Week 3: Small intestine motility Flashcards

1
Q

Main functions of the small intestine

A
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2
Q

What are the different types of contraction patterns in the small intestine?

A
  • Segmentation
  • Peristalsis
  • Migrating motor complexes
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3
Q

Describe segmentation contraction pattern

A
  • Major contractile activity of the small intestine
  • mixing function
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4
Q

Describe the peristalsis contraction pattern of the small intestine

A

generally short-range propulsion, 15-20/hr

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5
Q

Describe the Migrating Motor Complexes contraction pattern of the small intestine

A

Clearance at regular intervals during fasting state

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6
Q

What is the most common type of contraction pattern in the small intestine?

A

Segmentation

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7
Q

Function of the segmentation contraction pattern in the small intestine

A

effectively mixes chyme with digestive secretions “chopping” chyme as much as 8-12 times/minute

Brings fresh chyme into contact with the mucosal surface

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8
Q

Describe the physiology of the segmentation contraction pattern

A
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9
Q

What is the function of the peristalsis contraction pattern of the small intestine

A

contributes to propagation along the small intestine

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10
Q

Describe the physiology of the peristalsis contraction pattern of the small intestine

A
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11
Q

Describe the Migrating motor complex

A
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12
Q

How are the small intestine contractile patterns regulated?

A
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13
Q

Describe pacemaker activity in the small intestine

A
  • electrical slow waves driven by interstitial cells of Cajal -5 sec intervals
  • neuronal and hormonal activity act on top of slow waves to determine contractility
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14
Q

Electrical slow waves

A
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15
Q

Electrical slow waves

A
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16
Q

Electrical slow waves

A
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17
Q

Electrical slow waves

A
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18
Q

Describe the hormonal regulation of motility

A
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19
Q

Describe releasers of Gastrointestinal hormones

A
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20
Q

Describe the actions of GI hormones

A
21
Q

Actions of GI hormones

A
22
Q

Actions of GI hormones

A
23
Q

Question

A
24
Q

Question

A
25
Q

Describe GI hormone regulation of motility in response to a meal

A
26
Q

Describe GI hormonal regulation in the fasting state

A
27
Q

Describe the function of enteric neuronal reflexes

A
28
Q

Describe the physiology of parasympathetic enhancement

A
29
Q

Describe the physiology of parasympathetic enhancement of the vagus nerve

A
30
Q

Describe the physiology of parasympathetic enhancement of the enteric ganglion

A
31
Q

how does parasympathetic enhancement regulate motility reflexes?

A
32
Q

What neurotransmitter is used for parasympathetic enhancement

A
33
Q

Summary of parasympathetic enhancement

A
34
Q

Describe the origins of sympathetic inhibition of

A
35
Q

Describe the physiology of sympathetic inhibition of

A
36
Q

Prevertebral ganglia sympathetic inhibition

A
37
Q

Prevertebral ganglia sympathetic inhibition

A
38
Q

What is the neurotransmitter of sympathetic inhibition

A
39
Q

How does sympathetic inhibition affect GI motility

A
40
Q

sympathetic inhibition histology

A
41
Q

Primary targets of sympathetic inhibition

A
42
Q

Presynaptic adrenoreceptors sympathetic inhibition

A
43
Q

Presynaptic adrenoreceptors neurotransmitter

A
44
Q

Effect of presynaptic sympathetic inhibition

A
45
Q

Sympathetic inhibition

A
46
Q

Examples of abnormal small intestinal mobility

A
47
Q

Describe post-operative ileus

A
48
Q

Summary of small intestinal motility

A