Small Intestine Function Flashcards

1
Q

Total length of small intestine =

A

~6 metres (range 4.5 - 9 metres)

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2
Q

Duodenum - length & what occurs in it?

A

25cm long

  • gastric acid neutralisation
  • digestion
  • iron absorption
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3
Q

Jejunum length - length & what occurs in it?

A
  1. 5m long

- nutrient absorption

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4
Q

Ileum length - length & what occurs in it?

A
  1. 5m long

- NaCl/H2O absorption => chyme dehydration

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5
Q

What does the intestine have to increase surface area?

A

Fold, villi, microvilli

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6
Q

Cells change every how many days?

A

3-5 days, rapidly dividing

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7
Q

What do crypt cells do?

A

secrete Cl & water

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8
Q

What do villi cells absorb?

A
NaCl
monosaccharides
amino acids
peptides
fats
vitamins
minerals
water
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9
Q

Small intestine secretes how many ml of H2O per day?

A

1500ml

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10
Q

H2O secretion comes from

A

epithelial cells lining crypts of Lieberkuhn

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11
Q

H2O secretion is important for normal digestive process as it:

A
  • Maintains lumenal contents in liquid state
  • Promotes mixing of nutrients with digestive enzymes
  • Aids nutrient presentation to absorbing surface
  • Dilutes & washes away injurious substances
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12
Q

2 distinct types of movement in intestinal motility:

A
  1. Segmentation

2. Peristalsis

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13
Q

Describe segmentation:

A
  • Happens during meal
  • Contraction & relaxation of muscle to move content side to side and mix together
  • Helps mix & bring chyme with absorbing surface
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14
Q

Generation of segmentation:

A
  • Pacemakers in longitudinal muscle layer
  • Intestinal basic electrical rhythm (BER)
  • More AP stronger contraction
    BER reduces slightly from intestine to rectum (to move things down slowly)
  • Parasympathetic increases contraction and sympathetic reduces it (cant be controlled voluntarily)
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15
Q

What is Migrating motility complex (MMC)?

A

Pattern of peristaltic activity travelling down small intestine (starts in gastric antrum)

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16
Q

What is Migrating motility complex (MMC)?

A

Pattern of peristaltic activity travelling down small intestine (starts in gastric antrum)

17
Q

What does Migrating motility complex (MMC) do?

A
  • Move undigested material into large intestine
  • Limit bacterial colonisation of small intestine

Motilin (hormone) involved in initiation of MMC

18
Q

Law of the Intestine

A

If intestinal smooth muscle is distended (eg by bolus of chyme):
- Muscle on oral side of bolus contracts
- Muscle on anal side of bolus relaxes
- Bolus is moved into area of relaxation towards colon
Mediated by neurones in myenteric plexus

19
Q

Gastroileal Reflex

A

Gastric emptying => increase segmentation activity in ileum => opening ileocaecal sphincter (into large intestine) => chyme enters large intestine => colonic wall stretches => ileocaecal sphincter closes to prevent backflow