Small Intestine Structure and Function Flashcards

1
Q

Describe the section’s of the small intestine

A

Duodenum 25cm, gastric acid neutralisation, digestion and iron absorption.

Jejunum 2.5m long, 95% of nutrient absorption. Mostly empty and flat as it absorbs almost everything that goes into it.

Illeum -3.5m long
NaCl/H2O absorption causing chyme dehydration.

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2
Q

Describe Peyer’s Patches

A

egg-shaped lymphatic tissue nodules found through the ileum

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3
Q

Describe Plica

A

Folds of the mucosal intestinal membrane that increase surface area for absorption

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4
Q

Describe the Brush Border

A

The micro-villi of the small intestine.

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5
Q

Epithelia of the Small intestine

A

simple columnar intestinal epithelial cells.

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6
Q

Goblet Cells

A

Mucous secretory cells scattered between the simple columnar epithelial

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7
Q

Crypt of Liberkuhn

A

The epithelia of the villi extend down to the lamina propria where they form crypts.

They secrete Cl (CFTR) and water

Crypts of liberkuhn contain:

  • Paneth Cells (base of crypt, defensive)
  • Enteroendocrine cells (secrete secretin, CCK, GIP and motilin)

Stem Cells

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8
Q

What do Villus Cells absorb?

A
NaCl
Monosaccarides
Amino Acids
Peptides
Fats
Vitamins
Minerals
Water
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9
Q

Describe Water secretion into the small intestine

A

Chloride ions enter the epithelial cell from circulation by co-transport of Na, K, and Cl through a basal membrane trasporter.

Sodium is pumped back via Na/K pump and K+ exits via other channels.

This activates adenyly cyclase, which generates cAMP from ATP

Elevated cAMP activate CFTR resulting in secretion of Cl into the lumen of the gut.

Negatively charged Cl ions attact Na+ to the intestinal lumen.

Net Result –> Secretion of NaCl ad water is drawn into the lumen.

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10
Q

How is secreted water reabsorbed?

A

Water secreted by crypts is reabsorbed by the intestinal villi

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11
Q

Peristalsis

A

Forward movement of food through the GI tract

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12
Q

Segmentation

A

Contraction & Relaxation of short intestinal segments. Mixes and Churns.

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13
Q

Generation of Segemental Contraction

A
  1. Initiated by depolarisation of pacemaker cells in the longitudinal muscle layer.
  2. Basic electrical rhythm determines frequency of contraction
  3. Stimulus triggers AP, as BER subthreshold. Number of AP’s triggered determines force of contraction.
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14
Q

Neural Input to Contraction & BER

A

Vagus - Increases contraction.

Sympathetic - Decreases contraction.

Neural input does not affect BER

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15
Q

When does peristalsis take place

A

Peristalsis takes place after segmentation.

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16
Q

Patterning of Peristalsis

A

Migrating Motility Complex, begin in the gastric antrum and continues to the distal ileum, causing another to begin.

Arrival of food in the stomach causes MMC to cease and segmentation to begin.

Motilin involved with MMC intiationMecha

17
Q

What is the function of MMC

A

A) Move undigested matieral to the large intestine.

B) Limit bacterial colonisation

18
Q

Mechanism of Peristalsis

A

Muscle behind the bolus contracts.

Muscle infront of bolus relaxes.

Bolus is moved down into area of relaxation

19
Q

Control of Peristaisis

A

Peristalsis is controlled by the ENS via the myenteric plexus and is independent of CNS control

20
Q

Name the three extrinsic reflexes that control the movement, digestion and defecation

A
  1. Enterogastic Reflex
  2. Gastocolic Reflex
  3. Gastoileal reflex
21
Q

Describe the enterogastric reflex

A

Reflex is stimulated by acid levels of 3/4 in the duodenum and stomach at 1.5.

This level of pH causes release of gastrin from G-cells in the antrum is inhibited.

This reduces gastric motility and secretion of HCl

22
Q

Describe the Gastrocolic Reflex

A

Controls motility of the colon in response to stretch of the stomach. Urge to defecate post meal

23
Q

Describe the gastroileal reflex

A

Works with the gastocolic reflex to stimulate the urge to defercate post meal. It is stiumatied by the opening of the ileocecal valve and moevment of digested contents from the ileum to the small intestine into the colon for compaction

https://courses.lumenlearning.com/boundless-ap/chapter/nervous-system-of-the-digestive-system/