Stomach Flashcards

1
Q

Name 4 functions of the stomach

A
  1. turns food bolus into chyme to pass through rest of GI tract
  2. acts as a holding reservoir before release into small intestine
  3. secretes gastric juices (HCl, IF, pesinogen and gastric lipase)
  4. secretes gastrin into the blood
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2
Q

What is the function of HCl in the stomach?

A

kills bacteria and also acts to break up proteins

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3
Q

Name the 4 regions of the stomach

A

Cardia
Fundus
Body
Pyloric part

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4
Q

What 3 parts make up the pyloric part?

A

Pyloric antrum
Pyloric canal
Pylorus

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5
Q

Name the area of smooth muscle that connects the stomach to the duodenum

A

Pyloric Sphincter

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6
Q

What is the name of the folds on the inner surface of the stomach that disappear when the stomach distends

A

Rugae

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7
Q

Name the layers of the mucosa in the stomach

A
  1. Simple columnar epithelium
  2. lamina propria (connective tissue)
  3. muscalaris mucosae
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8
Q

What 4 cell types do the gastric glands consist of and what do they secrete?

A
  1. Mucous neck cells (mucous)
  2. parietal cells (HCl & IF)
  3. chief cells (pepsinogen and gastric lipase)
  4. G cells (gastrin)
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9
Q

What is the superficial layer of the stomach called?

A

Serosa

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10
Q

What is the function of the muscalaris in the stomach?

A

To churn and mash food into chyme by mixing it with the gastric juices. It also forces food through the pyloric sphincter into the duodenum

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11
Q

What part of the brain contains the vomit centre and what stimuli activate this centre?

A

Medulla oblongata in the brainstem

Irritation and over distention of the stomach are the two main stimuli for vomiting

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12
Q

What are the names of the 3 muscles that contain within the muscularis?

A
  1. outer longitudinal
  2. middle circular
  3. inner oblique
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13
Q

what is the most common histology for stomach cancer

A

Adenocarcinoma

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14
Q

Give 3 causes of stomach cancer

A
  1. Helicobacter pylori - bacteria found in the mucous of the stomach
  2. Diet and lifestyle - obesity
    3.Alcohol/tobacco
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15
Q

What is the incidence of stomach cancer in the UK

A

18th most common cancer

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16
Q

Give 4 signs and symptoms of stomach cancer:

A
  1. Nausea/vomiting
    2.Feeling full after a small amount of food
    3.Abdominal pain
    4.Chronic indigestion
17
Q

Why is RT a poor choice of treatment for stomach cancer?

A

The stomach is radio-resistant (poor efficacy) would need extremely high dose
Close to lots of critical structures - gastrointestinal toxicity
Chemo and surgery have better outcomes

18
Q

What is the name of the surgical procedure for removal of half or all of the stomach?

A

Gastrectomy

19
Q

Which site on the body is most likely to metastasise to the stomach?

A

Breast cancer

20
Q

How would stomach cancer be diagnosed?

A
  1. Gastroscopy to look inside the stomach via camera - biopsy
  2. Blood/stool sample
  3. CT/MRI/PET scan