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26 Cards in this Set

  • Front
  • Back
What has broken down enough for absorption?
Fats --> mono, diglycerides, FA
Which molec still need to be broke down more?
Polysac-> disac -->need to still be broken down to monosac
Ptns -> small peptides ---> need to be broken to aa, di and tri-peptides
What characterizes all of the intestinal muscosa?
Crypts
Villi (both in the lamina propria)
What do the cells in the crypt do?
Secrete large amounts (3L/day) of ALKALINE fluid (SUCCUS ENTERICUS) into the lumen (that's all they can do, can't digest)
Where do crypt cells go?
Divide and migrate up along the villi and are shed at the tip of the villus
->covering is replaced every 3-5 days
What do villi do?
ABSORB nutrients and fluid (don't secrete fluid)
SYNTHESIZE enzymes, retain them in brush border (.: completing digestion)
Which enz are synthesized in the villi and what do they do?
Enterokinase: activation of trypsinogen to trypsin
Amylase: Breaks carbs down to disac
Lipase: If some lipids aren't digested yet
Aminopeptidase and Dipeptidases can break down residual ptns toaa and di/tri peptides
DISSACHARASES
What does the colonic secretion consist of?
small volume of alkaline, isotonic fluid
mucin to lubricate feces, no digestive enzymes
bacteria
Describe the secretions in SI.
Crypts: succus entericus
Volume: 3L/day
Isotonic: Na+, K+, Cl-, **HCO3-
pH: 7.5-9
No enzymes!!!
Why doesn't the colon secrete any digestive enz?
All digestion and secretion must be completed in the small intestine
what is daily intake of water and solids?
Water (2000mL)
Solids (500g)
What is the daily output?
Solids: 50 g (includes 30% bacteria, 30% undigested fiber, 10-20% lipids, 10-20% inorganic matter)
Water: 100 ml
How much is ingested compared to secretions?
2L ingested
7L secreted throughout the body
Total of 9L absorbed by the GI
->Small intestine: 7L
-> Colon: 2L
What else is reabsorbed from the lumen of the GIT?
Ions
Describe protein reabsorption
50g as enzymes
30g as cells
Total: 80g of ptn/day
these ptns are broken into aa and enter the aa pool to be reutilized
What is most of the absorption in the GIT?
Reabsorption
->circulation btw the plasma and lumen of GIT
What are the sites of exchange characterized by?
1) Large surface areas
2) Intimate contact with blood vessels
->NO absorption in mouth, esophagus or stomach
Which is the only GI organ that is essential to life?
Small intestine, mostly in proximal SI
Where bulk of absorption takes place
Inner surface of SI = 600x outer surface area of SI
Why does the inner surface of the SI have such a large area?
Has many circular fold (inc surface area 3x)
Has villi (inc SA 30x)
Has microvilli (inc SA 600x)
->have more area then required, could remove half of SI and still have efficient absorption
Describe the villus
Outside in: columnar epithelium, capillary network, lacteal
Have arterial supply
Venous drain
Lymph vessels
What are the postprandial blood flow and the lymph flow?
Postprandial: 1-2L/min (to intestine, very fast)
Lymph: 1-2ml/min (slow)
->absorption takes place very rapidly from the eithelial cell to cap
What is absorbed in the following areas:duodenum, jejunum, ileum?
Proximal: carbs, proteins, Na, H2O
Ileum: bile acids, B12
What limits absorption?
->Need adequate digestion: activated enz, pH, ions
->Adequate site for absorption (ex: distal ileum required for VitB12 absorption)
->Adequate transit time for absorption
->Adequate co-factors (co-lipase, bile salts), transporters
how much carbs get absorbed?
99% of intake
-60% from starch
-30% from sucrose
-6% from lactose
how much protein get absorbed?
92% of intake
how much fat gets absorbed
95% of intake