The small intestine anatomy and structure Flashcards

1
Q

Why is it called small?

A

Due to its diameter not length

Actually takes up 6 of 8 meters of intestine

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2
Q

What is the function of the duodenum?

A

gastric acid neutralisation
Digestion
Iron absorption

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3
Q

what is the function of the Jejunum?

what is its appearance and why?

A

absorption- 95%

Appearance: ribbon like- due to high vasculature and high contents of the intestine

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4
Q

what is the function of the Ileum?

A

Nacl and H20 absorption- over 9.5 litres of water that the body produces every day
Dehydrates the chyme

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5
Q

Anatomy of the SI

A

Folded into Plica: cork-screw shape- increases SA and ensures that the contents come into contact with digestive enzymes
Villi- finger-like projections FOR ABSORPTION
Crypts- at the base of villi- feed into them.
Microvilli- present on the surface of villi

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6
Q

Crypts

A

Where all gut cells start off before they differentiate and move into the villi.
They secrete cl and water into the SI

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7
Q

The Crypt- Villi pathway

A

arterialiole supply
venue supply
goblet cells
absorptive cells

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8
Q

Increase in SA

A

standard unit- cylinder of intestine - 0.33 m2
Plica- increase SA X 3 - 1m2
Villi- increase SA X30- 10m2
Microvilli- increase SAX200- 600m2

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9
Q

Secretion in the SI

A

Crypt cells secrete up to 1.5 litres of water a day
Water follows the movement of chloride ions
-2 Cloride ions transported into the cell along with sodium and potassium- ELECTRONEUTRAL PROCESS- IONS BALANCE OUT
-sodium transported back out of cell via Sodium ATPase
-potassium transported back out via transporter molecule
-Clorine moves into lumen via CFTR

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10
Q

Control of CFTR protein

A

adenylate cyclase- when active causes ATP to converted to Camp- activate PKA- activates CFTR.

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11
Q

Segmentation

Process

A
  • For absorption of nutrients
  • Occurs whilst food is being eaten

Process:

  • food in middle gets squished to sides by contractions in middle/relaxation of sides
  • contraction of sides- moves food back into middle
  • Allows complete action of enzymes
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12
Q

How is segmentation controlled?

A

1-Pacemaker cells in the longitudinal muscle
2-BER- determines RATE of contractions- decreases down the intestine

the frequency of action potentials controls the strength of contraction

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13
Q

What affects the BER

A

Parasympathetic: increases contractions
Sympathetic: decreases contractions
Autonomic: does nothing

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14
Q

Peristalsis

A

After segmentation- stops as soon as any food reaches the stomach

  • Migrating motility complexes- where one wave ends a new one begins
  • helps moves undigested materials into the LI where bacteria are present
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15
Q

what is the law of intestine?

A

Where food/bolus is present
The smooth muscle of the oral side will contract
The smooth muscle of the anal side will relax

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16
Q

Gastroileac reflex

A
  • Increases segmentation in the ileum to increase gastric emptying
  • Causes the ileocaecum sphincter to open and chyme to move in
  • Distension of LI
  • Reflex contraction of ileocaecum sphincter- prevents reflux