Week 2 Flashcards
Describe the path of the oesophagus
Continuation of laryngopharynx connecting pharynx to stomach
Dorsal to trachea, LHS
Travels through mediastinum (space between plural sacs)
Passes through oesophageal hiatus of diaphragm
Label the diagram
How do oesophageal muscles differ to other muscles in GI tract
Oesophageal muscles differ from elsewhere in GI tract in that they are striated (facilitates swallowing & vomiting)
Circular muscle layer particularly well developed in upper region & at junction of stomach (sphincters)
Describe the phases of swallowing
Oral phase
1. Food mixed with saliva to form bolus
2. Tongue moves bolus to back of the mouth
Pharyngeal stage
3. Vocal folds close
4. Epiglottis covers entrance to trachea
Oesophageal phase
5. Upper sphincter of the oesophagus opens
6. Food passes into oesophagus, entrance to trachea is reopened & upper oesophageal sphincter closes. Breathing resumes
7. Swallowing centre in medulla initiates wave of contractions in circular muscle layer (swallowing no longer voluntary)
8. Peristaltic wave travels along oesophagus carrying bolus ahead of it to the lower oesophageal sphincter (0.5-1m/s)
9. In many species function of lower (aka cardiac) sphincter is aided by sharp angle at which oesophagus enters stomach (acts as 1-way valve)
Label the diagram
Label the stomach
What are the ridges for in the stomach
Ridges are known as rugae which increase surface area & lets stomach expand
Label the GI tract
Describe the glandular stomach
Part of stomach closest to oesophageal opening = oesophageal portion
Small in most species (except horses & rats)
Lined with stratified squamous epithelium (like oes. & oral cavity)
Proportion of non-glandular region varies between species
Label the stomach
What is the margo plicatus
folded margin between non-glandular and glandular portion of stomach
What are the 4 regions of the glandular stomach and their functions
Label the glandular stomach
describe the glandular stomach
Stomach wall contains millions of glands (gastric pits) with secretory cells
1-3 mm deep
Ducts of glands open into stomach lumen through glandular neck
Most gastric juice formed in corpus and pylorus
Label
Describe the stomach innervation
Sympathetic fibres
Parasympathetic fibres
Intrinsic fibres of enteric nervous system (ENS)
describe the enteric nervous system
Motility and secretion largely regulated by reflexes:
- Long reflex arcs – involve the CNS
- Short reflex arcs - contained within wall of the GIT = ENS
Can function independently from the CNS
Controls:
- Motility (peristalsis)
- Exocrine and endocrine secretions
- Microcirculation of the gastrointestinal tract
- Regulating immune and inflammatory processes
Describe the parasympathetic and sympathetic impulses of ENS
What do ENS plexuses contain
What are interstitial cells of Cajal (pacemaker cells)
Modified smooth muscle cells central to GI motility regulation
Function as a pacemaker for gut contraction
Different frequencies in different parts of GI tract
What is Ileus
GI stasis caused by stress/dehydration/other primary condition
Common in rabbits
Primary cause rarely diagnosed
Can occur after abdominal surgery
What is spasmodic colic
Change in gut activity causes muscular spasm of intestines
Underlying cause rarely identified
Common in horses
Opposite issue to ileus – too much activity
What is vagal indigestion
Motor disturbances that hinder passage of ingesta from reticulorumen, abomasum or both
Common in cows
Describe the layers of the GIT
Why would you want to image the oesophagus and what are some radiographic considerations
Label the radiograph
Can be hard to see if problem is in trachea of oesophagus when looking at cranial aspect
black (gas) high up in abdomen is probably stomach (not lungs
What is wrong with this x-ray
What is wrong with this x-ray
Can be congenital (puppy wont gain weight & is always regurgitating clumps of food with no liquid)
Also in older dogs because NS is damaged/changed & oesophagus doesn’t contract anymore (spinal tumour, nervous system disorder etc.)
Dogs cant rely on gravity because their chest is so flat so food sits in oesophagus
How do you view oesophagus via radiography
How do you view oesophagus via fluoroscopy
Label the anatomy
Label the anatomy
Label the x-ray
Label the x-ray
Fill in the table with gas/fluid in stomach depending on view
What view is this
dorsoventral
What view is this
ventrodorsal
What view is this
right lateral
What view is this
left lateral
what is gastric dilation and volvulus (GDV)
What condition is seen here
GDV
gastric dilation and volvulus
gas and gastric contents cant leave so stomach continues to stretch
What other structures are affected by GDV
Define sphincter
ring of muscle surrounding opening
Define peristalsis
involuntary constriction & relaxation of muscles creating wave-like movements that push contents forwards
define deglutition
process of swallowing
define primary vs secondary peristalsis
primary: classic coordinated motor pattern of oesophagus initiated by swallowing
secondary: if food gets stuck, oesophagus will distend. local reflexes at these distention sites trigger forceful secondary waves
Where is the swallowing centre and how is it activated
in medulla oblongata & activated by pressure-sensitive sensors in pharynx
define dysphagia
swallowing difficulties
define regurgitation vs vomiting
regurgitation: action of bringing swallowed food up again into mouth
vomiting: eject matter from stomach through mouth
What should we find on gastroscopy
Label the horse gastroscopy
In what views were these radiographs taken
What abnormalities can you see in this radiograph
gas in stomach, contrast media in oesophagus, displaced abdominal organs
Define transit time
Define zymogen/proenzyme
Define autocatalyse
catalysis of a reaction by one of its products
Define paracrine
What is the stomach, where is it and what does it do?
What are the main functions of the stomach
What enzyme digests proteins
pepsin
How does the stomach prevent digestion of chief cells & parietal cells
Pepsin (breaks fown proteins) would digest chief cells so chief cells produce/store pepsin as inactive proenzyme (pepsinogen)
HCl would dissolve parietal cells so they produce H+ & Cl- ions instead which they release into lumen where HCl forms
Mucosal mucous cells secrete mucus containing HCO3- to create protective layer protecting against pepsin & HCl in stomach
Negative feedback loops prevent constant release of gastric juiuces
Label the stomach gland
ECL = enterochromaffin like cells (release histamine)
endocrine cells include G cells & D cells
Describe the phases of gastric secretion
Describe the cephalic (first) phase of gastric secretion
Describe the gastric (second) phase of gastric secretion
Describe the intestinal (third) phase of gastric secretion
Describe how pepsinogen is activated in the stomach
Describe histamine & gastrin in control of HCl production
Describe the parasympathetic nervous system in control of HCL production
Fill in the table with roles of different cells in digestion