Gastrointestinal System Flashcards

1
Q

four stages of activity as food moves along the alimentary canal

A
  1. cephalic phase
  2. ingestion
  3. digestion
  4. absorption
  5. egestion (elimination)
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2
Q

fundamental actions of the organs of the alimentary canal and their accessories

A
  1. motility
  2. secretion
  3. absorption
  4. control (hormones)
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3
Q

the alimentary canal: mouth (4 fundamental actions)

A
  1. motility: chewing, sucking, swallowing
  2. secretion; saliva is produced by the three pairs of salivary glands
    - the primary function of saliva is lubrication
    - amylase is an enzyme that begins to digest starch and glycogen
  3. absorption: none
  4. control: a central pattern generator involving the trigeminal nerve and nucleus controls chewing
    - sucking and swallowing are under reflex control
    - secretion of saliva is controlled by the parasympathetic
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4
Q

the alimentary canal: esophagus

A
  1. motility: peristalsis
  2. secretion: mucus
  3. absorption: none
  4. control: the peristalsis is controlled by the enteric nervous system (two layers of nerve plexus located within the walls of the alimentary canal)
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5
Q

the alimentary canal: stomach

A
  1. motility: grinding action, esophageal and pyloric sphincters
  2. secretion: pepsinogen and HCl are secreted by the gastric glands
  3. absorption: very little
  4. control: parasympathetic and enteric NS, paracrine and endocrine secretions
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6
Q

stomach secretion

A
  • chief cells secrete pepsinogen
  • pepsin is a proteolytic enzyme
  • parietal cells make H+ with carbonic anhydrase and transport it into the lumen of the gland with H+/K+-ATPase
  • bicarbonate formed in the process is transported into the blood
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7
Q

stomach: control

A
  • motility is controlled by enteric and parasympathetic NS
  • secretion is controlled by synergistic actions of three chemical messages:
    1. acetylecholine from parasympathetic nerves opens calcium channels in secreting cells
    2. histamine, a paracrine secretion, activates the Gs protein in secreting cells
    3. Gastrin, a hormone from the stomach, activates the Gp protein in secreting cells
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8
Q

small intestine

A
  • motility: segmentation
  • secretion: the small intestine secretes enzymes. It also receives secretions from the pancreas and gall bladder
  • absorption: absorbs everything nutritional
  • control: the small intestine releases several hormones in response to stretch, low pH and nutrients in its lumen. Enteric NS and parasympathetic NS are also important
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9
Q

small intestine: secretion enzymes

A
  • intestinal: peptidases, disaccharidases, lipases, nucleases
  • pancreatic: peptidases, amylase, lipases, nucleases, bicarbonate
  • gall bladder: bile and bicarbonate
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10
Q

small intestine: control hormones

A

Secretin:
-it is small intestine hormone that is released when the pH of the duodenum drops.
-it stimulates bicarbonate secretion by the pancreas and gall bladder
-it inhibits HCl secretion by the stomach
-its receptors are linked to Gs protein
Cholecystokinin:
-it is a small intestine hormone that is released when the fat and amino acid concentration of the duodenum increases
-it causes contraction of the gall bladder to squirt bile into the small intestine
-it causes secretion of pancreatic enzymes
-it causes satiety and drowsiness when it reaches the brain
-its receptors are linked to Gp protein

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11
Q

colon

A
  • motility: segementation, mass movement (3-4x per day), defecation
  • secretion: small amounts of potassium and chloride
  • absorption: water
  • control: motility is controlled by the enteric and parasympathetic NS (gastrocolic reflex). defecation is a spinal reflex
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12
Q

Livers involvement in GI

A
  • blood from the small intestinal capillaries, carrying most of the absorbed nutrients goes directly to the liver via the hepatic portal veins
  • the liver organizes the conversion and storage of the nutrients
  • nutrients are taken in by the GI system, converted to glucose or fats by the liver, then either stored for later use or consumed by tissues
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13
Q

endocrine system maintains balance of what

A

-balance between storage and consumption

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14
Q

2 phases of metabolic life

A
  1. the absorptive phase is during and immediately following meals
  2. the postabsorptive phase is between meals
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15
Q

what hormone regulates the absorptive phase

A

Insulin

  • sythesized by beta-cells in the isles of langerhans, the endocrine pancreas in response to increased glucose in the blood
  • insulin causes increased glucose uptake by adipose cells and consumer cells. also stimulates by glycogen synthesis and glycolysis
  • -has effect of lowering blood glucose concentration, completes a negative feedback loop
  • -glucose uptake is enhanced by installation of glucose transport proteins in the plasma membrane by exocytosis
  • insulin inhibits fat mobilization by inhibiting hormone-sensitive lipase in adipose tissue. it also stimulates the synthesis of triglycerids.
  • -this prevents breakdown of previously stored adipose fat and results in the storage of any newly ingested fat
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16
Q

diabetes mellitus

A
  • inability of beta-cells to secrete insulin, or of tissues to respond to insulin
  • plasma levels of glucose become very high due to lack of insulin response
  • the proximal tubule is unable to absorb the increased ammount of filtered glucose
  • glucose reaching the collecting duct causes increased urine volume by preventing water absorption due to its osmotic strength
17
Q

hormones that regulate the postabsorptive state

A
  1. glucagon
  2. epinephrine
  3. growth hormone
  4. glucocorticoids
  5. triiodothyronin (T3) and thyroxine (T4)
18
Q

glucagon

A

major antagonist to insulin. it increases nutrient (glucose, fatty acids, ketone bodies) levels in the blood

  • it is synthesized by alpha-cells of isles of langerhans in response to low concentrations of glucose in the blood
  • glucagon causes glycogen breakdown, glucose synthesis and fat-mobilization
19
Q

epinephrine

A

enhances the effect of glucagon during fight, flight, or fright responses

20
Q

growth hormone

A

enhances the effect of glucagon and also stimulates protein synthesis

21
Q

glucocorticoids (cortisol)

A

enhance the effect of glucagon as part of a response to stress
-it also increases protein breakdown and suppresses the immune system

22
Q

T3/T4

A

generally enhance catabolic processes