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31 Cards in this Set

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Stomach Mucosa Layers
lamina propria
forming gastric pits

muscularis mucosa.

+
Separating the mucosa from the underlying submucosa is a layer of smooth muscle, the muscularis mucosa.
Stomach Mucosa Layers

The epithelium covering the surface and lining the pits is
simple columnar epithelium,
and
all the cells secrete an alkaline mucus
Cardia region
mucus-secreting epithelium lines the cardiac glands with few parietal cells
Gastric glands of Fundus-body
gastric pit
foveola
A gastric gland consists of three regions:
1. The pit, or foveola
2. the neck
3. the body
Gastric glands of Fundus-body

The pit, or foveola lined w/ =
lined by surface mucous cells
Gastric glands of Fundus-body
the neck
mucous neck cells,
mitotically active stem cells,
parietal cells
Gastric glands of Fundus-body
the body
major length of the gland.

upper and lower portions of body contain different proportions of cells lining the gastric gland.
gastric glands proper house
5 major cell types:
1. mucous neck cells
2
2. chief cells (also called peptic cells)
3
3. parietal cells (also called oxyntic cells)
4
4. stem cells
5. gastroenteroendocrine cells
called enterochromaffin
upper portion of the main body of the gastric gland contains =
abundant
parietal cells.
cells predominate in the lower portion
2ct
Chief cells
gastroenteroendocrine cells
Enzyme aka =
Zymogene
(but it is produced inactive for inside the cell)
chief cells also produce the enzymes =
2ct
(produce Digestive enzyme)
lipase

pepsinogen
Parietal cells
Produce protons

gastric intrinsic factor
Parietal cells

arasympathetic mediator acetylcholine and the peptide gastrin, produced by enteroendocrine cells of the pyloric antrum, stimulate parietal cells to secrete HCl.

Acetylcholine also stimulates the release of _____________
gastrin
_________ is produced by enterochromaffin-like (ECL) cell
Histamine


Cimetidine is an ____
receptor
H2
atrophic gastritis
parietal and chief cells are much less numerous

_______ a glycoprotein that binds avidly to vitamin B12 . =
intrinsic factor

B12 absorbed in the Ileum W/ I.F.
This condition results in a disorder of the erythrocyte-forming mechanism known as pernicious anemia, usually caused by atrophic gastritis.
vitamin B12 with intrinsic factor
The function of the alimentary tube is regulated by
3ct
peptide hormones
produced by gastroenteroendocrine
neuroendocrine mediators
produced by neurons
The population of gastroenteroendocrine cells is so large that the gastrointestinal segment is regarded as the
largest endocrine organ in the body.
MEDICAL APPLICATION
Tumors called _____________ which arise from these cells, are responsible for the clinical symptoms caused by overproduction of serotonin
carcinoids
Serotonin increases
gut motility,
Ghrelin is produced in the
Ghrelin
gastrin-secreting tumors
gastrinomas

aka =
Zollinger-Ellison
syndrome
Zollinger-Ellison
syndrome

hyperplasia and hypertrophy in the __________ region
fundic region
fulminant stomach ulcerations
the most common ulcer of
the gastrointestinal tract.
Peptic Ulcer Disease (PUD)
a helical-shaped bacterium that lives in the acidic
environment of the stomach.
Helicobacter pylori,
Ulcers can also be caused or worsened by drugs such as
aspirin
ibuprofen
NSAIDs
G cells in particular, are abundant in the
antrum pyloric region.
Pyloric glands
The predominant epithelial cell type of the pyloric gland is a =
mucus-secreting cell
Mucosa, submucosa, and muscularis of the stomach
mucosa consists of =
loose connective tissue, called the lamina propria,
fibroblasts, lymphocytes, mast cells, eosinophils, and a few plasma cells.
thin strands of muscle c
Other layers of stomach

under control of the autonomic nerve plexuses
myenteric plexus of Auerbach
The submucosa consists of dense irregular connective tissue in which collagen and elastic fibers are abundant. A large number of arterioles, venous plexuses, and lymphatics are present in the submucosa. Also present are the cell bodies and nerve fibers of the submucosal plexus of Meissner.
The muscularis (or muscularis externa) of the stomach consists of three poorly defined layers of smooth muscle oriented in inner oblique, middle circular and outer longitudinal directions. At the level of the distal pyloric antrum, the circular muscle layer thickens to form the annular pyloric sphincter.