GI Tract Flashcards

1
Q

General Structure of the GI Tract

A

Mesentary
- wall around the tube (protective membrane)

Serosa

  • serous producing glands
  • internal visceral layer
  • outside parietal layer
  • Secretion between the two to establish a boundary

2 Layers of Muscle

  • Muscularis Externa - longitudinal
  • Muscularis Mucosa - goes around the tube

Mucosa layer

  • invaginations into the lumen to increase surface area for absorption of proper nutrients
  • contains Plica Circularis

Submucosa

  • behind mucosa
  • lymphoid nodules and some glands
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2
Q

Esophagus

A

Mucosa

  • Epithelial portion - stratified squamous non keratinized
  • Some glands
  • layer of smooth muscle - muscularis mucosa

Muscularis Externa

  • longitudinal muscle
  • skeletal muscle and smooth muscle
  • lumen in very small compared to other portions of GI tract
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3
Q

Esophago-gastric Junction

A
  • Where the esophagus meets the stomach
  • Epithelium changes
  • Goes from stratified squamous to simple columnar epithelium which invaginates as gastric pits
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4
Q

Cardiac Stomach

A
  • Simple Columnar epithelium
  • Gastric pits - invaginations
  • Cardiac Glands - mucous secreting
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5
Q

Body and Fundus Stomach

A
  • Large cavity
  • many folds inside the body to expand the surface area (called rugae)
  • Gastric pits become deeper and the glands become more complex
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6
Q

Pyloric Stomach

A
  • Deeper gastric pits
  • short pyloric glands which are coiled tubular branched
  • secretes mostly mucous
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7
Q

Surface mucous cells

A
  • on the surface of gastric pits
  • secrete mucous
  • serves as protection, preserves the content
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8
Q

Mucous neck cells

A
  • under surface mucous cells

- secrete mucous

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9
Q

Parietal Cells

A
  • Produce HCl and intrinsic factor
  • needed for digestion
  • When active - they secrete HCl
  • there is a rearrangment of intracellular organelles when active
  • More microvilli increase the surface are so there is more secretion
  • Have a prominent Golgi and a lot of mitochondria due to their secretory nature
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10
Q

Chief Cells

A
  • also called zymogenic cells
  • Produce lipase - cleave lipids
  • Takes care of any lipid content in the food
  • Produce pepsinogen that is made into pepsin
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11
Q

G cells

A
  • Produce gastrin
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12
Q

Enteroendocrine Cells

A
  • Called Argentaffin cells because you use silver stain to find these
  • secrete serotonin
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13
Q

HCl Production

A
  • Secreted by parietal Cells
  • Production consumes ATP - involves active transport
  • Carbonic anhydrase - synthesizes bicarbonate
  • Protons are channeled to the outside
  • Bicarbonate ion is exchanged with Cl
  • Cl is released with H to form HCl
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14
Q

Transition from the Stomach to the Intestine

A
  • Duodenum is the beginning of the small intestine
  • Change in mucosa from gastric pits to intestinal villi
  • Sphincter- circle of smooth muscle that opens and closes at the end of stomach - Pyloric sphincter
  • There is an increase in amount of microvilli for increased surface area for absorption
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15
Q

Structure of the small intestine

A
  • Large number of glands and microvilli

Glands of Liberkuhn

  • Goblet Cells - Secrete mucous
  • Paneth Cells - secrete serous
  • Absorptive Cells- able to absorb whats coming in GI Tract
  • Argentiffin - endocrine cells
  • Dividing cells constantly push cells upwards for replacement
  • lymphocytes that give a connection with immune system

Microvilli contain some of the same cells

  • Formed by actin
  • Fibrin bridges between filaments of actin
  • Villin - protein that forms the top of the microvilli
  • smooth muscle inside
  • Blood circulation and lymphoid circulation inside
  • some nervous connection in submucosa and muscle
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16
Q

Duodenum

A
  • Villi on surface
  • short crypts compared to other parts of small intestine
  • Long duodenal glands - Brunner’s gland - typically branched and extend into submucosa
17
Q

Jejunum

A
  • Only surface villi and crypts of lieberkuhn
18
Q

Ileum

A
  • surface villi with crypts of lieberkuhn
19
Q

Peyer’s Patches

A
  • in Ileum
  • lymphatic nodules
  • immediately underneath mucosa
20
Q

Large Intestine

A
  • Colon
  • Ileum goes into the cecum of the large intestine
  • Ascending to tranverse to descending colon
  • Sigmoid colon is the end which attaches to the rectum
  • Disapperance of the villi in the large intestine
  • both have crypts
21
Q

Appendix

A
  • Plenty of lymphoid nodules
  • has crypts in mucosa
  • typically full of debris which is cleaned by the lymphoid nodules
  • no villi
22
Q

Teniae Coli

A
  • Longitudinal muscle that has accumulated into 3 bands in the large intestine
23
Q

Recto-Anal Junction

A
  • Rectum lined by simple columnar epithelium and tubular glands changes to stratified squamous epithelium of anus
24
Q

Cell Renewal in the GI Tract

A

Stomach

  • Stem cells are not as deep in the pits compared to the small intestine
  • undergo mitosis, replacing the ones above and below them

Small and Large intestine
- stem cells are located at the bottom of the pits

Most of the epithelium of GI tract is non keratinized, so it is not very tough