the lower GI tract Flashcards

1
Q

what is the structure of the small intestine?

A

long, coiled, hollow tube. consists of the duodenum (which extends from the pylorus), the jejenum (where majority of nutrient absorption occurs) and the ileum which joins the colon of the large intestine.

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2
Q

how does the small intestine have such a large surface area?

A

it is very long and has many folds (pilcae circulares) these folds are covered in villi, which are also covered in microvilli.

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3
Q

what is the brush border?

A

the villi on the mucosal surface of the small intestine + enzymes.

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4
Q

what are the crypts of Lieberkhun?

A

they are glands found between villi in the small intestine. they house secretory cells.

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5
Q

what is the function of secretory cells in the crypts of Lieberkhun?

A

to secrete bicarbonate rich intestinal juices

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6
Q

what are the functions of the small intestine?

A

secretions and chemical digestion

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7
Q

what is secreted by the small intestine?

A

alkaline intestinal juice, enzymes produced by absorbative cells lining the villi. also intestinal glands contain endocrine cells which secrete hormones.

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8
Q

what are the endocrine cells that secrete hormones in the small intestine and what do these hormones do?

A

K cells- secrete gastric inhibitory peptide (inhibits HCl and stimulates insulin production)

S cells- secrete secretin, involved in osmoregulation and bicarbonate production regulation.

CCK cells- secrete cholecystokinin which stimulates bile release to digest fats and proteins.

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9
Q

what takes place in the duodenum?

A

chyme is mixed with pancretic juice and bile. enzymes break down nutrients in the chyme.

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10
Q

what happens when the nutrients have been broken down?

A

the end products are absorbed by mucosal epithlial cells–> transported to interstitial space and then absorbed into capillaries where they enter the bloodstream

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11
Q

what is the structure of the large intestine?

A

made up of the caecum, colon and the rectum. it has Teniae coli which are bands of smooth muscle these bands result in Haustra (pockets) that give the L intestine a segmented look. It has no folds.

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12
Q

what is the function of the large intestine?

A

motility (contracts in segments to move bolus via peristalsis) mucus secretion (lubricates bolus and faeces) no role in digestion but absorbs leftover ions, minerals and vitamins in bolus.

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13
Q

what is the structure of the colon of the large intestine?

A

ascending colon, transverse colon, descending colon and signoid colon which empties into rectum.

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14
Q

what are the functions of the
colon?

A

faeces production
water absorption
faeces storage
absorption of vitamins produced by bacteria

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15
Q

what is the role of bacterial colonies in the colon?

A

ferment carbohydrates and release gases.
synthesise vitamin B and K
breakdown bilirubin into pigments.

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16
Q

how does defecation occur?

A

both the external and internal anal sphicters need to relax.