Downing: Histology of Stomach and Small Intestine Flashcards
What are important histological features of the stomach?
- Mucosa
Simple columnar epithelium
LP: contains gastric glands, pyloric glands, cardiac glands
Muscularis mucosa - Submucosa: LCT, large blood vessels and submucosal plexus
- Muscularis exerna: 3 layers (myenteric nerve plexus between M and O layer)
- Serosa
What layers thicken in the pyloric region of the stomach to form the pyloric sphincter?
Inner and middle layer
Describe the surface region and glandular region of the body and fundic regions of the stomach?
Surface region
- Surface- simple columnar epithelium
- Mucus secreting cells.
- LP forms a gastric pit (1/4 the thickness of the mucosa)
- Constant turn over every 4-6 days
Glandular region
- Simple columnar
- From gastric pit to muscularis mucosae
- Isthmus, neck
- Mucous neck cells and Parietal cells
What parts of the glandular region have mitotically active cells?
Isthmus (germinative zone from which surface cells are renewed)
Neck (mucous neck cells and parietal cells)
What do mucus neck cells secrete?
Secrete clear mucus to protect gland from HCL and proteolytic enzymes
Columnar cells or cuboidal cells
Where are parietal cells most numerous in the stomach?
In the neck region of gland and upper body
What are the functions of parietal cells?
Produce secretory glycoprotein called IF that is necesary for absorption of vitamin B from the ileum
Produce HCL
Eosinophilic!
What stimulates parietal cells to secrete acid?
cholinergic nerve endings (ACh)
histamine (HR)Gastrin (MR) target G cells in the pyloric region
Where are chief cell most numerous?
Basal region of the gland
Why are chief cells basophilic?
D/tRER and eosinophilic d/t protein stored in zymogen granules
What do chief cells secrete?
Zymogen granules in chief cells contain pepsiniogen that is released from the GA and stored in the cytoplasm. Once released pepsinogen is activated by the acidic environment to pepsin. Pepsin can convert proteins to peptides.
Enteroendocrine cells produce substances that are secreted where?
They are NOT secreted into the lumen but rather secreted on the other side of hte basement membrane, where they accumulate and enter the vasculature.
What are three hormones produced by enteroendocrine (DNES) cells?
Gastrin
Secretin
Cholecystokinin
Gastrin
G cell
pylorus
Stimulates gastric acid secretion
Secretin
S cell
Small intestine
Pancreatic and biliary bicarbonate and water secretion
Cholecystokinin
I cell
Small intestine
Pancreatic enzyme secretion and gall bladder contraction
How does the pyloric region of the stomach differ from the fundic and body regions?
- Surface region
- also simple columnar w/ mucus secreting cells to protect the epithelium
- LP forms gastric pits that are 2/3!! the thickness of hte mucosa - Glandular
- also simple columnar
- also has mucus cells nad enteroendocrine cells