Lect 8 GI tract Flashcards
Alimentary canal
oral cavity ->
pharynx - transport ->
esophagus - transport ->
Stomach - primarily chemical digestion; continued mechanical digestion ->
Small intestine- continued chemical digestion; absorption ->
Large intestine - absorption (h2o + electrolytes)
pharynx
provides communication bw nasal + oral cavities and larynx/esophagus
-serves as passage for air and food
-mostly stratified squamous non keratinized epi
-respiratory ares lined with pseduostratified respirator epi
3 regions: naso, oro and laryngopharynx
4 layers of alimentary wall
layers modified based on function
mucosa, submucosa, muscularis externa, serosa or adventitia
mucosa
lining epithelium - varies
lamina propria - loose CT
muscularis mucosae - smooth muscle
Submucosa
Dense irregular CT
Muscularis externa
smooth muscle - inner circular/outer longitudinal- all regions except upper 2/3 of esophagus, which is skeletal
serosa/adventitia
serosa - mesothelium and underlying CT
adventitia - CT
esophagus mucosa
lining epithelium: SSNKE
lamina propria - loose CT w. lymphatic nodules and diffues lymphatic tissue (MALT) scattered throughout; esophogeal cardiac glands
muscularis mucosae: smooth muscle, organizes in the esophagus
esophogeal cardiac glands
location: lamina propria of distal esophagus only
function: secrete mucus and protects esophagus from acidic gastric fluids that reflux into esophagus
esophagus submucosa
Dense irregular CT, w/ elastic fibers that allows for expansion for food bolus; esophageal glands proper, location of Meissner’s plexus
Esophageal glands proper
location: throughout length of the esophageal mucosa
function: mucus product lubricates the wall, offers protection and facilitates transport of food
Esophagus muscalaris externa
inner circular/outer longitudinal
skeletal muscle replaced such that swalling begins as controlled voluntary movement but ends in involuntary peristalis
Upper 1/3: skeletal
middle 1/3: mixed
Lower 1/3: smooth
Auerbachs plexus: between inner circular/ outer longitudinal layers
Esophagus adventitia/serosa
thoracic cavity: an adventitia binds esophagus to other structure within the thoracic cavity (trachea, aorta)
abdominal cavity: serosa covers the intra-abdominal portion of the esophagus
Gastroesophageal junction
Features: abrupt change in the epithelium from Strat Squamous NKE to simple columnar epithelium Gastroesophageal sphincter (physiologic sphincter) increased tone in the inner circular layer of the muscularis externa
Stomach regions
cardia, fundus, body, pylorus
(fundus & body are same histologically)
4 layers of wall
major function: physical and chemical digestion -> process food into chyme
stomach mucosa
Lining epithelium - simple columnar
covers the luminal surface, gastric pits, glands
Lining epithelium of stomach mucosa
Six cell types. 1. surface mucous cells 2. mucous neck cells 3. stem cells 4. enteroendocrine cells 5. Parietal cells 6. chief cells
(glands are lined by 3-5 cell types)
surface mucous cells
Location: luminal surface of stomach and gastric pits
structure: simple columnar cells; apical mucigen granules; basal nucleus
function: release mucin, which w/ water, forms a viscous alkaline mucus high in bicarbonate ion concentraion; buffers and coats the luminal surface and protects the epithelium from the acidic luminal contents
glands of the stomach mucosa
Gastric (fundic) - in body and fundus
contains mucous neck, stem, enteroendocrine, parietal and chief cells
Cardiac glands- in cardia
contains mucous neck, stem, enteroendocrine, may have some parietal cells
pyloric glands: in pylorus
contain mucous neck cells, stem cells, enteroendocrine cells
mucous neck cells
location: isthmus and neck of cardiac, pyloric and gastric glands (small clusters or individually)
structure: columnar cell; may appear less regular in shape because of compression by adjacent cell; apical mucigen granules, basal nucleus
Function of mucous neck cells
contribute to mucous blanket, produce a less alkaline mucus compared with surface mucous cells (although they look the same as mucous cells, their secretions are much different)
protect parietal cells
stem cells of stomach mucosa in glands
Location: isthmus and neck of cardiac, pyloric and gastric glands
Structure: columnar cells
Function: stem cell for all epithelial cell types in the stomach
enteroendocrine cells
location: primarily at base of cardiac pyloric and gastric glands
Structure: basally located secretory granu
function of enteroendocrine cells
basal secretion of various hormones into lamina propria (blood vessels)
Parietal cells of the stomach glands
Location: scattered through out gastric glands (few in cardiac)
Structure: large; triangular shape with intracellular canaliculi with microvilli
Cytoplasm is eosinophilic due to abundant mitochondria, which are necessary to fuel ion pumps
function of parietal cells
produce hydrochloric acid
does not secrete HCl in its final form; H+ and Cl- secreted separately -> combine in the lumen
Chief cells
location: base of gastric glands
structure: apical granules (zymogen granules) contain proenzyme pepsinogen
Basal cytoplasm is basophilic due to presence of rER that synthesize protein for secretion
function of chief cells
secrete pepsinogen
-once in contact with acidic environment, pepsinogen is converted to pepsin, a digestive enzyme
secrete gastric lipase