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125 Lecture 12
The final part of the GI tract & regulation
38
Anatomy
Undergraduate 1
05/16/2013

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Term

how long approx is the small intestine?

 

name the 3 main parts of the small intestine

Definition

2.5 - 3 metres long!

 

the first 30cm is the duodenum, then the jejenum and the ileum

Term
which part of the small intestine receives the chyme from the stomach?
Definition

the duodenum

 

Term
which parts of the small intestine is responsible for digestion and absorbtion?
Definition
the duodenum is responsible for digestion and all 3 regions are responsible for absorbtion of all nutrients, water, vitamins and minerals
Term
in the S. intestine, what secretes copius amounts of bicarbonate-rich fluid?
Definition
Crypts of Liberkuhn secrete copious amounts of bicarbonate rich fluid into the small intestine
Term
what is the epithelial wall (mucosa) covered with?
Definition

covered with viili each which have numerous microvilli known as the 'brush border' here you'll find capillaries and lymphatic vessels. the total area avilable for absorbtion and digestion is 300 m2

 

 

Term

the pancrease is about 20cm long and weighs ~100g.

Definition

the acinar cells which are exocrine cells make digestive enzymes

 

chymotrpsin, trypsin, carboxypeptidase and elsatase are all synthesised in the pancreas as zymogens

Term
as well as making digestive enzymes, what else do acinar cells of the pancreas make?
Definition

they make bicarbonate

 

other enzymes include pancreatic amylase (starch) lipase (fats) proteases, DNase, RNase

 

Term
From acinar cells and Islets of Langerhan cells which is the endocrine and which is the exocrine cell?
Definition

Acinar = exocrine

 

Islets of Langerhans = endocrine

Term
Islets of Langerhans has 3 main types of cells: alpha, beta and 'S' cells. What do each of these respectively produce?
Definition

Alpha cells - Glucagon to stimulate glycogen ---> glucose

 

Beta cells - Insulin to stimulate glucose ---> glycogen

 

S cells - Somatostatin to regulate digestion, absorbption and release of other hormones.

Term

with regards to absorbtion, how are monosaccharides and amino acids transported?

 

which salts help to emulsify fats?

Definition

they are transported into the blood capillaries of villi then to the liver via the hepatic portal vein

 

 

Bile salts help to emulsify fats. they are then suseptible to digestion by pancreatic lipase.

 

Term

monosaccharides, amino acids, electrolytes and water absorbed from the intestines travel to the liver via which veins?

 

how do they enter the general circulation?

Definition

mesenteric veins and the hepatic portal vein

 

they can then enter the general circulation via the hepatic circulation

Term
which substance produced by the liver is the waste product of RBC?
Definition

bile pigments

 

 

bile salts are stored in the gall bladder

Term
the liver ..... absorbed materials and ..... blood composition. It produces many ....... found in blood plasma. It ..... blood glucose levels and stores glucose as ........... It functions in the conversion of glucose to ....... stimulated by insulin - the reverse is stimulated by .......
Definition
detoxifies, regulates, proteins, regulates, glycogen, glycogen, glucagon
Term
bile salts are derivative of whihc steroid hormone found in plasma membranes?
Definition

cholesterol derivative

 

 

bile salts are amphipathic structures. They do not digest fats but act as detergents to break them down into small droplets or 'micelles' The droplets are then amenable to digestion by lipases

Term
what happens to bile salts?
Definition
they are recirculated
Term
describe how Chylomicrons are formed
Definition

fatty acids and monoglycerides from fat digestion are absorbed and synthesised into triglycerides which are then packed into chylomicrons

 

 

 

After exocytosis, chylomicrons enter the lacteals and into the lymphatic system

Term
what is the last metre of the GI Tract known as?
Definition

the colon

 

it is composed of the ascending, transverse, descending and sigmoid colons. there is no digestion here and little absorbtion of nutrients

 

the first 3 segments absorb water and inorganic ions. the sigmoid colon is a storage depot

Term
where is faecal material ejected through?
Definition

it is ejected through the rectum and anus (internal and external anal sphincters)

 

 

extra on colon: the acsending, transverse and descending colon lead to the sigmoid colon and the rectum and anus

Term
at which pH is stomach enzyme pepsin optimally active?
Definition

pH 2 or acidic environments

 

 

those enzymes found in the intestines are active at slightly alkaline pH

Term
where would you find amylase and ligual lipase?
Definition
in the mouth
Term
where would you find pepsin and gastric lipase
Definition
in the stomach
Term
where would you find amylase, trypsin, chymotrypsin, elastase, phospholipase A2, lipase-colipase, cholesterol esterase- non specific lipase, carboxypeptidase?
Definition
in the pancreas
Term
in the oral cavity, pharynx and esophagus polysaccharides (starch and glycogen) are converted into smaller polysachharides such as maltose by which salivary enzyme?
Definition
salivary amylase
Term
protein in the stomach is converted into smaller peptides by which enzyme?
Definition
Pepsin
Term
in the lumen of the small intestine, polysaccharides are converted into maltose and other disaccharides by which enzyme?
Definition
pancreatic amylases
Term
what do trypsin and chymotrypsin do?
Definition

help convert polypeptides into smaller peptides in the lumen of the small intestine

 

aminopeptidase & carboxypeptidase convert smaller polypeptides to amino acids also in the the lumen of the s.intestines.

Term

what helps fat globules turn into fat droplets?

 

 

how do we get these droplets into glycerol and fatty acids?

Definition
bile salts help convert fat globules to fat droplets. The lipase helps to convert fat droplets to glycerol, fatty acids and glycerides
Term
in which part of the small intestine are disaccharides converted into monosacharides?
Definition
in the epithelium of the small intestine AKA the brush border. here dipeptidases convert small peptides to a.a
Term

in response to aroma, taste, sight or thought of food the nervous system stimulates which secretions?

 

which phase is this? How long does it take?

Definition

it stimulates nervous system and salivary secretions

 

(olfactory receptors, taste buds -> hypothalamus -> vagus nerves)

 

this phase is the cephalic or reflex phase and takes a few minutes

 

 

Term
the gastric phase of regulation takes a few hours but whihc 3 molecules does it use?
Definition

It uses acetylcholine, histamine & gastrin

 

Gastrin is a peptide hormone made by stomach G cells and together these 3 molecules stimulate secretion of HCL & pepsinogen

Term
which factors control the gastric phase of regulation?
Definition
Stomach distension and rising pH as proteins in food mop up H+ ions, control regulation of gastric secretion
Term
release of chyme from stomach into duodenum breifly stimulates gastric activity via release of which intestinal enzyme?
Definition

Intestinal gastrin

 

BUT continued release of Chyme inhibits gastric activity due to secretion by duodenum of gastric inhibitory peptide (GIP), vasoactive intestinal peptide (VIP), cholecystokinin (CCK) and secretin

Term
what does gastric inhibitory peptide do? (GIP)
Definition
it induces insulin secretion as a result of hyperosmolarity of glucose in the duodenum
Term
what does vasoactive intestinal peptide (VIP) do?
Definition

inhibition of gastric acid secretion

 

induce smooth muscle relaxation

 

stimulates pancreatic bicarbonate secretion

Term
what does cholecystokinin do? (CCK)
Definition

stimulates the digestion of fats and proteins

 

also acts as a hunger suppressant

Term
what does secretin do?
Definition
regulates the pH in the duodenum by inhibiting gastric acid secretion from the parietal cells of the stomach and by stimulating bicarbonate production from the centroacinar cells and intercalated ducts of the pancreas.
Term
the pancreas secretes insulin and GIP by exocrine or endocrine glands?
Definition

ENDOCRINE glands

 

It secretes bicarbonate and other enzymes through exocrine glands

Term
what effect do GIP, VIP, CCK and secretin have on gastric activity?
Definition
they inhibit gastric activity
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