Lecture 3 Flashcards
what is the 3 main cells in the gastric gland
mucous neck cells, parietal cells and chief cells
what pump do drugs work on to control the acidity inside the stomach
potassium proton pump
what inhibitor is used for the production of HCl in the stomach
prostaglandins
what 3 mechanisms control gastric acid secretion
neurocrine (vagal/local reflexes), endocrine (gastrin) and paracrine (histamine)
what are local reflexes
they are related to ENS (enteric NS)
what are the 3 phases to stimulating gastric acid
cephalic phase, gastric phase and intestinal phase
what do G cells release
gastrin
what does ACh, gastrin and histamine activate in the cephalic phase
parietal cells
what is the difference in cephalic phase and gastric phase
the activation of the enteric reflexes are turned on in the gastric phase
what happens when there is peptides in the lumen of the stomach
activates G cells and secretes gastrin
what happens when there is acid in the duodenum
activation of the splanchnic nerve and the release of secretin
what does the release of secretin and activation of the splanchnic nerve have on gastrin
decreases the secretion of gastrin, leading to decreased stimulation of the parietal cells
what type of effect does the splanchnic nerve have on the release of HCl
inhibitory effect
what are enterogastrones
hormones release from gland cells in duodenal mucosa
what 3 hormones are released from gland cells in the duodenal mucosa
secretin, cholecystokinin (CCK) and GIP (gastric inhibitory polypeptide)
how do enterogastrones get activated
release in response to acid, hypertonic solutions, fatty acids or monoglycerides
what is the last part of the small intestine
ileum
if a patient has problems in their parietal cells and they cannot produce intrinsic factor, what would there diagnosis be called
pernicious anaemia
what does pernicious mean
gradual
how does pepsinogen get activated
when it is in acidic pH