stomach Flashcards

1
Q

what is deglutition

A

swallowing = propulsion of food from oral cavity into oesophagus

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2
Q

process of swallowing

A

food molded into bolus by tongue and moved upwards and backwards to pharynx - forces soft palette up to seal of nasal cavity - voluntary
pressure-sensitive sensory cells stimulated
swallowing centre in medulla initiates swallowing reflex - involuntary
epiglottis closes off trachea
complicated contraction/relaxation of muscles forces food into oesophagus

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3
Q

what are the layers of the oesophagus

A

mucosal
submucosal
muscular
serosal

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4
Q

what is the mucosal layer composed of

A

stratified squamous epithelium

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5
Q

what is the muscular layer composed of

A

striated and smooth muscle

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6
Q

what is the serosal layer composed of

A

adventitia - loose connective tissue only in neck

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7
Q

what is the process of food being transported down the oesophagus

A

upper oesophageal sphincter closes behind food bolus
complicated peristaltic contractions force food down oesophagus
lower oesophageal sphincter opens to allow passage of food into stomach

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8
Q

what is the lower oesophageal sphincter

A

cardiac sphincter
physiological - except in horses = anatomical
prevents regurgitation of acidic stomach contents

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9
Q

what is emesis

A

vomiting - active propulsion of stomach contents into oral cavity

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10
Q

where is the vomiting centre

A

medulla

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11
Q

what is vomiting stimulated by

A

pharyngeal/gastric distension or irritation

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12
Q

what is gastric torsion

A

stomach rotates 90-360 degrees
seals off cardiac sphincter preventing vomiting

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13
Q

what animals does gastric torsion occur in

A

horses and dogs with wide chests

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14
Q

what happens if rotation compromises blood supply in gastric torsion

A

gastric tissue becomes hypoxic and in severe cases necrotic

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15
Q

what are the functions of the simple stomach

A

digestion
protection
storage
mechanical breakdown

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16
Q

what is the ruminant equivalent of the simple stomach

A

abomasum

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17
Q

what is the embryological regions of the stomach and what do they secrete

A

oesophageal - non-glandular, stratified squamous epithelium
cardiac - mucous
fundic -mucous and gastric juices
pyloric - mucous

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18
Q

what is the cardia region

A

entrance to stomach

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19
Q

what is the fundus

A

blind-ending part

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20
Q

what is the corpus

A

body of stomach

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21
Q

what is the pylorus

A

exit from stomach

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22
Q

stomach cell types

A

mucous
parietal
chief
entero-endocrine

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23
Q

function of mucous cells (goblet)

A

secrete mucus to protect against HCL

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24
Q

function of parietal cells (oxytinic)

A

secrete HCL to digest protein

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25
function of chief cells (peptic)
secrete pepsinogen to digest protein
26
function of entero-endocrine cells
secrete hormones
27
what does motility do
prepare stomach to receive a meal mix and mechanically break down chyme empty stomach contents into small intestine prevent regurgitation of stomach contents into oesophagus
28
what is the transmitter that allows initial relaxation of stomach smooth muscle to accommodate the meal
vasoactive intestinal peptide
29
what is the main type of contraction involved in motility
peristalsis
30
process of motility
fundus weak contractions propogate down corpus pyloric sphincter opens to allow chyme into duodenum when contraction reach pylorus the pyloric sphincter closes food forced back into corpus helps mixing
31
what is stomach emptying regulated by
strength of contraction opening/closing of pyloric sphincter stimulation and inhibition of emptying
32
what stimulates emptying of stomach
neural regulation - expansion of stomach increases strength of contraction hormonal regulation - release of gastrin increases strength of contraction and dilates pyloric sphincter
33
what inhibits emptying of the stomach
increased pressure in duodenal walls, low PH, high fat/peptide contraction, high osmolarity. neural regulation by increased sympathetic activity/decreased parasympathetic activity hormonal regulation via secretin, CCK and GIP.
34
what is digestion
enzymatic breakdown of nutrient macromolecules into smaller units that can be absorbed
35
what is starch digested by and at what pH
amylase only active at pH greater than 6
36
what is protein digested by and at what pH
pepsin active at low pH
37
what is starch made from
amylose and amylopectin - complex carb
38
what is starch digestion initiated by
salivary amylase in mouth
39
what allows starch digestion to continue for a while
acid secreted from stomach walls so gradual decline in pH from centre of stomach to edge
40
level of starch in omniverous diets
high
41
level of starch in herbiverous diets
low
42
levels of starch in carniverous diets and why
low - saliva does not contain amylase
43
what does pancreas also produce
amylase
44
what does gastric juices consist of
HCL and pepsinogen (inactive form of pepsin)
45
what leads to ulceration
breach of mucosal barrier
46
functions of HCL
convert inactive pepsinogen into active form pepsin provides required acidic environment for pepsin to digest protein prevents fermentation by killing microbes degrades large chunks of connective and muscle tissue into smaller more digestible particles
47
when does maximum secretion of HCL occur
2-3 hours after a meal
48
what is duration and volume of HCL dependent on
species dog produce 0.5-1L per hour where as horse produces 20-30L
49
why does urine pH increase after a meal
delay between food passing stomach to pancreas
50
how does pepsin initiate degradation of protein and collagen
breaking peptide links adjacent to aromatic amino acids
51
what can pepsin activate
more pepsinogen
52
what stimulates secretion
reflex arcs - long via vagus and short locally histamine, chief, parietal and mucin cells amplify each other gastrin
53
what is cephalic phase caused by
sight, smell, taste, presence of food in mouth
54
what does cephalic phase stimulate and how
secretion directly via acetylcholine indirectly via gastrin in blood
55
what is gastric phase caused by
stomach expansion peptides in lumen
56
what does gastric phase stimulate
secretion directly via acetylcholine indirectly via gastrin in blood
57
what is stimulation/inhibition in the intestinal phase dependent on
acidity of chyme food components
58
how is intestinal phase stimulated
neural (cholinergic) and hormonal (gastrin and CCK) signals
59
what are most intestinal responses
inhibitory
60
what is hormonal stimulation mediated by
gastrin