Esophageal and Gastric secretion Flashcards

1
Q

Classify the secretion of the esophagus

A

Only mucus secretion

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2
Q

These lines the main body of the esophagus

A

Simple mucus glands

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3
Q

These lines the distal esophagus, particularly at the gastric ends and initial upper portion

A

compound mucous glands

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4
Q

The function of the upper esophagus mucus gland

A

prevent mucosal excoriation from newly digested food

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5
Q

The function of the mucus gland near the Esophagogastric junction

A

protection against reflux

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6
Q

Apart from mucus, there are 2 other important gastric glands. What are those?

A
  • Oxyntic
  • Pyloric
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7
Q

Where are oxyntic glands found?

A

Fundus and body

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8
Q

Where are pyloric glands found?

A

Antrum and pylorus

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9
Q

What do Oxyntic glands secrete?

A
  • HCl & Intrinsic factor from parietal cells
  • Pepsinogen & lipase from peptic/chief cells
  • Mucus from mucous neck cells
  • Histamine from ECL cells
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10
Q

What do pyloric glands secrete?

A
  • Gastrin from G cells
  • Pepsinogen (small amounts)
  • mucus from mucous neck cells
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11
Q

Where is HCl formed?

A

At villus-like projection in canaliculi at the secretory end of the cell

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12
Q

When parietal cells are stimulated, what do they secrete? What is the pH of this?

A

Acid solution with about 160 mmol/L HCl acid.
This acid is nearly isotonic with other bodily fluids.
This acid is extremely acidic at a pH of 0.8.

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13
Q

At a pH of 0.8 HCl, what is the hydrogen ion concentration?

A

3 million times that of the arterial blood

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14
Q

How many calories of energy per liter of gastric juice is required at pH 0.8?

A

> 1500 calories/L of gastric juice

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15
Q

With the hydrogen secretion, how does venous blood gain a higher pH than arterial blood during gastric acid secretion?

A

Bicarbonate diffuses to venous blood hence a higher pH.

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16
Q

Main driving force for HCl secretion by parietal cells

A

Hydrogen-potassium ATPase pump or PROTON PUMP

17
Q

Final gastric secretion contains:

A
  • Water
  • HCl (150-160 mEq/L)
  • KCl (15 mEq/L)
  • NaCl (small amounts)
18
Q

This is a housekeeping transporter at the basolateral membrane

A

NHE1 (Sodium hydrogen exchanger)

19
Q

What is the function of NHE1?

A

a housekeeping transporter to maintain intracellular pH