UVM HSF 3 Digestion I and II

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xcwilson  on November 28, 2011

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UVM HSF 3 Digestion I and II

Digestive processes after digestion
Secretion
Absorption
Motility
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Definitions

Digestive processes after digestion Secretion
Absorption
Motility
layers of the gut tube Mucosa
Submucosa
Muscularis Propria
Serosa
Visceral peritoneum is on Liver
Stomach
Spleen
At T12 Has Parietal Peritoneum
Retroperitoneum
Visceral Peritoneum
Ligament
At L2-L3 Parietal Peritoneum
Retroperitoneum
9 Liters fluid Total input into lumen
9 Liters fluid removed from lumen into body
5 Liters of Blood
Upper Esophageal Sphincter up near top of esophagus
Lower Esophageal Sphincter at bottom of esophagus
Esophagus muscular transition from muscularis muscle to striated smooth muscle
Gastro Esophageal Junction from Stratified squamous non keratinized epithelium
to Simple columnar epithelium in the esophagus
Two curves of stomach Lesser curvature
Greater curvature
Two omentums of the stomach Lesser omentum
Greater omentum
Anatomical divisions of the stomach Cardiac region
Fundus
Corpus/ Body
Pyloric Antrum
Inside stomach Lower esophageal sphincter
Rugae
Pyloric sphincter
Histology of the stomach...
Cardiac Region of the stomach Cardiac glands, shallow pits
Types of cells:
-Surface lining : mucus secreting cells
-enteroendocrine cees
-Stem cells
Layers in Gastric Fundus Pit, Neck, Gland, Base
Stem cells in stomach are located in the neck region layer of the gastric fundus
Fundic glands, chief cell Columnar with basophilic cytoplasm
-located mainly in the lower half of the gland
-Produce pepsinogen and gastric lipase
-prominent feature: apically located secretory: zymogen granules
Fundic glands, Parietal cells Large round or pyramid shaped with eosinophilic cytoplasm
-Located mainly in the upper half of the gland
Produce HCl an gastric intrinsic factor
-Prominent feature: apical plasmallema invaginates to form incracellular canaliculus
Gastric gland main parts Lumen
Chief Cell
Parietal Cell
Enteroendocrine cell
Pyloric/ Antral histology primariliy mucous secretions
Rich in enteroendocrine cells
Small intestines Surface Area Without specializaitons 3-4 ft^2
With folds villi and micorvilli: 2400 ft^2
Duodenum twelve fingers
C shaped configuration
4 sections
Retroperitoneal
Cockpit of the gut
Interior of Duodenum Duodenal papilla
Ampulla of Vater
Duodenal mucosa is rich in enteroendocrine cells
Small intestines Duodenum
Jejunum
Ileum

Mesentery
Features of the Jejunum Empty
8 feet long
prominent plicae circulares
Thicker wall
Thin mesentery
Fewer arcade arteries and vasa recta
Plicae circulares unlike the rugae of the stomach, plicae circulares are fixed structures
Features of the Ileum Rolled up, twisted
12 feet long
Prominent Peyer's patches
Thinner wall
Fatty mesentery
More arcade arteries and vasa recta
Small intestine mucosal villi and intestinal glands are found in the form of crypts of lieberkuhn
Small intestine muscularis mucosa is thin
Small intestine Epithelial cells include enterocytes
goblet cells
enteroendocrine cells
Paneth cells
stem cells
Small intestine cells are replaced how often every 6-7 days
Goblet cells Found in many organs including the small and large intestines

Secrete mucin, a highly viscous glycoprotein

Mucus protects the gut lining against shear stress and chemical damage

Particularly abundant in the large intestine
The Paneth Cell Guardians of the Gut Cell Hatchery

Found only in the small intestine

Located at the base of crypts

May serve an anti-bacterial role: secretory granules contain lysozyme cytoplasm contains IgA and IgG
Enteroendocrine cells secrete into the lamina propria to send hormonal and paracrine signals
Large intestines parts Cecum
Vermiform appendix
Ascending colon: retroperitoneal
Tranverse colon
Descending colon: retroperioneal
Sigmoid colon
Rectum
Additional parts of the large intestines Hepatic flexure
Splenix Flexure
Teniae coli
Haustra
Epiploic appendages
The Rectum and Anal Canal Transverse fold: valve of Houston
Anal Column
Anal Sinus
Internal anal Sphincter
External Anal Sphincter
Histo Features of the colon mucosa No villi, but crypts are numerous

Crypts similar to those of SI, except no paneth cells, and are called colonic glands

number of goblet cells increases from the cecum to the sigmoid colon, but enterocytes are the most abundant cell type

Cells replaced every 6-7 days
Enteroendocrine cells are also found in the human large intestines
Ano Rectal Junction From Simple columnar epithelium to
Stratified squamous non- keratinized
Vermiform appendix has many MALTs
Pancreas Retroperioneal
Endocrine and exocrine
Ducts enter duodenum
Endocrin Pancreas secretes insulin
Glucagon
somatostatin
and gastrin
Exocrine Pancreas secretes 1.5 L per day of bicarb rich fluid and proenzymes.
Centroacinar cells secrete pancreatic proenzymes
Intercalated ducts secrete Na+ and bicarb and H20
Zymogen granules can be seen in Pancreatic acini
Liver over 200 functions 3 categories
-Bile production
-Metabolic regulation
-Hematological regulation
Liver bypass embryologically ductus venosus
Liver parts R lobe
L lobe
Falciform ligament
Round ligament
Liver parts inferior view L lobe
R lobe
IVC
Quadrate lobe
Caudate lobe
Gallbladder
Liver Segments numbered and is similar to lung segments
Structural organization of liver Classic lobule is hexagonal
with central vein with portal triads around the outside corners
Both portal vein and hepatic artery Flow from Portal triad to central vein
via sinusoid lined with endothelial cells
Bile flows to the Bile duct in the portal triad
Extrahepatic biliary tract gall bladder
contains bile for FA micelle formation.

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