GI System - Neural Innervation Flashcards

1
Q

The neurons of the ENS are arranged into two plexi. Name them.

A

Myenteric

Submucosal

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2
Q

Which plexus mostly controls GI tract motility?

A

Myenteric (Auerbach), as it is located between the inner circular and outer longitudinal layers of the muscularis.

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3
Q

What is the function of the motor neurons of the Submucosal plexus?

A

Supplies the secretory cells of the mucosal epithelium.

Controls secretions of the GI tract.

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4
Q

What is the function of interneurons of the ENS?

A

Connects the myenteric and Submucosal plexuses.

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5
Q

Sensory neurons of the ENS have two sensory functions. What are they?

A

Chemoreceptors - activated by certain chemicals digested in the lumen of a GI organ.

Stretch receptors - activated when food distends or stretches the wall of a GI organ.

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6
Q

What regulates ENS activity?

A

Autonomic Nervous System

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7
Q

Where the vagal parasympathetic fibres innervate?

A

Most of the GI tract.

Exception: last half of the large intestine

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8
Q

What part of ANS supplies the last half of the large intestine?

A

Parasympathetic fibres of the sacral spinal cord

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9
Q

Where do sympathetic nerves which supply the GI tract arise from in the spinal cord?

A

Thoracic and upper lumbar regions of the spinal cord

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10
Q

Name the foregut structures

A
Oesophagus
Stomach
Liver
Gall bladder
Pancreas
Spleen
Proximal half of duodenum
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11
Q

Name the midgut structures

A
Distal half of duodenum
Ileum
Jejunum
Caecum
Appendix
Ascending Colon
Proximal 2/3rds of the Transverse Colon
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12
Q

Name the Hindgut Structures

A

Distal Third of the Transverse Colon

Descending Colon
Sigmoid Colon
Rectum
Upper Anal Canal

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13
Q

What is branches off the aorta to provide the foregut structures with a blood supply?

A

Celiac Trunk

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14
Q

What branches off the aorta to provide the midgut structures with a blood supply?

A

Superior Mesenteric Artery

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15
Q

What branches off the aorta to provide the hindgut structures with a blood supply?

A

Inferior Mesenteric Artery

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16
Q

What is ascites?

A

A condition whereby several litres of fluid accumulates in the peritoneal cavity, resulting in distension of the peritoneal cavity.

17
Q

Which organs are retroperitoneal?

A

Kidneys
Ascending and descending colons of the large intestine
Duodenum of the small intestine
Pancreas

18
Q

The enteric nervous system (ENS) consists of how many neurons?

A

100 million approximately, which extend from oesophagus to the anus.