lecture 11 - GI absorption Flashcards

1
Q

What is the rate of GI absorption directly porportional to?

A

Surface area of the gut lumen

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2
Q

What is GI absorption?

A

Net passage of substance from lumen of gut, across epithelium, and into the interstitial fluid

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3
Q

Which motility pattern aids in GI absorption?

A

Segmentation

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4
Q

What are the 5 key factors that affect absorption in the GI tract?

A

Surface area, motility, adequate digestion, penetration, removal of substances from interstitial space

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5
Q

Why is it important for GI absorption to remove substances from the interstitial space?

A

Ensures a concentration gradient can be maintained so that substances can be moved from epithelial cells

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6
Q

What substances are absorbed in the stomach?

A

Ethanol, aspirin - nil nutritional absorption

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7
Q

What substances are absorbed in the colon?

A

Water, sodium, vitamins, short chain fatty acids, etc.

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8
Q

Is GI uptake of sodium selective or non-selective?

A

Non-selective, all sodium is taken up (if transporters are available) and kidneys maintain the balance in the flood by removing excess

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9
Q

Where are carbohydrates absorbed in the GI tract?

A

Duodenum, jejunum of the small intestine

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10
Q

What enzyme breaks polysaccharides into disaccharides?

A

Amylase

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11
Q

What converts disaccharides to monosaccharides in the GI tract?

A

Enzymes on the brush border of the small intestine

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12
Q

What transport mechanism is mostly used to absorb carbohydrates in the GI tract?

A

Na co-transport

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13
Q

What enzymes are used to to break down proteins in the GI tract?

A

Proteases (pepsin, trypsin, chymotrypsin), peptidases

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14
Q

What is the function of brush-border peptidases in the small intestine?

A

Break peptides down into single amino acid for absorption

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15
Q

How are amino acids absorbed in the GI tract?

A

Via co-transport with sodium

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16
Q

Where is calcium absorbed in the GI tract?

A

Duodenum

17
Q

Where is iron absorbed in the GI tract?

A

Proximal duodenum

18
Q

Where is vitamin B12 absorbed in the GI tract?

A

distal ileum

19
Q

Where are fat soluble vitamins absorbed?

A

In the small intestine, where they diffuse with lipids across the epithelium

20
Q

What are the 5 stages of lipid digestion?

A
  1. Emulsification
  2. Stabilisation
  3. Digestion
  4. Micelle formation
  5. Micelle absorption
21
Q

What is used to emulsify lipids?

A

Bile salts

22
Q

What enzyme is used to break down fats?

A

Pancreatic lipase

23
Q

What are micelles of fat repackaged into in the cells of the gut wall?

A

Chylomicrons

24
Q

How are chylomicrons transported away from the GI tract?

A

Via lymphatics from lacteals

25
Q

Where are bile salts reabsorbed from the GI tract?

A

The ileum