as well as digests dietary protein
Regulation of Pancreatic Secretions
Acetylcholine
Secretin
Cholecystokinin
Acetylcholine in Pancreas
Vagal origin
Stimulates acini to secrete enzymes during cephalic phase
Secretin in Pancreas
Acidity in intestine causes increased sodium bicarbonate release
Cholecystokinin in Pancreas
Fats and proteins cause increased digestive enzyme release, contraction of gallbladder, and relaxation of Sphincter of Oddi
Equations for Regulation of Pancreatic Secretions
HCl + NaHCO3 –> NaCl + H2CO3 –> NaCl + H2O + CO2
H2O goes into stomach, CO2 goes into the blood
Decreases acidity, lowers pH
Anatomy of Small Intestine
Duodenum
Jejunum
Ileum
Where does all absorption occur?
Small intestine
Histology of Small Intestine
- Circular Folds (increase surface area, slow progress of chyme)
- Gastric Pits (secrete chemicals)
- Villi (contains arteriole, blood capillaries, venule, and lymphatic capillary)
- Microvilli (contain enzymes that complete chemical digestion; contain brush border enzymes)
Functions of Microvilli
Absorption and digestion
Significant cell division within intestinal glands
Rupture and release digestive enzymes and proteins
Cells of Intestinal Glands
- Microvilli
- Goblet Cell
- Enteroendocrine Cell
- Paneth Cell
Enteroendocrine Cell
Secretes secretin, CCK, or gastric inhibitory peptide
Paneth Cell
Secretes lysozyme
Segmentation
Local mixing of chyme with intestinal juices