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STRUCTURE Oral/Esop Stomach Small Int Colon/Rectum

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Presentation on theme: "STRUCTURE Oral/Esop Stomach Small Int Colon/Rectum"— Presentation transcript:

1 STRUCTURE Oral/Esop Stomach Small Int Colon/Rectum
ENS no/yes (distal) yes yes yes Oral/Esop Stomach Small Int Colon/Rectum Muscle Skeletal (prox) Smooth Smooth smooth Smooth (distal) (skeletal sphincter) Glands Salivary/none Gastric Glands (pits) Duodenal Crypts&single cell (fundus vs antrum) Pancreas Biliary Crypts&single cell STRUCTURE

2 CONTROLS Oral/Esop Stomach Small Int Colon/Rectum
Neural yes yes yes yes Control CNS>ENS CNS~ENS ENS>CNS CNS~ENS/CNS>ENS Endocrine No Yes Yes Some/No Control Gastrin CCK + Gastrin/CCK Secretin Secretin + CCK +/ Gastrin +/-- PYY, PP-- Paracrine No yes yes yes Control Histamine Serotonin + Serotonin + Prostaglandin +/- Somatostatin --- CONTROLS

3 Motility & Secretion Oral/Esop Stomach Small Int Colon/Rectum
Motility peristalsis peristalsis peristalsis, antiperistalsis peristalsis, mixing (1 & 2) adaptive relaxation segmentation, bursts antiperistalsis receptive relaxation Mass movement&defecation Interdigestive no yes yes yes/no MMC/Secretion Secretion Saliva/none HCl HCO3, Cl, H20 electrolyte HCO intrinsic factor Panc Enzymes mucous Amylase pepsin mucous lipase lipase bile mucous Motility & Secretion

4 ABSORPTION Oral/Esop Stomach Small Int Colon/Rectum
Epithleium very tight very tight very leaky (duod) very tight to tight (ileum) Absorption none Little (ROH) Nutrient (duod-jej) H20 & electrolyte/none IF-B12 (ileum) SCFA Bile salt (ileum) H20 & electrolyte ABSORPTION

5 ORAL PHASE sight sound smell Afferent Efferent
HCl Pepsin Gastrin HCO3 Enzyme Bile Ctxn Rlxn Thickness ≈ activity level

6 GASTRIC PHASE sight Afferent Efferent Gastrin
sound smell HCl Pepsin Gastrin HCO3 Enzyme Bile Ctxn peristalsis/segmentation AAs Rlxn Thickness ≈ activity level

7 INTESTINAL PHASE Afferent Efferent Inhibition H+ SSN Secretin CCK GE
HCl Pepsin Gastrin HCO3 Enzyme Bile segmentation peristalsis Ctxn H+ SSN Secretin CCK GE Inhibition aa ffa Thickness ≈ activity level


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