Gastrointestinal Physiology Flashcards
(300 cards)
Intrinsic regulation involves (2) and is responsible for
local nervous and endocrine systems; specific GI functions
Extrinsic regulation involves (3) and is responsible for
CNS, ANS, endocrine system; broad promotion or inhibition of GIT activity
the myenteric plexus controls ________ and gets its sensory info from _________
motility; mechanoreceptors
the submucosal plexus controls _______ and gets its sensory info from __________ in ________
secretions; chemoreceptors; mucosa
What coordinates motor and secretory activity in the GIT
interneurons (between myenteric and submucosal plexus)
describe nerve endings in the ENS
no synapse; NT is released diffusely within tissue; motor axons end in varicosities
varicosities release _________, which are (2)
neurocrines; NTs or hormones
what enteric NTs are excitatory
acetylcholine, tachykinins (substance P)
substance P is involved in (2)
pain; vomiting (via CTZ in medulla)
what enteric NT peptides are inhibitory
somatostatin; NE/E; PACAP
what enteric NT non-peptides are inhibitory
NO, ATP
what enteric NT is inhibitory to muscle but stimulatory to glands
VIP (vasoactive intestinal peptide)
most of the GI tract is supplied by what nerve
vagus
the pelvic nerve supplies
descending colon and rectum (and bladder)
the vagus nerve uses what NT
ACh (stimulatory to gut muscle and secretions; vasodilates; relaxes sphincters)
sympathetic afferent nerves synapse in (2) ganglions
celiac and mesenteric
splanchnic nerves release what NT
NE (inhibits motility and secretions; contracts sphincters; vasoconstricts)
_________ afferent nerves (which are _________) mediate normal gut function, whereas ___________ afferent nerves (which are ___________) signal pathological conditions
vagal, parasympathetic; splanchnic, sympathetic
where is information from visceral afferents integrated
brainstem mainly
most GI functions are (conscious or subconscious)
sunconscious
T/F GI functions are completely subsconscious
F
intrinsic gut hormones are mainly _________ released from ________ cells
peptides; enteroendocrine
T/F enteroendocrine cells look alike because they each secrete multiple hormones
F; they look alike but each secretes a single hormone
enteroendocrine cells have what effects
autocrine, paracrine and endocrine