digestion structure of the wall of the gi tract sphincters gastric emptying vomiting
TRANSCRIPT
Digestion
Structure of the wall of the GI tract
Sphincters
Gastric emptying
Vomiting
Exocrine glands
Have ductsEpithelium is
continuous w/ body surface
Ex: Salivary, gastric glands, pancreas, bile glands in liver, sweat glands
http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/E/ExocrineGlands.html
Wall of the GI Tract
Mucous Membrane Epithelium (varies) Lamina propria
(Connective tissue) Muscularis Mucosa
(smooth muscle)
Submucosa
Muscularis Externa, Serosa
Muscularis Externa: 2 layers of smooth muscle Inner circular fibers Outer longitudinal fibers Neural network in between
Enteric nervous system
Serosa: outermost layer Connective tissue Squamous cells
Muscularis Externa Layers
Sphincters
UES LES Pyloric Ileocecal Internal anal External anal
GI secretions
Gastric: Gastrin: gastric juice secretion
Enterogastrones: Secretin: bicarbonate from pancreas• CCK: • bile (contractions from gall bladder) in response
to amino, fatty acids• pancreatic enzymes
Gastric Emptying
Needs to be mediated so rate of emptying into the small intestine isn’t greater than rate of small intestine processing
Presence of acid in the duodenom secretin closes pyloric sphincter, stimulates secretions of the pancreas
Presence of fat: release of CCK closes pyloric sphincter
Presence of peptides/amino acids: release of gastrin closes pyloric sphincter
Yaking, spewing, blowing chunks, hurling, etc. (vomiting)
Reflex, expulsion of stomach/duodenal contents
Retching: contents forced into esophagus, not up to pharynx
Reverse peristalsisPyloric sphincter relaxes
Yaking (continued)
“vomiting center” in medulla signaled by:Distension of stomach, pressure in the back of the
throatInjury to urogenital areaDizziness
Emetics: stimulate stomach/duodenum receptors to induce vomiting Ex: ipecac