Digestive System Flashcards

1
Q

Alimentary canal

A

-mouth
-pharynx
-esophagus
-stomach
-small intestine
-large intestine

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2
Q

Differentiate between organs of alimentary canal and accessory organs or structure.

A

-The alimentary canal, or GI tract, is the continuous muscular digestive tube that winds through the body digesting and absorbing foodstuff; its organs include: the mouth, pharynx, esophagus, stomach, small intestine, and large intestine.

-Accessory digestive organs or structures aid digestion physically and produce secretions that break down foodstuff in the GI tract; the organs involved are the teeth, tongue, gallbladder, salivary glands, liver and pancreas.

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3
Q

6 functions of digestive system

A
  1. Ingestion:
    ■ occurs when materials enter digestive tract
  2. Propulsion:
    ■ Peristalsis (movement of food through tract)
  3. Mechanical breakdown:
    ■ Teeth
    ■ Tongue
    ■ Stomach churning
    ■ Segmentation
  4. Digestion:
    ■ is the chemical breakdown of food
    ■ into small organic fragments
    ■ for absorption by digestive epithelium
  5. Absorption:
    ■ movement of nutrients
    ■ across digestive epithelium
    ■ into interstitial fluid of digestive tract
  6. Defecation :
    ■ Eliminate indigestible substances in feces
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4
Q

Lining of digestive tract

A

■ Protects surrounding tissues against:
■ corrosive effects of digestive acids and enzymes
■ mechanical stresses, such as abrasion
■ bacteria

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5
Q

Name one organ of the alimentary canal found in the thorax. Name 3 organs located in abdominal cavity.

A

Esophagus;

Stomach, small intestine, large intestine

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6
Q

Which digestive system activity actually moves nutrients from outside to inside the body?

A

Absorption

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7
Q

Bacteria

A

■ Is ingested with food or resides in digestive tract
■ Attacked by macrophages, and immune system cells
■ In lamina propria (underlying layer of areolar tissue)

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8
Q

Peritoneal cavity

A

■ Is located within the abdominopelvic cavity
■ Lined with peritoneum (simple squamous epithelium) membrane consisting of:
■ superficial mesothelium covering a layer of areolar tissue

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9
Q

Parietal and visceral layers

A

-of peritoneum
-continuous w/ one another via several extension (mesenteries, falciform ligament, lesser and greater omenta)
-separated by a potential space containing serous fluid, which decreases friction during organ activity

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10
Q

All organs of GI tract have the same basic pattern of tissue layers in their walls

A

All have mucosa, submucosa, muscular externa, and serosa (or adventitia). Intrinsic nerve plexuses (enteric nervous system) are found w/in the wall

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11
Q

Digestive viscera are served by the…

A

Splanchnic circulation, consisting of aterial branches of the celiac trunk and aorta and hepatic portal circulation

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12
Q

How does the location of the visceral peritoneum differ from that of the parietal peritoneum?

A

Visceral- outermost layer of digestive organ

Parietal- serous membrane covering the wall of abdominal cavity

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13
Q

Peritoneal fluid

A

■ Is produced by serous membrane lining
■ Provides essential lubricant
■ Separates parietal and visceral surfaces
■ Allows sliding without friction or irritation

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14
Q

Peritoneal cavity disorders

A

■ Peritonitis
■ Inflammation of the peritoneal membrane
■ Caused by:
■ piercing abdominal wound
■ perforating ulcer
■ ruptured appendix
■ Membranes stick together, localizing infection
■ Can be fatal w/bacterial invasion
■ Ascites
■ The accumulation of Peritoneal Fluid that causes abdominal effusion
■ Can distort abdominal organs and result in:
■ heartburn,
■ indigestion
■ lower back pain.

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15
Q

Peritoneal cavity disorders

A

■ Peritonitis
■ Inflammation of the peritoneal membrane
■ Caused by:
■ piercing abdominal wound
■ perforating ulcer
■ ruptured appendix
■ Membranes stick together, localizing infection
■ Can be fatal w/bacterial invasion
■ Ascites
■ The accumulation of Peritoneal Fluid that causes abdominal effusion
■ Can distort abdominal organs and result in:
■ heartburn,
■ indigestion
■ lower back pain.

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16
Q

Of the following, which is/are retroperitoneal?

Stomach, pancreas, liver

A

Pancreas

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17
Q

What is the name of the venous portion of splanchnic circulation?

A

Hepatic portal circulation

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18
Q

Mesenteries

A

■ Are double sheets of peritoneal membrane
■ Suspend portions of digestive tract within peritoneal cavity by sheets of serous membrane:
-that connect parietal peritoneum
-with visceral peritoneum
■ Areolar tissue between mesothelial surfaces:
-provides an route to and from the digestive tract
-for passage of blood vessels, nerves, and lymphatic vessels
■ May attain status as a separate organ
-One contiguous structure
-Functions not well understood
■ Stabilize positions of attached organs
■ Prevent intestines from becoming entangled

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19
Q

Describe the location and function of peritoneum.

A

The peritoneum is a serous membrane that covers the abdominal walls and most abdominal organs. It has two layers, the inner (visceral) layer and the outer (parietal) layer. It provides protection and stability to the abdominal organs, allowing minimal movement.

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20
Q

Retroperitoneal

Give examples

A

Retroperitoneal: regarding anything that is posterior to the mesentery, lying against dorsal abdominal wall.

-Organs: most of the duodenum, the pancreas, ascending and descending colon, and the rectum.

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21
Q

Splanchnic circulation and indicate the important of hepatic portal system.

A

blood flow through the abdominal organs including the stomach, liver, pancreas, spleen, and intestines, while the hepatic portal system is a specific part of this circulation that delivers nutrient-rich blood from the digestive tract directly to the liver via the hepatic portal vein, allowing the liver to process absorbed nutrients and toxins before they enter the systemic circulation

the hepatic portal system is crucial for the liver’s vital functions in regulating blood chemistry and metabolism

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22
Q

Tissue composition and general function of 4 layers of alimentary canal

A
  1. Mucosa - innermost layer - SECRETION of mucous, digestive enzymes, and hormones. ABSORPTION of end products of digestion into the blood. PROTECTION against infection.
  2. Submucosa - extensive VASCULAR network supplies surrounding tissue, ELASTIC fibers enables stomach to regain normal shape after large meal.
  3. Muscularis Externa - SEGMENTATION and PERISTALSIS. Forms sphincters that act as valves.
  4. Serosa - Outermost layer - PROTECTIVE layer of areolar connective tissue covered with mesothelium.
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23
Q

Mesenteries development

A

■ During embryonic development:
-digestive tract and accessory organs are suspended in peritoneal cavity by:
-dorsal mesentery
-ventral mesentery

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24
Q

When sensors in the GI tract are stimulated they trigger reflexes. What types of digestive activity may be put into motion via those relfexes?

A

Reflexes associated with/ the GI tract promote muscle contraction and secretion of digestive juices or hormones

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25
Q

The term “gut brain” does not really mean there is a brain in the digestive system. What does it refer to?

A

Enteric nervous system, the web of neurons closely associated w/ the digestive organs

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26
Q

Jerry has been given a drug that inhibits parasympathetic stimulation of his digestive tract. Should he “eat hearty” or temporarily refrain from eating? Why?

A

Temporarily refrain from eating b/c parasympathetic NS stimulated digestive activities

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27
Q

Lesser omentum

A

-stabilizes position of stomach
-provides access route for blood vessels and other structures entering or leaving liver

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28
Q

Dorsal mesentery

A

■ Is on ventral surface of stomach
■ Enlarges to form an enormous pouch, called the greater omentum

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29
Q

Greater omentum

A

■ Extends inferiorly between:
-the body wall and
-the anterior surface of small intestine
■ Hangs like an apron:
-from lateral and inferior borders of stomach and attaches to the large intestine

■ Adipose tissue in greater omentum:
-pads and protects surfaces of abdomen
-provides insulation to reduce heat loss
-stores lipid energy reserves
-Contains many lymph nodes- site of peritoneal immune response

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30
Q

Describe stimuli and controls of digestive activity

A

Digestive activities within the GI tract are triggered by mechanical and chemical stimuli [e.g., stretching of organ by food, osmolarity, pH, etc.] and are detected by mechanoreceptors and chemoreceptors.

• Controls of digestive activity are both intrinsic [“in-house”] and extrinsic.
a. Neural mechanisms [Enteric Nervous System (ENS)]: the ENS has roughly as many neurons as the spinal cord, and as many neurotransmitters as the brain, but whose functions remain largely unknown…
❊ Short [myenteric] reflexes control smooth muscle contraction and glandular secretion as relatively localized activities involving small segments of the digestive tract; this mechanism is usually considered parasympathetic, but the plexus also contains sensory neurons, motor neurons and interneurons for local reflexes whose internal workings operate entirely outside the control of the CNS.
❊ Long reflexes involve interneurons and motor neurons in the CNS and provide a higher level of control over digestive and glandular activities.
b. Hormonal mechanisms involve as many as 18 hormones, affecting almost every aspect of digestive function.
c. Local mechanisms involve prostaglandins, histamines and other chemicals released into the interstitial fluid and affecting adjacent cells…

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31
Q

Oral mucosa tissue type

A

Stratified squamous epithelial

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32
Q

Tongue

A

-mucosa-covered skeletal muscle
-intrinsic muscles: allow change of shape
-extrinsic muscles: allow change in position

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33
Q

Saliva

A

-produced by minor salivary glands and 3 pairs of major salivary glands: parotid, submandibular, and sublingual
-largely water, contains ions, proteins, metabolic wastes, lysozyme, defensins, IgA, salivary amylase, and mucin
-moistens and cleanses the mouth
-moistens food, aiding their compaction
-dissolves food chemical to allow for taste
-begins digestion of starch (salivary amylase)
-saliva output ⬆️ by PNS initiated by activation of chemical and pressure receptors in the mouth and by fight or smell of food

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34
Q

Teeth

A

-bulk of tooth is dentin, which surround the central pulp cavity
-periodontal ligament secures the tooth to bony alveolus

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35
Q

Mesentery proper

A

■ Is a thick mesenterial sheet
■ Permits some independent movement
■ Suspends all but first 25 cm of small intestine
■ Does not surround the initial portion of small intestine (duodenum) and pancreas (they are retroperitoneal)
■ Fuses with posterior abdominal wall, locking structures in position

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36
Q

Which structure forms the roof of the mouth?

A

Palate forms roof of mouth. Hard palate supported by bone is anterior to soft palate (no bony support)

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37
Q

Name 3 antimicrobial substances found in saliva.

A

-lysozyme
-defensins
-IgA antibodies

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38
Q

Which tooth substance is harder than bone? Which tooth regions includes nervous tissue and blood vessels?

A

Enamel is harder than bone

Pulp consists of nervous tissue and blood vessels

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39
Q

Describe the composition and functions of saliva, and explain how salivation is regulated

A

Salivary glands produce saliva, which cleanses the mouth, dissolves food chemicals for taste, moistens food, and contains chemicals that begin the breakdown of starches.

Saliva Composition: 1.0-1.5 liters/day, 97- 99.5% water, but also IgA, lysozyme, defensins, mucins and salivary amylase; production of a bolus.

Regulation: Parasympathetic [watery saliva] and sympathetic [more viscous saliva] stimulation.

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40
Q

Mesocolon

A

■ A mesentery associated with a portion of the large intestine:
-transverse mesocolon supports transverse colon
-sigmoid mesocolon supports sigmoid colon
-Ascending and descending colon are retro peritoneal

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41
Q

Blood supply: Splanchnic circulation

A

■ Branches of aorta serving digestive organs
-Hepatic, splenic, and left gastric arteries
-Inferior and superior mesenteric arteries
■ Hepatic portal circulation
-Drains nutrient-rich blood from digestive organs
-Delivers it to the liver for processing

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42
Q

Digestive epithelium

A

■ Mucosal epithelium is simple or stratified:
-depending on location, function, and stresses
■ Oral cavity, pharynx, and esophagus:
■ mechanical stresses
■ Stomach, small intestine, and most of large intestine:
-absorption
-simple columnar epithelium with goblet cells

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43
Q

Enteroendocrine cells

A

■ Are scattered among columnar cells of digestive epithelium
-Secrete hormones that:
-coordinate activities of the digestive tract and accessory gland

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44
Q

Lining of digestive tract

A

■ Folding increases surface area for absorption:
– longitudinal folds, disappear as digestive tract distends
– permanent transverse folds (plicae)

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45
Q

Deglutition (swallowing)
Buffalo phase

A

-upper esophageal sphincter is contracted (closed)
-tongue presses against hard palate, forcing food boils into oropharynx

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46
Q

Deglutition: pharyngeal-esophageal phase begins

A

-tongue blocks mouth
-soft palate and its uvula rise, closing off nasopharynx
-larynx rises so that epiglottis blacks trachea
-upper esophageal sphincter relaxes; food enter esophagus

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47
Q

Deglutition: pharyngeal esophageal phase continues (steps 3-5)

A

3)
-constrictor muscles of pharynx contract, forcing food into esophagus inferiorly
-upper esophageal sphincter contracts after food enter
4)
-peristalsis moves food through esophagus to stomach
5)
-gastro esophageal sphincter orifice opens. After food enter the stomach sphincter closes, preventing regurgitation

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48
Q

Esophagus extends…

A

Extends from laryngopharynx and joins the stomach at cardial orifice, which is surrounded by gastroesophageal sphincter

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49
Q

Esophageal mucosa

A

-stratified squamous epithelium
-its muscular is is skeletal muscle superiority and changes to smooth muscle inferiorly
-it has adventitia rather than serosa

50
Q

Lamina propria

A

■ Consists of a layer of areolar tissue that contains:
-blood vessels
-sensory nerve endings
- lymphatic vessels
-smooth muscle cells
-scattered lymphoid tissue

51
Q

Muscularis mucosae

A

■ Narrow band of smooth muscle and elastic fibers deep to the lamina propria

52
Q

Peristalsis

A

Progressive, wavelike constrictions that move foodstuff through alimentary tube organs

Pharynx and esophagus are primarily food conduits that conduct food to stomach by peristalsis

53
Q

Swallowing

A

Initiated by the mouth (buccaneers phase) after the tongue has compacted food and saliva into a bolus. Pharyngeal-esophageal phase is controlled reflexively by the swallowing center in the medulla and pons. When peristaltic wave approaches gastroesophageal sphincter, the sphincter relaxes to allow food to enter stomach

54
Q

To which 2 organ systems does the pharynx belong to?

A

Digestive and respiratory systems

55
Q

Submucosa

A

■ Is a layer of dense irregular connective tissue with many elastic fibers
■ Surrounds muscularis mucosae
■ Has large blood and lymphatic vessels, lymphoid follicles, and submucosal nerve plexus

56
Q

Muscularis externa strucuture

A

■ Is dominated by smooth muscle cells
■ cells arranged in 2 concentric layers:
-inner layer encircles lumen (circular muscle)
-outer layer contains muscle cells parallel to tract (longitudinal layer)

57
Q

How is the Muscularis external of the esophagus unique in the body?

A

Undergoes transformation along its length from skeletal muscle superiority to smooth muscle near stomach

58
Q

Muscularis externa functions

A

■ Involved in mechanical processing
-Segmentation – Mixing
-Peristalsis - movement of materials along digestive tract
■ Circular layer thickens to form sphincters

59
Q

Enteric Nervous System (ENS)

A

■ The brain of the gut or the little brain
■ Made of of the myenteric and submucosal plexuses with:
■ motor neurons
-sensory neurons
-Chemoreceptors
- stretch receptors
-interneurons
-ANS inputs
■ Can work independent of CNS

60
Q

What is the functional significance of epithelial change seen at esophagus-stomach junction?

A

Esophagus is merely a chute for food passage and is subjected to a good deal of abrasion, which a stratified squamous epithelium can w/stand. Stomach mucosa is secretory mucosa served well by simple columnar epithelium

61
Q

How are the respiratory passages blocked during swallowing?

A

Larynx rises and epiglottis covers its lumen so that foodstuffs are diverted into esophagus posteriorly

62
Q

Submucosal plexus

A

■ Also called plexus of Meissner
■ Innervates the mucosa and submucosa
■ Involved primarily in sensation and motor input to
-mucosal and
-submucosal
-glands
■ (squeezes out the GI juices)

63
Q

Myentric plexus

A

■ Muscularis externa movements coordinated by myenteric plexus of the ENS:
-Located between the circular and longitudinal layers

64
Q

ANS and ENS parasympathetic vs sympathetic

A

Parasympathetic

■ parasympathetic division of ANS is dominant
■ Mostly by the Vagus nerve (X)
■ PNS generally stimulates GI activity
-Except in sphincters

Sympathetic

■ Sympathetic input from thoracic and upper lumbar cord
■ Innervate the myenteric and submucosal plexuses
■ Generally Inhibitory
-Except in sphincters and extreme SNS events

65
Q

Name the 3 phases of gastric secretion

A

-cephalic
-gastric
-intestinal

66
Q

J-shaped stomach

A

-lies in upper left quadrant of the adbdomen
-major regions: cardiac, fundus, body, pyloric part
-when empty: its internal surface exhibits rugae

67
Q

Stomach mucosa

A

-simple columnar epithelium dotted with gastric pits that lead into gastric glands
-secretory cells in gastric glands include:
-Pepsinogen-producing chief cells
-parietal cells, which secrete hydrochloric acid and intrinsic factor
-mucous neck cells, which produce mucus
-Enteroendocrine cell, which secrete hormones and paracrines

68
Q

Mucosal barrier

A

-protects stomach from self-digestion and HCl

69
Q

Protein digestion

A

-intimated in the stomach by activated pepsin and require acidic conditions (provided by HCL)
-few substances are absorbed in stomach

70
Q

Protein digestion

A

-intimated in the stomach by activated pepsin and require acidic conditions (provided by HCL)
-few substances are absorbed in stomach

71
Q

Mechanical breakdown in the stomach is triggered by…

A

Stomach dissension and coupled to food propulsion and stomach emptying

72
Q

Food movement into the duodenum is controlled by

A

The pylorus and feedback signals from small intestines

73
Q

Food movement into the duodenum is controlled by

A

The pylorus and feedback signals from small intestines

74
Q

What cells set the rate of peristalsis?

A

Pacemaker cells in smooth muscle sheet

75
Q

Serosa

A

■ Serous membrane covering muscularis externa:
-except in oral cavity, pharynx, esophagus, and rectum

76
Q

Serosa

A

■ Serous membrane covering muscularis externa:
-except in oral cavity, pharynx, esophagus, and rectum

77
Q

Adventitia

A

■ Covers muscularis externa of oral cavity, pharynx, esophagus, and large intestine
■ Is a dense sheath of collagen fibers
■ Firmly attaches the digestive tract to adjacent structures

78
Q

Cholceystokinin (CCK)

A

Site of production: duodenal mucosa

Stimulus of production: fatty chime

Target organ: stomach, liver/pancreas, gallbladder, hepatopancreatuc sphincter

Activity:
-in its stomachs secretory activity
-potentials secretin’s actions on these organs
-increases output if enzyme-rich pancreatic juice
-stimulates organ to contract and expel stored bile
-relaxes sphincter to allow entry of bile and pancreatic juice into duodenum

79
Q

Glucose-dependent insulinotropic peptide (GIP) (or gastric inhibitory peptide)

A

Site of production: dudodenal mucosa

Stimulus production: fatty chime

Target organ: stomach, pancreas (beta cells)

Activity:
-inhibits HCL production (minor effect)
-stimulates insulin release

80
Q

Gastrin

A

Site of production: stomach mucosa (Gcells)

Stimulus of production: food (particularly digested proteins) in stomach (chemical stimulation); ACTH released by nerve fibers

Target organs: stomach (parietal cells), small intestine, ileocecal valve, large intestine

Activity:
-increases HCL secretion
-stimulated gastric emptying (minor effect)
-stimulates contraction of intestinal muscle
-relaxes ileocecal valve
-stimulate mass movements

81
Q

Histamine

A

Site of production: stomach mucosa

Stimulus of production: food in stomach

Target organ: stomach

Activity: activates parietal cells to release HCl

82
Q

Intestinal gastrin

A

Site of production: duodenal mucosa

Stimulus of production: fasting; periodic release ever 1 1/2-2hrs by neural stimulus

Target organ: proximal duodenum

Activity: stimulates migrating motor complex

83
Q

Secretin

A

Site of production: stomach mucosa

Stimulus of production: acidic chyme

Target organ: stomach, pancreas, liver

Activity:
-inhibits gastric gland secretion and gastric motility
-increases output of pancreatic juice rich in bicarbonate ions; potentiates CCK’s action
-increases bile output

84
Q

Serotonin

A

Site of production: stomach mucosa

Stimulus of production: food in stomach

Target organ: stomach

Activity: causes constriction of stomach muscle

85
Q

Smooth muscle

A

■ Along digestive tract:
-has rhythmic cycles of activity
-controlled by pacesetter cells
■ Cells undergo spontaneous depolarization:
-triggering contraction through entire muscular sheet

86
Q

Somatostatin

A

Site of production: stomach mucosa; duodenal mucosa

Stimulus for production: food in stomach; stimulation by sympathetic nerve fibers

Target organs: stomach, pancreas, small intestine, gallbladder and liver

Activity:
-inhibits gastric secretion of all products
-inhibits secretion
-inhibits GI blood flow; thus inhibits intestinal absorption
-inhibits contraction of bile release

87
Q

Vasoactive intestinal peptide (VIP)

A

Site of production: enteric neurons

Stimulus of production: chyme containing partially digested foods

Target organ: small intestine, pancreas, stomach

Activity:
-stimulates buffer secretion
-increases blood flow through intestinal capillaries
-relaxes intestinal smooth muscle
-increases secretion
-inhibits acid secretion

88
Q

Pacesetter cells

A

■ Located in muscularis mucosae and muscularis externa:
-surrounding lumen of digestive tract

89
Q

Bolus

A

■ Is a small, oval mass of digestive contents

90
Q

Peristatic motion

A

• Circular muscles contract bolus:
■ while circular muscles ahead of bolus relax
• Longitudinal muscles ahead of bolus contract:
■ shortening adjacent segments
• Wave of contraction in circular muscles:
■ forces bolus down

91
Q

Peristatic waves in stomach: propulsion

A

Waves move from fundus toward pylorus

92
Q

Peristatic waves: grinding

A

Most vigorous waves and mixing action occur close to pylorus

Pyloric end of stomach acts as pump that delivers small amounts of chyme into duodenum

93
Q

Peristaltic waves: retropulsion

A

Waves close pyloric valve forcing most of contents of pylorus back ward into stomach

94
Q

How does the presence of food in small intestines inhibit gastric secretion and motility?

A

By triggering enterigastruc reflex and secretion of enterogastrones (hormones)

95
Q

Segmentation

A

■ Cycles of contraction:
-Churn and fragment bolus
-mix contents with intestinal secretions
■ Does not follow a set pattern:
-does not push materials in any 1 direction
(Like mixing the bread crumbs into the hamburger meat)

96
Q

Filiform (lingual) papillae

A

■ Fine projections on superior surface (dorsum) of tongue
■ Roughen the tongue
■ Covered in thick epithelium
■ Assists in moving materials

97
Q

Filiform (lingual) papillae

A

■ Fine projections on superior surface (dorsum) of tongue
■ Roughen the tongue
■ Covered in thick epithelium
■ Assists in moving materials

98
Q

Vallate (circumvallate) papillae

A

■ In the oropharynx
■ A V-shaped line
■ Rough boundary between body and back of tongue

99
Q

Alkaline tide

A

when gastric glands are actively secreting, enough bicarbonate ions diffuse into the bloodstream from the interstitial fluid to increase the pH of the blood significantly.

100
Q

Histology of esophagus

A

■ superior 1/3 – all skeletal muscle
■ middle 1/3 - skeletal muscle giving way to smooth muscle
■ inferior 1/3 – all smooth muscle

101
Q

Liver

A

Loved organ overlying stomach

Produces bile, which secretes into common hepatic duct

102
Q

Bile

A

Made continuously of hepatocytes

Bile salts and secretin stimulate bile production

Contains electrolytes, a variety of fatty substances, bile salts and bile pigments in aqueous form

Bile salts are emulsifying agents, they disperse fats and form water-soluble micelles, which solubilize the products of fat digestion

103
Q

Gallbladder

A

Muscular sac that lies beneath the right liver lobe, stores and concentrates bile

104
Q

Pancrea

A

Retroperioneal between the spleen and small intestine

Exocrine product: pancreatic juice is carried to duodenum via pancreatic duct

105
Q

Hepatopancreatic ampulla

A

Bile duct and pancreatic duct join to form this.
Empty their secretions into duodenum through this

106
Q

Pancreatic juice

A

HCO3- rich fluid containing enzymes that digest all categories of foods

Intestinal hormones and vagus nerves control secretions of pancreatic juice

107
Q

Eructation

A

Burping

108
Q

Flatus

A

Gas in colon

109
Q

What is the importance of enterohepatic circulation?

A

Recycling mechanism for retaining bil salts needed for fat absorption

110
Q

What is the functional difference between pancreatic ancini and islets?

A

Acini- produce exocribe products of pancreas (digestive enzymes and bicarbonate-rich juice)

Islets- produce pancreatic hormones (insulin, glucagon)

111
Q

What is the makeup of fouid in the pancreatic duct? In the cystic duct? In the bile duct?

A

Pancreatic- bicarbonate rich, enzyme reich pancreatic juice

Cystic and bile- bile

112
Q

What stimulates CCK release and what are its effects on digestive process?

A

Secreted in response to entry into duodenum if chyme rich in protein and fat. Causes pancreatic acini to secrete digestive enzymes, stimulates the gallbladder to contract and relaxes hepatopancreatic

113
Q

4 functions of the stomach

A
  1. Storage of ingested food
  2. Mechanical breakdown of ingested food
  3. Disruption of chemical bonds in food material:
    ■ by enzymes
  4. Production of intrinsic factor:
    ■ glycoprotein required for absorption of vitamin B12 in small intestine
114
Q

Enterohepatic circulation

A

1) bile salts are secreted into duodenum (1st part of small intestine)
2) as bile salts travel through the small instestine they allow lipid digestion and absorption to occur
3)95% of bile salts are reabsorbed (last part of small intestine)
4) reabsorbed bile salts travel via hepatic portal vein back to liver, where they are recycled. Only 5% of bile salts are newly synthesized each time

115
Q

Anatomy of stomach

A

■ The stomach is shaped like an expanded J:
-short lesser curvature forms medial surface
-long greater curvature forms lateral surface
■ Anterior and posterior surfaces are smoothly rounded
■ Shape and size vary:
-from individual to individual
-from 1 meal to the next
■ Can hold up to 4L
■ Stomach typically extends between levels of vertebrae T7 and L3

116
Q

Gallbladder

A

Stores bile to help digest fat

117
Q

Body (corpus)

A

The portion of
the stomach
into which food passes from the esophagus

118
Q

Pylorus

A

portion of the stomach

■ Is divided into:
-The pyloric Antrum - portion that begins to narrow
-The Pyloric canal - narrowest region that gives way to
-the pyloric or gastro-duodenals sphincter which controls emptying

119
Q

Fundus

A

Fundus - superior-most, bulbous and globe shaped

Portion of the stomach

120
Q

Cardia

A

region between the stomach and esophagus
■ secretes protective mucus