Gastric Secretions Flashcards

1
Q

List the secretions of the Parietal cells

A

Release HCL
and
Intrinsic factor.

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2
Q

List the secretions of the chief cell and what chemical activates it.

A

Chief cells release pepsinogen in response to Ach stimulation.

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3
Q

List the secretions of the Neck and superficial epithelial cells

A

Produce mucin and bicarb for protection.

Can secrete pepsinogen as well!

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4
Q

List the secretions of the Enterochromaffin like cells ECL and the stimulant

A

Stimulated by Gastrin and Ach, these release histamine which increases HCL production.

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5
Q

List the secretions of the G - epithelial cells

Where are they found?

A

These are endocrine cells in the antrum of the stomach.

Stimulated by peptones and amino acids causing the production of Gastrin by the Vagal nerve.

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6
Q

List the secretions of the D epithelial cell

A

These are endocrine cells in the antrum as well as respond to low pH by secreting somatostatin which ultimately inhibits G cells.

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7
Q

Which neuronal pathways control stomach acid secretion?

A

Ach from the ENS or PNS can act directly on parietal cells or indirectly to produce HCL.

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8
Q

Which Paracrine pathways control stomach acid secretion?

A

Histamine from ECL cells stimulate the H+/K+ ATPase.

Prostaglandins stop the H+/K+ ATPase.

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9
Q

What are some endocrine pathways that control stomach acid secretion?

A

Gastrin from the G cells can bind to directly to parietal cell and stimulate HCL or indirectly bind ECL cells stimulating HCL through histamine release.

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10
Q

What compound can be used to inhibit the release of HCL from the stomach?

A

Prostaglandins can inhibit the release of HCL from the parietal cells.

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11
Q

what occurs during the interdigestive phase of gastric acid secretion?

A

This has the lowest HCL secretion in the morning and slowly rises through the day.

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12
Q

What occurs during the cephalic phase of gastric acid secretion?

A

Accounts for 30% of the acid secreted via parasympathetic response and is stimulated by the sight, sound, or smell of food.

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13
Q

What occurs during the gastric phase of gastric acid secretion?

A

Stimulated by distention of the stomach and protein in the stomach leading to acid secretion by parasympathetic control.

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14
Q

What occurs during the intestinal phase of gastric acid secretion?

A

10% of all secretions occur here.

It is stimulated by peptides or amino acids in the duodenum which stimulates Gastrin release.

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15
Q

Where is intrinsic factor released and where does it interact with vitamin B12?

A

Released by the parietal cells where it will bind vitamin B12 in the duodenum.

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16
Q

What is the stimulus for mucin release?

A

Ach regulates mucous/Bicarb release.

Prostaglandins also release mucin and bicarb and additionally inhibit the proton pump and increase blood flow for healing.

17
Q

What effect specifically do prostaglandins have in the stomach?

A

Cause
Mucin release from neck cells and epithelium
Bicarbonate release
Increased blood flow to stomach for healingw
Inhibit the proton pump.

18
Q

What is a cushings ulcer?

A

An ulcer caused by cranial trauma or brain surgery.