Digestion Lecture 2 Flashcards
(87 cards)
Stomach Function
The Stomach
- It connects the esophagus to the duodenum
- Serves as mixing chamber and holding reservoir (Mechanical digestion)
- In the stomach, digestion of starch continues (briefly), digestion of proteins begins, and digestion of
triglycerides increases and certain substances are absorbed (Chemical digestion) - Produces intrinsic factor
Stomach Structure
- a muscular, expandable, J-shaped organ with three layers in the muscular layer
- Highly variable shape depending on contents
- Empty: muscular tube with constricted lumen
- Full: can expand to contain 1–1.5 liters of material (chyme)
Chyme
The Stomach
- Viscous, highly acidic, soupy mixture formed from the combination of food, saliva, and gastric gland secretions
Stomach
* Lesser curvature forms and attaches
The Stomach
- forms the medial surface
- Attached to the mesentery of the lesser omentum
Stomach
* Greater curvature forms and attaches
The Stomach
- forms the lateral and inferior surfaces
- Attached to the mesentery of the
greater omentum
The Stomach
4 stomach regions
- Fundus
- Cardia
- Body
- Pylorus
Fundus
The Stomach
- Superior to the junction between the stomach and esophagus
Cardia
The Stomach
- Superior, medial portion within 3 cm of gastroesophageal junction
- Secretes mucus to protect esophagus from stomach acid/enzymes
Pylorus
The Stomach
- Sharp curve of “J” of the stomach
- Frequently changes shape with mixing movements
The pylorus is made up of the
The Stomach
- Pyloric antrum
- Pyloric canal
Pyloric antrum
The Stomach
- Portion connected to stomach body
Pyloric canal
The Stomach
- Empties into the duodenum (proximal segment of small intestine)
pyloric sphincter
The Stomach
Controls chyme leaving the stomach
Rugae
The Stomach
- Wrinkles
- Prominent, temporary mucosal folds
- Allow gastric expansion by flattening
out with stomach expansion
Histology
* Mucosa
* simple columnar epithelium
The Stomach
- Composed of simple columnar epithelium
- Produces layer of alkaline mucus
- Protects epithelial cells against acid and enzymes in gastric lumen
- Epithelial cells extend down into lamina propria to form columns of secretory cells called gastric glands which open up into gastric pits
- Secretions flow from gastric glands 🡪 gastric pits 🡪 lumen
Histology
* Mucosa
* Gastric pits
The Stomach
- Shallow depressions opening onto the gastric surface
- Active stem cells at the base of each pit replace superficial cells shed into the chyme
- Each pit communicates with several gastric glands
Histology
* Mucosa
* Gastric glands
The Stomach
- Glands in the fundus and body
- Secrete most of the acid and enzymes enabling gastric digestion
- Dominated by parietal cells and chief cells
- Secrete ~1.5 L of gastric juice each day
- Glands in the pylorus
- Secrete mucus and hormones that
coordinate and control digestive activity
- Cells of gastric glands
- Four main cell types:
The Stomach
- Parietal Cells (exocrine)
- Chief Cells (exocrine)
- Mucous neck cells (exocrine)
- G cells (endocrine)
Parietal cells secrete
The Stomach
- Intrinsic factor
- Glycoprotein that aids in vitamin B12 absorption
- Hydrochloric acid (HCl)
- Activates pepsinogen
- Keeps stomach at pH 1.5–2
G cells (enteroendocrine cells)
The Stomach
- Secretes gastrin which regulates digestion
Chief cells secrete
The Stomach
- Pepsinogen
- Activated by HCl to become pepsin
- Active proteolytic (protein-digesting) enzyme
- Gastric lipase
- Fat digesting enzyme
Mucous neck cells
The Stomach
- Secrete mucus to protect epithelial layer of the stomach from high acid contents
Submucosa
The Stomach
- composed of areolar connective tissue
Muscular 3 layer’s
The Stomach
- 3 layers of smooth muscle: an outer longitudinal, middle circular, and an inner oblique layer