Digestive System- Part 2 Flashcards
4 Regions of the Stomach
1) Cardia
2) Fundus
3) Body
4) Pylorus
Cardia (2)
1) Where Esophagus opens into Stomach
2) Lower Esophageal Sphincter surrounds opening (physiological constrictor that can’t be seen anatomically)
Fundus
Superior part of stomach that lies to the left of the Cardia.
Body of Stomach (3)
1) Largest part
2) creates a Greater Curvature & Lesser Curvature of Stomach
3) Narrows to form Pylorus
Pylorus (aka & 4 parts)
1) aka Gatekeeper
2) Pyloric Antrum- wider portion of funnel toward Body
3) Pyloric Canal- narrow part leads to Pyloric Orifice into the Small Intestine
4) Pyloric Sphincter- thick ring of smooth muscle that surrounds Pyloric Orifice and regulates movement of stomach contents into small intestine
Hypertrophic Plyoric Stenosis
Common stomach defect where phyloric sphincter is greatly thickened thus interfering with normal stomach emptying
What is unique about the Muscularis layer of the stomach? (2)
1) It contains 3 layers
2) Inner oblique layer helps generate the strong stomach contractions that physically break down food
Rugae
Folds of Submucosa & Mucosa (deep to Muscularis) that arrange when stomach is empty and allows them to stretch when Volume increases
Gastric Pits (2)
1) Tube-like cavities in the Mucous (Innermost) lining of the stomach
2) Serve as openings for gastric glands to secrete acid & other substances
5 Types of Epithelial Cells of the Stomach
1) Surface Mucous cells
2) Mucous Neck cells
3) Parietal cells
4) Chief cells
5) Endocrine cells
Surface Mucous cells (location, function, production, connection type, replacement rate (5))
1) Only stomach epithelial cell not found in gastric glands –> on surface of gastric pits
2) Protect stomach wall from acid & digestive enzyme damage
3) Produce Alkaline Mucus (which protects the stomach lining and prevents the stomach from digesting itself)
4) Connected by tight junctions (additional barrier)
5) Rapidly replaced when damaged
Mucous Neck cells
Parietal cells
Chief cells
1) MN- located near openings of gastric glands & Produce mucus
2) P- Produce hydrochloric acid & intrinsic factor
3) C- Produce pepsinogen (enzyme) & gastric lipase (enzyme that digests lipids in stomach)
Endocrine cells (epithelial cell of stomach) (2)
1) Produce regulatory hormones & paracrine factors
2) Several types of endocrine cells (histamine producing, gastrin secreting, & somatostatin secreting)
What is the primary function of the stomach?
To store & mix chyme (some digestion & absorption occur but not its major functions)
6 Stomach Secretions
1) Hydrochloric acid (HCI)
2) Intrinsic Factor
3) Mucus
4) Pepsinogen
5) Gastric Lipase
Hydrochloric Acid (produced by & function)
1) Produced by Parietal cells
2) Decreases stomach pH (keeps pH level at about 2) by killing bacteria that’s ingested
3) Activates Pepsinogen to Pepsin conversion by keeping pH low (can only occur at low pH)
Pepsin/Pepsinogen (produced by & function (4))
1) Pepsinogen (inactive form of Pepsin) produced by Chief cells
2) Packaged in Zymogen granules and released by exocytosis when pepsinogen secretion is stimulated
3) Activated by HCl to form Pepsin
4) Digests proteins into smaller peptide chains
Intrinsic Factor (produced by & function (3)))
1) Glycoprotein produced by Parietal cells
2) Binds to Vitamin B12 & aids in its absorption in the small intestine
3) B12 important to DNA synthesis & continual RBC production –> lack of B12 absorption can lead to Pernicious Anemia (RBC disorder)
What is the importance of Intrinsic Factor to B12? (2)
What results occur from lack of B12? (2)
1) B12 important to DNA synthesis & continual RBC production
2) lack of B12 absorption can lead to Pernicious Anemia (RBC disorder)
3) lack of B12 absorption can lead to neurological symptoms such a peripheral neuropathy
Gastric Lipase (produced by & function & 1 fact)
1) Produced by Chief cells
2) Digests minor amounts of lipids
3) More active during infancy