Lecture 25 Flashcards

1
Q

What are the folds in the small intestine called?

A

Folds of Kerckring

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2
Q

What are the general layers of the GI tract working from the lumen out

A

Mucosa : Lamina propria (loose layer of connective tissue containing capillaries, lymph and immune cells, Muscularis mucosae (smooth layer), epithelia
Submucosa: loose collagenous connective tissue
larger blood vessels, lymphatics and nerves
glands
Muscularis externa: longitudinal smooth muscle
circular smooth muscle & enteric nerves are present between the muscle layer
Serosa: outermost layer Enveloping layer of connective tissue
Covered with layer of squamous epithelia cells

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3
Q

Describe the enteric nervous system

A

Consists of over 100miliion neurones. It is a reflex circuit that controls motility, secretion and absorption.ENS is located only in the GI tract, primarily the myenteric and submucosal plexus

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4
Q

Describe the structure of the stomach

A

It is hollow with gastric pits

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5
Q

What are the cells present in the gastric pits and their functions

A

Chief cells secrete pepsinogen (zymogen) hydrolyse peptide bonds
Parietal cells secrete acid
G-cells secrete gastrin
D-cells secrete somatostatin

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6
Q

How is HCL secretion regulated?

A

Vagus nerve stimulates parietal cell
Vagal stimulation of enterochromaffin-like cell (ECL) increases histamine release
G-cells secrete gastrin which promote acid secretion directly and indirectly
Somatostatin inhibits acid secretion

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7
Q

What is the function of mucus neck cells and surface epithelium cells?

A

Mucus neck cells and surface epithelial cells are important for protection
Mucus is secreted by mucus neck cells
HCO3- is secreted by surface epithelia
Mucus traps HCO3- forming a protective ‘mucus gel layer’

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