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Flashcards in Costanzo (1) Deck (16):
1

What are the surfaces of the GI wall?

the mucosal surface (consisting of epithelial cells, a lamina propria, and a muscularis mucosae) faces the lumen and the serosal surface faces the blood

2

Describe the muscle layers of the GI wall

The longitudinal muscle layer is thin and contains few nerve fibers, whereas the circular muscle layer is thick and more densely innervated

Note that neurons do not make synapses on the GI smooth muscles, rather they release transmitters from varicosities (swellings) along their axon length

3

Where is Meissner's Plexus located?

aka the submucosal plexus lies between the submucosa and the circular muscle

4

Where is Myenteric Plexus located?

between the circular and longtiduinal muscle layers

5

6

What is the parasympathetic innervation of the GI?

the vagus nerve (CN X) in the upper Gi tract including the striated muscle of the upper 1/3rd of the esophagus, the wall of the stomach, the small intestine, and ascending colon, and

the pelvic nerve in the lower GI tract including the striated muscle of the external anal canal and the walls of the transverse, descending, and sigmoid colons

7

8

Postganglionic neurons of the parasympathetic nervous system are classified as either cholinergic or peptidergic. What are the transmitters of each in the GI?

Cholinergic- Ach

Peptidergic- Substance P, VIP, others

9

T or F. 75% of Vagus nerve fibers are afferent

T. Delivering sensory info from the periphery to the CNS. 

NOTE that both the afferent and efferent transmission of GI impulses/functioning are mediated via the vagus nerve, a phenomenon called a vagovagal reflex

10

What are the main sympathetic ganglia of the GI?

celiac, superior mesenteric, inferior mesenteric, and hypogastric

11

What transmitter do post-ganglionic sympathetic fibers release in the GI?

Nor

12

T or F. The intrinsic or enteric nervous system can direct ALL functions of the GI tract, even in the absence of extrinsic (ANS) innervation

T. Although typically the enteric plexus receives input/gives output to the ANS in the GI wall, as well as mechanoreceptors/chemoreceptors

13

How does Ach (parasympathetic) affect the GI?

-Contraction of smooth muscle in GI wall and relaxation of sphincters

-increased salivary, pancreatic, and gastric secretion

 

14

How does VIP affect the GI?

Smooth muscle relaxation

increased intestinal and pancreatic secretion

15

How does gastrin-releasing peptide (GRP)/Bombesin affect the GI?

increases gastrin secretion

16