small intestine structure and function Flashcards

1
Q

parts of small intestine

A

duodenum
jejunum
ileum

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2
Q

approx length small intestine

A

~6m

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3
Q

duodenum lenght and function

A

25cm

gastric acid neutralisation, digestion, iron absorption

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4
Q

jejunum length and function

A

2.5m

nutrient absorption

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5
Q

ileum length and function

A

3.5m

NaCl/H20 absorption –> chyme dehydration

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6
Q

what does villus cell absorb

A
NaCl
monosaccharides
amino acids
peptides
fats
vitamins
minerals
water
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7
Q

what do crypt cells secrete

A

Cl

water

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8
Q

intestinal water secretion

A

~1500ml per day from epithelial cells lining crypts of Leiberkuhn

secreted osmotically as consequence of active secretion of chloride into intestinal lumen

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9
Q

how is water important for normal digestive process

A
  • maintains lumenal contents in liquid state
  • promotes mixing of nutrients with digestive enzymes
  • aids nutrient presentation to absorbing surface
  • dilutes and washes away potentially injurious substances
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10
Q

2 distinct types of intestinal motility

A

segmentation

peristalsis

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11
Q

segmentation

A

contraction and relaxation of short intestinal segments
most common during meal

provides thorough mixing of contents with digestive enzymes and brings chyme into contact w absorbing surface

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12
Q

generation of segmentation contractions

A

initiated by depol generated by pacemaker cells in longitudinal muscle layer

intestinal BER produces oscillations in membrane potential –> threshold –> AP –> contraction

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13
Q

what determines strength and freqeuncy of segmentation contractions

A

strenght - AP frequency

frequency - BER

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14
Q

parasympathetic NS effect on segmentation contractions

A

increase

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15
Q

sympathetic NS effect on segmentation contractions

A

decrease

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16
Q

migrating motility complex (MMC)

A

pattern of peristaltic activity travelling down small intestine (starts gastric antrum)
as one MMC ends another begins

arrival of food in stomach = cessation of MMC and initiation segmentation

17
Q

MMC acts to

A

move undigested material into large intestine

limit bacterial colonisation of small intestine

18
Q

which hormone is involved in initiation of MM C

A

motilin

19
Q

law of the intestine

A

if intestinal smooth muscle is distended by chyme

  • muscle on oral side of bolus contracts
  • muscle on anal side of bolus relaxes
  • bolus is moved into area of relaxation towards colon
20
Q

gastroileal reflex

A

gastric emptying –> inc segmentation activity in ileum

  • opening ileocaecal sphincter
  • entry chyme large intestine
  • distention colon
  • relfex contraction of ileocaecal sphincter prevents backflux into small intestine