Small Intestine Structure and Function Flashcards
What length is the small intestine?
Around 6 metres - 4.5 to 9 metres
Describe the duodenum
Is 25cm long
Gastric acid neutralisation, digestion and iron absorption
Describe the jejunum
Is 2.5m long
Does 95% of the nutrient absorption
Describe the ileum
3.5m long
NaCl/H2O absorption which gives chyme dehydration
What increases the surface area of the small intestine?
Folds, villi and microvilli
How much does folds, villi and microvilli increase the relative surface area?
Folds - 3
Villi - 30
Microvilli - 600
Describe the structure of the villi
Simple columnar epithelium
Lacteal - takes up product of fat digestion
Capillary network
Goblet cells
Crypt of Lieberkuhn
What does the villus cell absorb?
NaCl
Monosaccharides
Amino acids
Peptides
Fats
Vitamins
Minerals and Water
What does does a crypt cell secrete?
Cl and Water
What is the difference between a crypt cell and a villus cell?
Villus cell absorbs
Crypt cell secretes
Describe Na coupled secondary active transport
Na enters cell along with ex. glucose, galactose, amino acids or nucleosides
Promotes water transport
Na leaves basolateral membrane by NaK pump as K is recycled
How much intestinal fluid does the small intestine secrete in a day?
1500ml of H2O
How is H2O secreted from crypts of Lieberkuhn?
Passively as a consequence of active secretion of chloride into intestinal lumen
Why is H2O secretion important for normal digestive process?
Maintains lumenal contents in liquid state
Promotes mixing of digestive enzymes and nutrients
Aids nutrient presentation to absorbing surface
Dilutes and washes away injurious substances
What happens normally to the H2O secreted by crypts?
Reabsorbed by villi
Describe the transport of Cl across the small intestine into lumen
Cl needs K and Na to cross basal membrane
When in cell creates an even more negative environment so Cl leaves cell into lumen - promoting water secretion
Explain the CFTR
Adenylate cyclase converts ATP into cAMP
Which activated PKA causing the release of Cl
What are the 2 distinct types of movement in the small intestine?
Segmentation
Peristalsis
Describe segmentation
Contraction and relaxation of short intestinal segments
The contraction moves chyme into adjacent areas of relaxation
Relaxed areas then contract
What is the function of segmentation in intestinal motility?
Provides thorough mixing of contents with digestive enzymes
Brings chyme into contact with absorbing surface
How is segmentation contraction initiated?
By depolarisation generated by pacemaker cells in longitudinal muscle layer
What does the intestinal basic electrical rhythm (BER) produce?
Produces oscillations in membrane potential causing threshold to be met - firing AP
Then causing contraction
What is the frequency of segmentation determined by?
BER
Does BER increase or decrease when moving down intestine?
Decreases towards rectum
Is segmentation slow or fast?
Slow migration of chyme towards large intestine
Describe the parasympathetic innervation on segmentation
Vagus nerve causes increased contraction
Describe sympathetic innervation on segmentation
Descreases contraction
Does autonomic nerves effect BER
No effect
When does peristalsis start?
Following absorption of nutrients - segmentation stops
Explain migrating motility complex (MMC)
Pattern of peristaltic activity travelling down the small intestine
As one MMC ends then another begins
What does arrival of food in stomach do to the MMC?
Causes cessation of MMC and initiation of segmentation
What is the purpose of the MMC?
Move undigested material into large intestine
Limit bacterial colonisation of small intestine
Describe the hormone Motilin
Released when nutrient levels in small intestine are gone
Initiates MMC
According to the law of intestine what happens if smooth muscle is distended?
Muscle on oral side of bolus contracts and on anal side it relaxes
Bolus is moved to area of relaxation towards the colon
What is peristalsis mediated by?
Neurones in the myenteric plexus
Explain the gastroileal reflex
Opening of ileocaecal valve/sphincter
Causes entry of chyme into large intestine
Distention of colon
Reflex contraction of ileocaecal sphincter
What does gastric emptying cause?
Segmentation activity in ileum