GIT Lec 7: Large intestine Flashcards

1
Q

large intestine size

A

-6.5 cm in diameter (name giver), 1.5m in length

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2
Q

Ileocecal value

A
  • sphincter between cecum +ileum
  • opens when ileum contracts (post-meal)
  • closed when large intestine distended
  • retains large intestine contents in
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3
Q

functional domains of large intestine

A
  • cecum/appendix
  • ascending/ transverse/descending/sigmodal colon
  • rectum
  • anus
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4
Q

large intestine epithelial

A

-has only crypts (no villi)- lower SA than small intestine

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5
Q

ascending/ transverse/descending/sigmodal colon

A
  • reabsorption of water
  • reservoir for storage of wastes +indigestible materials
  • absorption of products of bacterial metabolism
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6
Q

cecum/appendix

A

-no apparent function in humans, other species: cellulose digest by bacteria

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7
Q

rectum

A

reservoir for feces

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8
Q

anus

A
  • two sphincters that control defecation
  • external sphincter (skeletal muscle)- control through potty training
  • internal sphincter (smooth muscle)
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9
Q

stem cells in crypts differentiation

A
  • absorptive cell/enterocytes- no brush border enzymes
  • goblet cells- abundant
  • very few paneth + endocrine cells
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10
Q

Ecosystem of bacteria

A
  • greater than 100 trillion microbes
  • gut microbiome: >1000 species of bacteria –> influenced by diet, medications, bowel function
  • produce vitamins
  • cab liberate short-chain fatty acids from dietary fibre
  • influences health- obesity, allergy, C.difficile infection
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11
Q

secretion of water (large intestine)

A

identical to small intestine (cl-)

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12
Q

absorption of water (large intestine)

A

-Na+/K+ ATPase set Na+ gradient

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13
Q

motility of large intestine purpose

A

mixing of contents

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14
Q

mixing of contents segmentation

A

slower basic rhythm- 30 min

18-24 hr retention in colon

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15
Q

mixing of contents propulation

A
  • 3-4/day
  • intense contraction (mass movement)
  • pushes contents to anus
  • occurs after eating, prior to defecation
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16
Q

Feces

A

water +undigested food, bacteria, epithelial cells

17
Q

Defacation

A
  • rectum distends– mechanoreceptors activated
    reflex: rectum contracts(internal relaxes, external contracts) – increase peristalsis in sigmoid colon– increase pressure –relaxes external sph- voided feces
18
Q

toilet training

A

outer sph contracts, reverse peristalsis in sigmoidal colon