Digestive system Flashcards
What are the two groups of organs?
Alimentary canal
Accessory digestive organs
What is contained in the alimentary canal of the digestive system?
Mouth to anus
What does the alimentary canal do? (gi tract)
Digests food and absorbs fragments
What are the accessory digestive organs
Teeth
Tongue
Gallbladder
Digestive glands (salivary glands, liver, pancreas)
What are 6 essential activities of the digestive process?
- Ingestion
- Propulsion
- Mechanical breakdown
- Digestion
- Absorption
- Defecation
The enteric nervous system is supplied by _________ of alimentary canal
Intrinsic nerve supply
The enteric nervous system is linked to the CNS via the ______ fibers?
Afferent visceral fibers
Stomach digest ____ to _____
Bolus to chyme
The stomach has ____ tunics
Four
What does the muscularis externa allow the stomach to do?
Churn
Mix
Move
Physically break down food
What does the mucosa contain in the stomach?
Mucosal cells that secrete two layer coat of alkaline mucus
Gastric glands that produce gastric juice
What are the 4 cell types in gastric glands?
Mucous neck cell
Parietal cells
Chief cells
Enteroendocrine cells
What are the parietal cell secretions?
HCl
Intrinsic factor (needed for absorption of vitamin B12)
What do chief cells secrete?
Pepsinogen
Lipase (digest lipids)
What are the secretions of the enteroendocrine cells?
Chemical messengers
Paracrines (serotonin and histamine)
Hormones (somatostatin and gastrin)
What makes up the mucosal barrier of the stomach?
Thick layer of bicarb rich mucus
Tight junctions between epithelial cells
What are the 4 steps to digestive process in the stomach?
Mechanical breakdown
Denaturation of proteins by HCl
Enzymatic digestion of proteins by pepsin
Delivery of chyme to small intestine
What is the only stomach function that is essential to life?
Secretion of intrinsic factor (needed for vitamin B 12 absorption)
What nervous system is involved in the neural control of gastric secretion?
The autonomic nervous system
(vagus nerve stim that increases stimulation)
(Sympathetic stim that decreases stimulation)
What hormone is responsible for regulation of gastric secretion?
Gastrin (increases enzyme and HCl secretion)
What are the three phases of gastric secretion?
Cephalic phase
Gastric phase
Intestinal phase
What happens during the cephalic phase?
It is triggered by aroma, taste, sight, thought
What stimulates the gastric phase?
Distension, peptides, low acidity, gastrin
What does the intestinal phase do?
Partially digested foods enter the small intestine with a brief intestinal gastrin release
What kind of effects happen during the intestinal phase?
Inhibitory effects (by chyme, fats, peptides, irritating substances)
What are three chemicals that stimulate parietal cells through secondary messengers?
ACh
Histamine
Gastrin
What releases enterogastrones in the intestinal phase?
Enteroendocrine cells
What are enterogastrones?
Secretin, CCK, vasoactive intestinal peptide
They all inhibit gastric secretion
What is dumping syndrome
Happens if the small intestine is pushed to accept more chyme
Nausea and vomiting
Common in gastric reduction for weight loss
Enterogastric reflex is part of the ____ ____ of gastric secretion
Intestinal phase
What do enterogastric reflexes do?
Inhibit vagal nuclei
Inhibit local reflexes
Activate sympathetic nerve fibers