Exam 3 - GI Histology 2 Flashcards

1
Q

What are major structural features that increase surface area for absorption in the GI tract ?

A
  • length of snall and alrge intestine
  • plicae circulares (valves of kerckring)
  • Villi
  • Microvilli
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2
Q

What is the histology of the crypt villus system?

A
  • Each villus cotains a core of lamina propria
  • crypts extends down between the villi below the abses of the villi
  • crypts and villi consititute glands of the small intestine
  • wall villus is composed of a simple columnar epithelium with goblet cells
  • each villus contains a capillary plexus
  • each villus contains a blind ending lymphatic reffered to as a lacteal
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3
Q

What is the fine structure of a microvillus system

A
  • Covered with glycoprotein and glyocalyx
  • Bundles of actin filaments within microvillus is covered by aformin cap
  • supported by a core of actin microfilaments
    • actin filaments are tied to terminal web intermediate filaments (cytokeratins) via spectrin fibrils
    • ACtin filaments are bound to plasma membrane covering villus via membrane-linking proteins
      • myosin 1 and calmodulin
    • Actin Fialments are boudn to each other via actin cross- linking proteins
      • villin and fimbrin
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4
Q

What is the glycocalyx?

A
  • a glycolipid coat that contins an array of brush border enzymes
    • maltase, sucrase, isomaltase, lactase, lipase, peptidase
    • produced by small intestinal epithelial cells
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5
Q
A
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6
Q

What are the three orders of folding?

A
  • Plicae ( folds of mucosa wach with submucosal core)
  • Crypt-villus system
  • Microvillus
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7
Q

know this photo

A
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8
Q

What is the shape of villus and the histological characteristics of the duodenum?

A
  • Villi with wide spatulate or leaflike distal shape
  • deep crypts of lieberkuhn
  • brunners glands with excretory ducts in submucosa
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9
Q

What is the shape of villus and the histological characteristics of the jejunum?

A
  • Vili longer and narrow
  • crypts of leiberkuhn present
  • no glands in submucosa
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10
Q

What is the shape of villus and the histological characteristics of the ileum?

A
  • Villi narrow and shorter than in jejunum
  • crypts of leiberkuhn present
  • no glands in submucosa
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11
Q

What is the histology of the crypt of lieberkuhn ?

A
  • Simple tubular glands within the intestinal mucosa
  • open between adjacent villi and extend to muscularis mucosa
  • cells of crypt
    • Goblet cells
    • Enterocytes
      • columnar epithelial cells with……
        • produce disaccharides
        • involved in absorption of proteins, carbohydrates, lipids
        • enzymes present on apical brush border are important in carbohydrate digestion
        • produce enteriopeptidase (enterokinase) necessary for activation of pancreatic zymogens and proenzymes
    • Paneth cells
      • basal crypt cells
      • prominent eosinophillic grnaules
      • produce lysozyme to control intestinal flora
    • Enteroendocrine cells
      • stains with chromium (chromaffin)
      • agryophillic (respond to sliver stains)
      • produces peptide hormones and serotonin
      • paracrine or autocrine secretions
      • = to unicellular goblet cells
      • formed from endoermal stem cells in all regions of GI
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12
Q

What is the brunner gland and where is it found?

A
  • Found in submucosa of duodenum
  • fomration of bicarbonate and mucus
    • supplements bicarbonate from pancreas and necessary to neutral gastric acid
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13
Q

What is the function of the large intestine ?

A
  • Epithelium
    • simple columnar epithelium
    • cryprts no villi
  • Functions
    • secretion of mucous for lubrication
    • goblet cell is prominent cell of the large intestine
    • absorption of fluid
    • formation of fecal mass
    • continuation of digestion initiated in small intestine
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14
Q
A
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15
Q

What does the small intestine consist of and what of are the layers of its wall?

A
  • Consists….
    • duodeum
    • jejeunum
    • ileum
  • Layers (inside to outside)
    • Mucosa with lamina propria and muscularis mucosa
    • submucosa
    • muscularis layers
    • serosa
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