GI Phys 3: Stomach Flashcards

1
Q

location, function, and secretion of mucous cells and neck cells

A

located at surface, secrete mucus and bicarb, function is gastroprotection to protect the stomach from itself

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2
Q

location of parietal cells

A

deeper withi nthe pit

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3
Q

parietal cells secrete what? what is their function

A

secrete HCl and intrinsic factor. function related to HCl release is protein digestion and sterilization of environement. for IF, the function is nutrient absorption

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4
Q

Chief cells secretion and function

A

chief cells secrete pepsinogen (a protease). the function is for protein digestion

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5
Q

list the 4 important regulatory cells in the stomach

A

ECL, neurons, D and G cells

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6
Q

ECL cells secrete what

A

histamine

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7
Q

function of histamine

A

important paracrine regulator

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8
Q

neurons secrete what

A

ach

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9
Q

G cells secrete what

A

gastrin

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10
Q

d cells secrete

A

somatostatin which turns off GI activity (suppresses hcl secretion)

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11
Q

location of g and d cells

A

antrum

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12
Q

how is acid secretion regulated? (3 pathways)

A

1) paracrine pathways (histamine)
2) endocrine pathways (gastrin)
3) neuronal pathways (ach)

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13
Q

which type of cells are the primary secretory cells of pepsinogen

A

chief cells. key stimulus = Ach!!!!

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14
Q

Pepsinogen to pepsin - process?

A

chief cells secrete pepsinogen (inactive). Hcl needed for activation. A lower ph is needed to activate pepsin (1-3). once active, pepsin can activate additional molecules.

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15
Q

acid secretion is regulated directly through:

A

prostaglandins, which inhibit signaling through the histamine pathway

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16
Q

four key gastric secretions

A

acid (hcl), pepsinogen, intrinsic factor, mucus

17
Q

3 gastric motility patterns

A

storing, churning, emptying

18
Q

2 steps in gstric storing/filling

A

1) receptive relaxation

2) gastric accommodation

19
Q

receptive relxation

A

mediated by the vagus nerve, initiated by swallowing, relaxation of stomach in anticipation of food (No and VIP)

20
Q

gastric accommodation

A

mediated by ENS, stoamach relaxes in response to gastric and duodenal filling or stretch (no and vip help)

21
Q

fat stimulates the release of what

A

cck

22
Q

4 key NT’s involved in emesis

A

serotonin, dopamine, histamine, ach

serotonin = key NT from gut to sensory neurons in cns