GI Lecture 48 & 49 Flashcards
Where is intrinsic factor made? What does it for?
In the stomach. essential for the absorption of vitamin B12
What are forms of neural regulation of stomach?
Instrinsic
Extrinsic
What are endocrine effectors that regulate gastric secretion?
- Gastrin (stomach and duodenum)
- Somatostatin (stomach, duodenum, and pancreas)
What are the luminal secretions of the funds and body?
- H+
- Intrinsic Factor
- Mucus
- HCO3-
- Pepsinogen
- Lipase
What do all parts of the stomach secrete luminally?
- HCO3-
- Mucus
Defense mechanisms of the GI System
- Salivary lysozyme
- gastric HCl secretion
- liver detox
Six cell types in fundus and antrum
- Parietal cells
- Mucous neck cells
- Peptic/Chief cells
- Enterochromaffin-like (ECL) cells
- D cells
- G cells
Parietal cells secrete:
- HCL
- Intrinsic Factor
Mucous necks cells secrete:
Mucus
Peptic/Chief cells secrete:
Pepsinogens
Entrochromaffin-like (ECL) cells secrete:
Histamine
-most powerful stimulator of HCl secretion
D cells secrete:
Somatostatin
G cells secrete:
Gastrin
Parietal cell secretion mechanism:
- Once activated, tubulovesicular membranes (containing H & Cl transport proteins) fuse with the already present intracellular canaliculi
- Ultimately, increases the number of H-K antiporters on secretory canaliculi
What is the alkaline tide? Where does it occur? How is it rectified?
- pH increase in venous blood near stomach due to pumping out of HCO3- during active H+ secretion
- rectified by pancreatic HCO3- secretion