mechanisms of GI motility Flashcards

1
Q

what is the main muscle in the GI tract

A

mainly smooth muscle but some skeletal

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2
Q

what is gut motility controlled by

A

ENS and some extrinsic control by ANS

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3
Q

what is the myenteric plexus involved in and influenced by

A

muscle contraction

ANS

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4
Q

what is the submucosal plexus involved in

A

sensory functions and local responses to the stimulation of sensory nerve endings in the mucosa

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5
Q

What neurons are the enteric NS composed of

A

motor, interneurons and sensory

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6
Q

ENS- where do the motor neurones go

A

smooth muscle
intrinsic arterioles
cells regulating acid secretion
enteroendocrine cells

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7
Q

where are enteroendorine cells and what do they do

A

inside the epithelium

sense what is coming into the lumen and respond by secreting hormones that can signal to brain or pancreas

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8
Q

ENS- interneurons function

A

sit between plexuses or join muscle to plexus and allow coordination of reflexes

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9
Q

ENS- sensory neurones

A

2 types
chemoreceptors- sensitive to pH
mechanoreceptors- detect distention of gut so can tell where food is and can control peristaltic movement

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10
Q

ENS what is it mainly controlled by

A

ANS and some somatic motor neurons are involved where striated muscle is involved

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11
Q

what are the types of sphincters in the GI tract

A

upper and lower oesophageal
pyloric
ileo-caecal
anal - internal and external

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12
Q

what muscle is the top 1/3 of the oesophagus `

A

striated skeletal

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13
Q

what muscle is the bottom 2/3 of the oesophagus `

A

smooth

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14
Q

how is upper striated muscle innervated

A

controlled by brainstem swallowing centre and its motor neurons

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15
Q

what is bottom SM of oesophagus innervated by

A

vagus nerve that synapses with the ENS

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16
Q

innervation of oesophagus explained

A

axons of somatic motor neurons deliver a brainstem generated activity pattern to the striated muscle in the oesophagus causing it to contract, after this neurons of he ENS then take over and cause SM to contract at the bottom