Lecture 19 Flashcards
Four regions of the stomach (in order)
1.
2.
3.
4.
5.
- areas that form the pyloric part)= ________ and ______
- Cardia
- Fundus
- Body
- Pyloric
- antrum; pylorus
The muscularis externa in the stomach has 3 layers
1.
2.
3.
- it allows the stomach to _____ (mechanical breakdown) and ____ food
- oblique muscle
- circular muscle
- longitudinal muscle
- churn; mix
Stomach ______: (wrinkles in stomach ______) mucosal folds that allow for gastric __________, enabling it to accommodate varying volumes of ingested food and liquids… _______ the surface area for digestive processes
rugae; lining; expansion; increases
Pyloric Sphincter
- located:
- thick ring of ______ muscle that regulates the passage of ______ into the _________
- at the end of the pyloric part of the stomach
- smooth; chyme; duodenum
- ________: inner curvature of the stomach
- ________: outer curvature of the stomach
- ___________: double layered peritoneal fold that connects the lesser curvature of the stomach to the ________, it helps suspend and support the stomach
- lesser
- greater
- lesser omentum; liver
- pH level within the lumen of the stomach= ______
- pH level near the epithelial cells that line the walls of the stomach= ______
-this difference is possible due to the ______ of gastric juices (which contain __________) in the lumen. The epithelial cells have _________ mechanisms to prevent the acidic environment from affecting them directly
- 1.5
- 7
- secretion (hydrochloric acid); protective
Three mechanisms that protect the stomach from the harsh acidic and enzymatic environment…
1. _____________: the bicarbonate is a ____ that ________ stomach acid
2. __________: prevent ______ _______ from seeping between them
3. ___________: every ___ to ____ days due to the presence of the _____ cells; rapid replacement
- Mucous-bicarbonate barrier (mucous coat); base; neutralizes
- Epithelial tight junctions; gastric juice
- (Damaged) Epithelial cell replacement; 3 to 6; stem
- in the mucous coat of the stomach, the _________ ion is abundant
- _______ cells (surface epithelial cells) of the stomach lining is the source of this ion
- this ion acts as a ______ (____ in this case) neutralizing acid
- bicarbonate
- mucous
- buffer; base
Does the stomach have any secretion coming from accessory glands?
NO
________: fluid secreted by the stomach glands, composed mainly of _____, _____, & _____
gastric juice; water; acid; pepsin
Secretions of different cell types in gastric glands
- parietal cells:
- chief cells:
- G cells:
- Enteroendocrine cells:
- Enterochromaffin cells:
- gastric acid (HCl) & intrinic factor
- pepsinogen & lipase
- gastrin
- hormones
- histamine
- _____________: glycoprotein that aids in vitamin _____ absorption by the small intestine
- produced in the gastric glands by the __________ cells
- intrinsic; B12
- parietal
Pepsinogen is activated by ______ to become pepsin (active… digests ______)
gastric acid (HCl); proteins
The digestion of proteins beings in the _______; which enzyme secreted in the gastric glands digests proteins? __________ which was first ___________ secreted by ________ cells then it underwent transformation with the presence of acid
stomach; pepsin; pepsinogen; chief
- Gastrin is a ________ secreted by ____ cells (mostly in the _____ _______ but can also be found in the __________)
- amount other functions, it stimulates secretion of ______ by the ______ cells
- hormone; G (pyloric antrum; duodenum)
- HCl; parietal
- Cells that are responsible for acid production in the stomach= ___________
- Specific name of the stomach acid= ________
- pump crucial for gastric acid production= __________
-this pump exchanges ______ for ______ ions across the gastric parietal cell membrane - ______ used by the proton pump comes from inside the partial cell, ________ ______ (_________) breaks down into __________ ion and ____
- parietal cells
- hydrochloric acid (HCl)
- H+/K+ ATPase (=proton pump)
-H+ for K+ - H+; carbonic acid (H2CO3); bicarbonate; H+
Parietal cells do _____ create HCL in their cytoplasm (it would _______ the cell)!
- so transporting _____ and ____ separately, allows for the cell to maintain its structural integrity
- NOT; destroy
- H+; Cl-
What triggers the production of stomach acid?
- Neural: _______ secreted by the _________ nervous system through __________ type 3 receptors
- Hormonal: __________
- Paracrine: __________
- Acetylcholine; parasympathetic; muscarinic
- gastrin
- histamine
Factors that stimulate the release of gastrin produced by the _______ cells
- the presence of _____ and _____ in the stomach (increase pH)
Direct effects of gastrin on acid gastric secretion
- it stimulates the ______ cells to release _____ upon binding to a surface receptor
Indirect effects of gastrin on acid gastric secretion
- induces _______ release from ___________ cells, which in turn acts as a _________ signal to further stimulate acid secretion by _______ cells in the gastric mucosa
G
- AAs; peptides
- parietal; HCl
- histamine; enterochromaffin-like (ECL); paracrine; parietal
Term for the partially digested, semi-fluid mixture of food and digestive fluids in the stomach
chyme
Three phases of gastric acid secretion
1. _________:
2. ________:
3. ________:
- in which gastric acid secretion phase does the enterogastric reflex occur= ________
- Cephalic phase:
- Gastric phase
- Intestinal phase
- intestinal phase
- What stimulates gastric acid secretion during the cephalic phase? ________________
- cephalic phase effects are mediated by the ____________ NS by the ______ nerve
- gastric juice is secreted in response to _____ stimulation
- the sight, taste, smell, or thought of food
- parasympathetic; vagus
- vagal