STOMACH Flashcards
Describe the gross and microscopic anatomy of the stomach and the physiological process
Stomach
- a muscular sac in upper left abdominal cavity immediately inferior to the diaphragm
- primarily functions as a food storage organ
- internal volume of about 50 mL when empty
- 1.0 to 1.5 L after a typical meal
- up to 4 L when extremely full and extend nearly as far as the pelvis
Anatomy of stomach
Innervation of the stomach
Parasympathetic fibers from vagus
Sympathetic fibers from celiac ganglia
Blood supply to the stomach
branches of the celiac trunk
Blood drained from stomach and intestines enters
hepatic portal circulation
filtered through liver before returning to heart
Histology of the stomach
Mucous cells
secrete mucus
predominate in cardiac and pyloric glands
Regenerative (stem) cells
found in the base of the pit and in the neck of the gland
divide rapidly and produce a continual supply of new cells to replace cells that die
Parietal cells
found mostly in the upper half of the gland
secrete hydrochloric acid (HCl), and a hunger hormone called ghrelin
Chief cells
most numerous
secrete gastric lipase and pepsinogen
dominate lower half of gastric glands
Enteroendocrine (G) cells
concentrated in lower end of gland
secrete hormones and paracrine messengers that regulate digestion
secrete gastrin (accelerates protein digestion)
Histology of gastric pit