Lecture 25 GI Physio Secretion Flashcards
what are the Major EXOCRINE secretions?
Enzymes
Mucus
Electrolyte (serous) solution
whats the Functions of exocrine secretion?
Digest food
Dilute food
Optimal pH
Protection and lubrication
exocrine secretions
whats the volume of saliva, stomach, pancreas, liver, and SI? (from least to most)
Liver = 0.5 L / day
Pancreas, Saliva, SI = 1.5 L/day
Stomach = 3L/day
~8L/day + oral intake
RE- absorption important
production of saliva
whats the 3 pairs of salivary glands?
Parotid gland
sublingual gland
submandibular gland
whats the volume and rate of saliva?
1.5 L day-1
Rate
- Basal 0.3 ml/min
- Stimulated - 1.5 ml/min
whats the composition of saliva?
Mucus (lubrication)
Dilution solution of NaHCO3 / NaCl
Enzymes (a-amylase, lipase)
why do you have Dilution solution of NaHCO3 / NaCl in saliva?
dilution
optimal pH
what enzymes in saliva?
a-amylase
lipase
whats the functions of saliva?
Not essential
Lubrication
Hygiene
Digestion
why do you need lubrication from saliva?
chewing
swallowin
why do you need hygiene from saliva?
irrigation
whats digestion from saliva?
dissolves food allows tasting
a-amylase
how do you regulate of salivary secretion?
Nervous
Autonomic nervous system
what does the Nervous do for regulation of salivary secretion?
Thought, smell, sight of food
Presence of food in mouth, chewing
what does the Autonomic nervous system do for regulation of salivary secretions?
Parasympathetic
- Acetylcholine - copious volumes
Sympathetic
- Adrenaline - small volume of viscous fluid
regulation of salivary secretions
Autonomic nervous system
Parasympathetic
Acetylcholine -
copious volumes
regulation of salivary secretions
Autonomic nervous system
Sympathetic
Adrenaline -
small volume of viscous fluid
whats the volume of gastric secretions?
2 - 3 L per day
whats the volume rate of gastric secretions?
- Between meals
- Eating / food in stomach
- Slow rate (15-30 mls/hr)
- Superimposed on basal rate (150 mls/hr)
whats the composition of gastric secretions between meals?
mainly mucus
whats the composition of gastric secretions while eating / food in stomach?
NaCl / H2O Acid 150 mM HCl, pH 1.0 Mucus HCO3 Pepsinogen Intrinsic factor
for gastric secretions
whats the function of mucus?
Protection against Abrasion and Acid
for gastric secretions
whats the function of intrinsic factor?
Absorption of Vitamin B12 in small intestine
for gastric secretions
whats the function of pepsin?
Secreted as pepsinogen
Converted to active form pepsin by acid
Starts digestion of proteins
for gastric secretions
whats the function of Gastric acid?
Denatures protein Activates pepsinogen to pepsin Optimum pH for pepsin Protection Dilutes food
what do surface cells secrete?
mucus / HCO3
what do chief cells in the gland secrete?
pepsinogen
what do parietal cells in the gland secrete?
acid
intrinsic factor
regulation of gastric secretion
whats it coordinated with?
eating and arrival of food
regulation of gastric secretion
what are the 3 phases?
cephalic
gastric
intestinal
whats the cephalic phase?
head controls secretion
~20% of secretion associated with meal
preparation
stimuli
- Higher centres (though, smell, sight)
- chewing action / taste