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34 Cards in this Set

  • Front
  • Back

Intestinal wall enzymes

1. Break down di and olgiosaccharides


2. Peptides to smaller peptides and aa


Sucrose

Broken down by sucrase


Glucose and fructose

Maltose

Broken down by maltase


To glucose and glucose

Lactose

Broken down by lactase


To glucose and galactose

Celiac disease

Gluten (protein in grains) damages villi


-decreases absorption area for everything


- increase bacterial fermentation in large intestine


• gas and diarrhea

Absorption in small intestine due to

Main site due to


1. Large surface area (folds, billi, microvilli)


2. Nutrients = smaller molecules



How things enter enterocytes

1. Monosaccharides = 2° AT


2. Aa and di+tri peptides = 2° AT


3. Fats = diffusion


4. Water = osmosis



Exception : fructose = facilitated transport


How nutrients leaves enterocytea

1. Monosaccharides = facil. Trans (blood)


2. Aa & di+tri peptides = facil. Trans (blood)


3. Fats


-long chains and MG=diffusion (lymph)


- short chains = diffusion (blood)


4. Water = osmosis (blood & lymph)

MG and FA >12 carbon absorption

1. Diffuse into enterocytes


2. Exocytosis from enterocyte


3. Diffuse into lymph lacteal


Long chain,


E.g. cholesterol, fat soluble vit.

How much water is absorbed at the small intestine

8500ml/day

How muhc water ingested per day

2000ml/day

H2O from secretions

7000ml/day

When do nutrients in blood go?

To liver via hepatic portal vein

Where do nutrients in lymph go

From lacteals to thoracic duct


To subclavian vein

Bile consists of

1. water


3. Bile salts


2. Cholesterol


4. Bile pigments


5. Ions


6. Detoxifies/inactivated drugs, toxins, hormones

Emulsofication

Break down of large globules of fat into many smaller droplets

Functions of bile salts

1. Emulsification


2. Micelle formation

Micelle formation

Keeps fats products in solution


Micelle = bile salts & phospholipids


- interior is hydrophobic


- exterior is hydrophilic


Micelle

NOT absorbed into the enterocyte


Simply the "bus" (micelle) taking the "students" (fa&MG) to "school" (enterocyte)

Chylomicron

Fat and protein package


Water soluble

Gastric motility/secretion regulatory phases

1. Cephalic phase


2. Gastric phase


3. Intestinal phase

Cephalic phase

Prepares stomach for food


Triggers: thoughts, sight, smell, taste of food

Cephalic phase causes



Increase gastric secretion


- increase enzymes


- increase acid secretion


Increase smooth muscle motility

Enteric NS

GI tracts own nervous system

Gastric phase

Activated by food in stomach (stretch receptros)


Cause increase stomach activity (same as previous phase)

Other factors that incease gastric secretion

Ca++


Alcohol


Caffeine


Aa


Peptide

Food and pH in stomach

Food acts as buffer


As stomach empties pH lowers


At < 3 pH enteric shut down stomach secretion

Intestinal phase

Controls rate o chyme (food and gastric jucie) entry into duodenum


Stages or intestinal phase

1. Increase gastric secretion into duodenal initially


2. Decrease gastric motility (slows emptying)


3. Decrease gastric secretion (acid, enzymes)

Why is gastric emptying regulated

1. So acid has time to be neutralized in sm. Intestine


2. Tonicity doesnt overwhelm sm. Intestine


3. There is time for dig/abs in sm. Intestine

Entero____

Small intestine

What causes gastric motility to decrease

1. CCK released


2. Enterogastic reflex

Enterogastic reflex

Triggered by as/peptides, acid, duodenal stretch, hypertonicity


Causes decrease gastric motility


- directly


- signal CNS - SNS

Why do gastric secretion decrease?

1. Secretin (released due to acid)


2. CCK (released due to aa & fa)