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37 Cards in this Set

  • Front
  • Back
Submucosal Plexus
- Controls glandular secretions of mucosa

- contractions of muscularis externa
Myenteric Plexus
- Controls peristalsis

- Contractions of muscularis externa
What does saliva do?
Moistens the food, begins starch and fat digestion - through Salivary Amylase
Function of Lingual Lipase
Digests fat activated by stomach acid

Not activated till it hits the stomach
Salivation - Parasympathetic
Salivary glands produce thin saliva, rich in enzymes
Salivation - Sympathetic
Salivary glands produce less abundant, thicker saliva, with more mucus
Esophagus
25-30 cm long

Nonkeratinized stratified squamous epithelium

Esophogeal glands in submucosa

Skeletal muscle in upper part and smooth in bottom (voluntary to involuntary phases of swallowing of a food bolus down the esophagus.
Innervation and Circulation
All blood from stomach enters hepatic portal circulation and is filtered through liver before returning to the heart
Mucosa
simple columnar glandular epithelium

Lamina propia is filled with tubular glands (gastric pits)

Mucus cells secrete mucus
Regenerative Cells
Divide rapidly to produce new cells that migrate to the surface
Parietal cells
Secrete HCl and intrinsic factor
Chief cells
Secrete pepsinogen

Chyosin and lipase in infancy
Enteroendocrine cells
Secrete hormones and paracrine messengers
H+ is pumped into the stomach by?
H+ K+ ATPase

Antiporter uses ATP to pump H+ out and K+ in
Intrinsic Factor is essential for what?
B12 absorption by the small intestine

RBC production (lack causes pernicious anemia)
What does pepsin do?
Protein digestion

secreted as pepsinogen (inactive)

HCl converts to pepsin (Active)
Lower esophageal sphincter
is not a real sphincter
Regulation of Gastric Function

1.) Cephalic Phase
Sight, smell, taste, or thought of food

Vagus nerve stimulates gastric secretion and motility
Regulation of Gastric Function

2.) Gastric Phase
Activated by presence of food or semi-digested protein --> by stretch or increase in pH

Secretion stimulated by: ACh, histamine, and gastrin
Regulation of Gastric Function

3.) Intestinal Phase
Duodenum regulates gastric activity through hormones and nervous reflexes

Gastric activity increases if duodenum is stretched

Enterogastric reflex duodenum inhibits stomach caused by acid and semi-digested fats in duodenum
Where is bile produced and stored?
Produced in the liver and stored in the gall bladder
Pancreas Endocrine & Exocrine Gland
- Secretes insulin and glucagon into the blood

- Water, enzymes, zymogens, sodium bicarbonate, & other enzymes are activated by exposure to bile and ions in the intestine
Pancreatic Acinar Cells
Zymogens = proteases

- Trypsinogen
- Chymotrypsinogen
- Procarboxypeptidase
Why is secretin released from the duodenum?
It's secreted in response to the acidic chyme --> stimulates the ducts to secrete more bicarbonate
Function of the Duodenum
Receives stomach acids, pancreatic juice and bile

Neutralizes stomach acids, emulsifies fats, pepsin inactivated by pH increase, pancreatic enzymes

BREAKDOWN OF FOOD
Function of the Jejunum
Most digestion and nutrient absorption occurs here
Functions of the Ileum
The function of the ileum is mainly to absorb vitamin B12 and bile salts and whatever products of digestion were not absorbed by the jejunum
Small Intestine
Simple columnar epithilium and have microvilli with brush border on cells

These brush border enzymes for final stages of digestion
Intestinal Crypts
Pores opening between villi lead to the intestinal crypts
What are Peyer patches?
They are populations of lymphocytes that fight off pathogens
Segmentation
Mix and chum contents - not move
Peristaltic Waves
Gradual movement of contents towards colon

PUSH CHYME along for 2 hours

Movement
Food in the stomach causes this reflex
Gastroileal Reflex

Relaxing of valve and filling of cecum
Lactose Digestion
Brush border enzymes act upon oligosaccharides, maltose, sucrose, lactose, and fructose

Lactose indigestible after age 4 in most humans
Fructose is absorbed by what and converted to what?
Absorbed by facilitated diffusion

converted to glucose in the cell
The large intestine doesn't have what?
Circular folds or villi to increase surface area

Don't need this because you don't absorb anything in the large intestine
Sodium-Glucose transport protens (SGTP) in membrane help absorb?
Glucose and Galactose