Small Intestine secretions and GI motility Flashcards

1
Q

What are the 3 surface area adaptations for the small intestine?

A

Plicae circularis -> villi -> microvilli

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2
Q

Where are the microvilli found?

A

On top of intestinal enterocytes

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3
Q

What are the different cell types and their roles?

A

Enterocytes - absorptive
Goblet cells - secretory
Paneth cells - defense
Enteroendocrine cells - hormone secretion

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4
Q

What are the glands at the bottom of the villi called?

A

Crypts of Lieberkuhn

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5
Q

What secretes mucous in the small intestine?

A

Brunner’s glands and goblet cells

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6
Q

How much does the small intestine approx. absorb?

A

8500mls

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7
Q

What hormones do the enteroendocrine cells produce?

A

CCK, secretin and motilin

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8
Q

What is the greatest volume of small intestine secretion?

A

Cl- rich isotonic fluid by crypts

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9
Q

What is the specialization found in the duodenum?

A

presence of Brunner’s glands in submucosa
Secretes bicarbonate rich secretions - change pH

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10
Q

What is the specialization found in the jejunum?

A

Plicae circularis - most abundant here

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11
Q

What is the specialization found in the ileum?

A

Peyer’s patches

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12
Q

What is the main blood supply for the small intestine?

A

Superior mesenteric artery

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13
Q

What facilitates absorption?

A

Extensive mucosal vascularization

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14
Q

What are the three types of small intestinal musculature?

A

Basal tone, mixing contractions and moving contractions

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15
Q

What are segmentation contractions?

A

Static contractions on either side of the tube
Rhythmic irregular contractions
Divide up luminal content - mixing the chyme
Most common after feeding

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16
Q

What is segmentation modified by?

A

ENS, parasympathetic and sympathetic innervation

17
Q

What is peristalsis in the small intestine?

A

Adjacent contractions in aboral movement
Occurs in response to luminal distension
Longitudinal and circular muscle

18
Q

What is peristalsis modified by?

A

Enteric nervous system, ACh, VIP or NO

19
Q

What is the myoelectrical complex?

A

Slow migration of undigested food
stimulated by motilin
3 phases

20
Q

What are the 3 phases of the migrating motor complex?

A

Quiescence - no contractions
Phase II - irregular contractions
Phase III - regular contractions

21
Q

What is the autonomic control of the small intestine?

A

Parasympathetic nerve activity
Vagus nerve

22
Q

What is the hormonal control of the small intestine?

A

Motilin
Gastrin (gastro-ileal reflex)

23
Q

What is the enteric control of the small intestine?

A

Basal electrical rhythm (ICC)

24
Q

How does the contribution of the vagus nerve to the GIT motility differ as we move down the tract?

A

Decreases