Histology of the Oesophagus and Stomach Flashcards

1
Q

Type of muscle in each 1/3 of the oesophagus

A
  • Upper = striated (skeletal)
  • Middle = mix
  • Lower = smooth
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2
Q

Tissue layers of the oesophagus

A
  • Stratified squamous epithelium
  • Lamina propria
  • Muscularis mucosa
  • Submucosa
  • Circular muscles
  • Longitudinal muscle
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3
Q

What causes the star-shaped lumen of the oesophagus?

A

Contraction of the muscularis mucosa creating longitudinal mucosal folds

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4
Q

What glands are found in the oesophageal submucosa and what is their function?

A
  • Submucosal (accessory salivary)
  • Make secretion to lubricate mucosal surface
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5
Q

What is the epithelial change at the gastro-oesophageal junction?

A

Stratified squamous –> simple columnar

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6
Q

4 macroscopic regions of the stomach

A
  • Cardia (surrounding oesophageal orifice (OO))
  • Fundus (above horizontal line from OO)
  • Body (below line)
  • Pyloric antrum (surrounding pylorus)
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7
Q

3 histological regions of the stomach

A
  • Cardiac region
  • Pyloric region
  • Fundic region
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8
Q

What glands are found in the fundic region of the stomach?

A

Fundic/gastric glands

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9
Q

Components of the gastric gland and their function

A
  • Pit = entrance to gland
  • Neck = where branching can occur
  • Deep zone = where acid/enzyme/hormones are made
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10
Q

2 types of cell in the pit/neck of a gastric gland, and what they do

A
  • Surface mucous cell (simple columnar)
  • Neck mucous cell
  • Secrete mucous
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11
Q

What does the gastric mucosa contain to give it its protective function?

A

Lots of HCO3-

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12
Q

3 types of cell in the deep zone of a gastric gland and their functions

A
  • Parietal cells (secrete HCl + intrinsic factor)
  • Chief cells (enzyme secretion)
  • Enteroendocrine cells (secrete hormones)
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13
Q

What does intrinsic factor play a role in?

A

Absorption of vitamin B12

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14
Q

What cells are found in the isthmus (just above neck) of a gastric gland, and what is their function?

A

Undifferentiated stem cells (replace cells above or below)

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15
Q

Which cells dominate the cardiac and pyloric regions of the stomach?

A

Columnar mucous cells

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16
Q

What stimulates chief cells in gastric glands?

A

ACh

17
Q

What is secreted by chief cells in a gastric gland, and what does this become and how?

A

Pepsinogen (HCl converts to pepsin)

18
Q

What does a lack of intrinsic factor cause?

A

Pernicious anaemia

19
Q

Organisation of organelles in a gastric chief cell

A
  • Lots of rER in basal portion
  • Secretory vesicles containing pepsinogen in apical portion
20
Q

What adapted structure is found in gastric parietal cells and what is its function?

A
  • Secretory intracellular canaliculus
  • Increases surface area
21
Q

Which enzymes are found in the secretory canaliculus and why?

A
  • Carbonic anhydrase (make HCO3- for transfer of Cl-)
  • H+/K+ ATPase (for transfer of H+)
  • H+ + Cl- –> HCl