oesophagus and stomach Flashcards

stomach: list the main functions, distinguish between the functional regions and recall the movements of the stomach

1
Q

what pressure is the stomach under

A

positive

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2
Q

3 key functions of stomach

A

digestion of macronutrients, storage reservoir for food until downstream organs are ready to receive stomach contents, immunological protection using strong acid

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3
Q

two types of digestion

A

chemical (acid and enzymes), mechanical (mixing and churning)

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4
Q

what is stomach mucosa lined with

A

columnar epithelia

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5
Q

what is the stomach mucosa invaginated with and what does this contain

A

gastric pits, containing specialist exocrine and endocrine cells

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6
Q

anteriorly, 5 anatomical regions of stomach

A

fundus, cardia, body, pyloric (antrum and canal), duodenum

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7
Q

function of fundus and body

A

secrete HCl, mucous and pepsinogen

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8
Q

function of cardia and pyloric canal

A

secrete mucous only

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9
Q

function of pyloric antrum

A

gastrin secretion (stimulates acid production)

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10
Q

two curvatures and relevant positions

A

lesser curvature (superior), greater curvature (inferior)

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11
Q

exception of stomach wall vs other parts of digestive tract

A

extra oblique layer of smooth muscle inside circular layer

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12
Q

purpose of extra oblique layer of smooth muscle

A

aids in performance of complex grinding motions (mechanical digestion)

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13
Q

empty state of stomach

A

contracted

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14
Q

state of mucosa and submucosa of stomach at empty state

A

thrown up into folds (rugae)

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15
Q

state of mucosa and submucosa of stomach at full state

A

rugae become stretched and flat

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16
Q

function of rugae

A

allow stomach to undertake reservoir function (stomach has very minor role in absorption)

17
Q

colour of stomach lining

A

bright red

18
Q

function of mucous gel lining stomach

A

provides protection against HCl, as is gel coating with HCO3- trapped in mucus gel to protect epithelial surface lining

19
Q

what invaginates into columnar epithelium

A

tubular glands

20
Q

where are mucus producing cells found

A

in neck of glands and just produce mucus

21
Q

features of peristalsis

A

20% contractions, propels chyme towards colon, more powerful as moves from LOS to pyloric sphincter; driven by ANS (centrally)

22
Q

features of segmentation

A

80% contractions, weaker, fluid chyme towards pyloric sphincter, solid chyme pushed back to body; stretching activates enteric nervous system (locally)