L22 - GI Motility Flashcards
what is swallowing?
The passage of food bolus from the oral cavity to the stomach
What does swallowing do?
- protect the airway
- prevent entry of air into the stomach
What does swallowing involve?
Co-ordinated activity of muscles in the oral cavity, pharynx, larynx and oesophagus
(Partly voluntar, reflexive in nature)
What are the 3 different phases of swallowing?
- oral
- pharyngeal
- oseophageal
What is the swallowing reflex stimulated by?
Food bolus stimulating pressure receptors in the back of the throat and pharynx
What are the steps in the swallowing reflex?
- stimulation of pressure receptors
- signals swallowing centre in brain
= nerve impulses - involuntary contraction in pharyngeal muscles
= material into oesophagus
How many muscles does the swallowing reflex involve?
25 pairs
What is swallowing a key role of?
Oral drug administration
- pathway to digestive system
- convenient route
- wide range of dosage forms
- timing with food
What is the motility in the stomach?
- mixing and churning
- role in digestion
- formation of chyme
- peristalsis
- gastric emptying
- depends on viscosity
What is gastric emptying?
Exit to the small intestine
How is stomach motility involved in drug administration?
- mixing and dissolution of drugs
- gastric emptying influences drug absorption
- drug stability
What is the motility in the SI?
- mixed by segmentation
- movement by peristalsis
(Sequential activity in muscle bands) - coordinated by the enteric nervous system
What are the steps in peristalsis?
- contraction of circular muscles behind food mass
- contraction of longitudinal muscles ahead of food mass
- contraction of circular muscle layers forces food mass forwards
What is the intestinal and colonic motility controlled by?
ENS
(Enteric nervous system)
What are the 2 main branching networks in the intestines?
- auerbachs (myenteric) plexus
- meissners (submucosal) plexus