Gastrointestinal Motilities

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Presentation transcript:

Gastrointestinal Motilities  

Chewing (mastication) Voluntary, but has more of reflex behavior Mixing of food with saliva and grinding

Swallowing Swallowing (deglutition) - initiated voluntarily - Continuing as involuntary reflex - Voluntary stage: in which tongue is pressing food by upward and backward movement against soft palate, which results in squeezing food bolus into pharynx.  

Swallowing Reflexes initiated by introducing food into pharynx. Involuntary stages Reflexes initiated by introducing food into pharynx. - Pharyngeal phase: - Esophageal phase: - Primary persistaltic contractions   - Secondary persistaltic contractions

Gastric Motilities - Receptive relaxation - Gastric Peristaltic movements  Retropulsion  Gastric emptying - Hunger contractions

Gastric Motilities - Receptive relaxation - Gastric Peristaltic movements  Retropulsion  Gastric emptying - Hunger contractions

Control of Gastric Motility

Motility in Small Intestine Site of most digestion and absorption: duodenum and jejunum types of movement Segmentation (mixing) - digestive state Peristalsis (propulsive)-inter-digestive Migrating motor complex Peristaltic rush (power propulsion)

Migrating motor complex cycle of quiescence and intense motor activity that begins in antrum and continues along the small intestine Function: Sweeps the stomach and intestine between meals.

Other movements - Peristaltic rush: Remove harmeful agents - Movements caused by the activity of muscularis :mucosa: Spreading chyme over the mucosa

Control of Intestinal movements -Electrical activity of muscle -Neural control: ENS, ANS - Hormonal control - Gastrin, CCK, Serotonin enhance intestinal motility. - Secretin and Glucagon inhibit intestinal motility.

Summary of Motilities of Small intestine Segmentation contraction: characterize the digestive or fed state and have mixing effects Peristaltic contractions: mainly Propulsive effect Migrating motor complex characterizes the inter-digestive state, ended with ingestion of food Peristaltic rush is a response to harmful agents

Motility of the Colon gastrocolic and duodenocolic reflexes - Haustration contractions: effect: propulsive - Mass contractions: facilitated by: gastrocolic and duodenocolic reflexes

- Intrinsic reflexes - Extrinsic reflexes Defication - Intrinsic reflexes - Extrinsic reflexes