GIT Flashcards
6 major functions of GIT
- ingestion
- digestion
- motility
- secretion
- absorption
- elimination
Also… - immune defence
- nutrition & metabolism
Layers of the GIT
1) Mucosa
- epithelium
- lamina propria (loose CT, rich in blood)
2) Submucosa
- dense irregular CT, large vessels
- submucosal glands, secrete buffers and enzymes
- submucosal plexus
3) Muscularis externa
- smooth muscle
- myenteric plexus
4) Serosa
- serous membrane
lining of the small intestine is made up of…
Plicae circularis - folds supported by submucosa Villi - finger like projections of mucosa Microvilli - tiny structures on enterocytes (absorptive cells) - increase surface area 600-fold
what is each villus lined by?
simple columnar epithelium
- enterocytes
- goblet cells
- enteroendocrine cells
- paneth cells
- stem cells
regulation of motility and secretion of GIT through neural mechanisms
Extrinsic (autonomic) - parasympathetic (stimulate) - sympathetic (inhibit) Intrinsic (enteric nervous system) - submucosal plexus (local effects) - myenteric plexus (whole tract motor control)
regulation of motility and secretion of GIT through hormonal mechanisms
enteroendocrine cells (EEC) are present (peptides)
1) gastrin - from stomach
2) cholecystonkinin (CKK) - from SI
3) secretin - from duodenum
4) GIP - from SI
5) motilin - throughout gut
6) somatostatin - stomach and duodenum
GIT smooth muscles
- small spindle shaped cells form tube
- in muscularis mucosa and externa
- are syncytium-electrically coupled
- joined by gap junctions
- contractions are slow, waved
types of intestinal motility
Peristalsis - move intestinal content distally - more longitudinal muscle cells Segmentation - mixing of chyme - more circular muscle cells
3 paired salivary glands in oral cavity
Parotid - water and enzymes
Submandibular - mucous, enzymes and water
Sublingual - mucous
content and function of saliva
- lubrication, coating and protection
- 99% water
- high K+ and HCO3-
- IgA (immune defence)
3 stages of swallowing
1) oral stage
- voluntary
- upper oesophageal sphincter (UES) closed
2) pharyngeal stage
- involuntary
- UES open
- epiglottus blocks larynx
2) oesophageal stage
- involuntary
- USE re-closed
dysphagia
difficulty in passage from mouth to stomach
layers of the stomach wall
Mucosa
- simple columnar epithelium and lamina propria
Gastric pits
- depression in mucosa
Gastric glands
- secrete mucous, gastric juice and gastrin
HCL secretion in the stomach
1) formation of carbonic acid (CO2 + H2O -> H2CO3)
2) dissociation of carbonic acid (H2CO3 -> H(+) + HCO3-)
3) H+ pumped from cell to lumen by proton pump (H-K-ATPase)
4) Cl- and HCO3- antiporter transports HCO3- into plasma and Cl- from plasma into cell
5) Cl- pumped into lumen through facilitated diffusion
6) Cl- and H+ join in lumen to form HCl
roles of HCL
- chief cells secrete pepsinogen
- HCL activates pepsinogen to pepsin
- HCL converts ingested Fe3+ to Fe2+