Gastrointestinal system 8 Flashcards

1
Q

Describe basic absorption

A

Net passage of substance from GI lumen across lining of intestine into interstitial fluid and into blood or lymph

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2
Q

Where does absorption occur

A
Mouth 
esophagus
stomach
Small intestine (90% of water and sodium)
Large intestine (9% of water and sodium)
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3
Q

What are the 4 factors affecting absorption

A

Motility
Surface area available for absorption
Transport across epithelium
Removal from interstitial fluid

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4
Q

How does motility affect absorption

A

Exposure of products of digestion to absorptive surfaces

Peristalsis and segmentation

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5
Q

How does surface area affect absorption

A

Rate of absorption proportional to surface area

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6
Q

What are the adaptions for maximising surface area

A

Length of intestine
Circular folds
Villi
Microvilli

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7
Q

What is the problem with transport of molecules across epithelium

A

Lumen of intestine continuous with outside world

Intestinal epithelium is a barrier

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8
Q

What are the two pathways of transport across epithelium

A

Paracellular - ‘gap’ between cells

Cellular - Across cell membrane and through cytoplasm

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9
Q

Describe paracellular pathways

A

Solutes don’t cross membrane - tight junctions binding cells together - relatively non-selective if small enough - passive

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10
Q

Describe the cellular pathway

A

Solutes cross two cell membranes - lipid bilayers

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11
Q

How can you maximise absorption across surface area

A

Reduces nutrients into smallest possible unit

Transport proteins - active transport

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12
Q

Describe the removal of substance from interstitial fluid

A

Large blood flow to intestine
Arrangement in villi of blood vessels and lacteal
Prevents build up in interstitial fluid

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13
Q

How much water do we secrete into the GI tract

A
Salivary - 1.5 L per day
Gastric - 3 L per day
Pancreatic - 1.5 L per day
Biliary - 0.5 L per day
SI - 1.5 L per day
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14
Q

What is the total water delivered to Small intestine

A

9-10 L per day

we do not replace losses and reabsorb the secreted water

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15
Q

Describe Osmosis

A

Passive movement of water from lumen to blood

set up by absorption of salts and nutrients

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16
Q

What types of transport does Na+ undergo

A

Passive movement - paracellular

Active transport - Transcellular - across membrane

17
Q

Describe mechanism of Na+ active transport mechanism

A

Na+ transport alone
Na+ coupled transport to monosaccharides
Na+ coupled to amino acids

18
Q

Describe absorption of Na+ alone

A

Down cell gradient (high-low)

19
Q

What is needed in Na+ absorption alone

A

Na+ channel
Na+/H+ exchanger
Active energy - ATP needed - Na+, K+-ATPase

20
Q

Describe carbohydrate absorption

A

Cotransport with Na+ - cellular pathway - monosaccharides
Across cell membrane
Apical - Na+ glucose cotransporter
Basolateral - Glucose carrier

21
Q

What two mechanisms do amino acids absorb through

A

Passive absorption

Active absorption

22
Q

Describe absorption of products of fat digestion

A

Lipid soluble - diffuse across cell membrane - delivered to brush boarder by micelles (not absorbed)

23
Q

What happens during absorption of fat digestion in the cell

A

Resynthesized into triglycerides

Packaged into chylomicrons - exit and enter the lacteal

24
Q

When are bile salts absorbed

A

After fat absorption is complete in ileum - active transport
In colon - passive absorption
95% absorbed

25
Q

What are the fat soluble vitamins and how are they absorbed

A

A, D, E and K - absorbed with fats

26
Q

What is the water soluble vitamin and how is it absorbed

A

Vitamin C

Na+ dependant absorption

27
Q

Describe Vitamin B12 absorption

A

In ileum
Binds to intrinsic factor - in stomach - specific transporter
Pernicious anemia

28
Q

Do we absorb everything

A

No - faeces formed in large intestine