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Serosa
Outermost protective covering
Longitudinal muscle
Shortens the GI tract when it contracts
Circular muscle
Squeezes the GI tract inward
Submucosa
Contains blood vessels, nerves, and supporting tissue
Mucosa
Innermost lining involved in secretion and absorption
Example: Instead of each intestinal muscle cell contracting independently, electrical signals spread between cells to coordinate contractions that move food.
syncytium
Increasing excitability
stretching muscle, ACh, Certain Gi Hormones
Decreases excitability
NE, Epinephrine, Sympathetic stimulation
Depolarization of GI smooth muscle
less negative membrane, less excitable, NO contraction
Hyperpolarization of GI smooth muscle
more negative membrane, less excitable, decreased likelihood of contraction
Tonic Contractions
can form repeated spikes, partial depolarization, and continuous ca+ entry
ENS enteric nervous system
myenteric plexus
Myenteric plexus (Auerbach's)
the movement of food.
Submucosal plexus (Meissner's)
Mainly controls GI secretion and local blood flow
Parasympathetic
increase GI motility
Sympathetic (autonomic NS)
decreases GI motility
during a stressful situation, _ activation can slow digestive movements because your body is prioritizing other functions.
sympathetic
Gastrocolic
Stomach activity increases colon movements, often causing the urge to defecate after eating
Gastroileal
Stomach activity increases ileal motility and movement into the colon
Enterogastric
Duodenum signals stomach to slow emptying
Ileogastric
Distended ileum inhibits stomach motility
Colonoileal
Colon inhibits emptying from ileum into colon
Vagovagal
Signals travel through the vagus nerves to the brainstem and back to regulate stomach activity
You eat breakfast and suddenly need to use the bathroom.
gastrocolic reflex
Gastrin
Increases stomach acid secretion and gastric mucosal growth
Gastrin triggered by
Food, stomach distention, protein products
CCK triggered by
Fatty acids and fat digestion products
Secretin triggered by
acid entering duodenum
GIP triggered by
Nutrients in upper small intestine
Motilin triggered by
fasting
You eat something fatty. CCK tells your gallbladder to contract and release bile to help digest fats.
CCK
Acidic chyme enters your duodenum. Secretin tells the pancreas to release bicarbonate to neutralize that acid.
Secretin
Nutrients enter your small intestine, and GIP helps stimulate insulin secretion.
GIP
You haven't eaten for a while. Motilin stimulates waves of movement that help clear the stomach and small intestine between meals.
Motilin ( migrating motor complex )
Law of the gut
When the intestine stretches:
The intestinal muscle contracts behind the food.
atropine can..
greatly reduce peristalsis by blocking cholinergic activity
The law of the gut ( when the gut stretches ) requires
myenteric plexus
splanchnic circulation
supplies blood to the GI organs, spleen, pancreas, and liver
what is a key pathway in gastrointestinal blood circulation
intestines,spleen, pancreas→ hepatic portal vein→ liver sinusoids→ hepatic veins to the vena cava
blood flow to the intestines increases during this time because the gut needs more oxygen and and nutrients to support digestion and absorption
after eating
Countercurrent oxygen exchange
Some oxygen moves directly from villus arterioles to venules, leaving villus tips vulnerable when blood flow decreases.
Autoregulatory escape:
ympathetic vasoconstriction initially reduces gut blood flow, but local metabolic vasodilators can restore it toward normal.
The muscles of mastication are controlled by
cranial nerve V (trigeminal nerve), mandibular division.
Three stages of swallowing
oral
which stages of swallowing is voluntary
oral
which stages of swallowing are not voluntary
Pharyngeal
“the soft palate closes off the nasal cavity, the vocal cords close, the epiglottis helps protect the airway, and the upper esophageal sphincter relaxes.” is an example of which stage of swallowing
pharyngeal stage
where is the swallowing center
medulla and lower pons
Primary peristalsis
Triggered by swallowing.
secondary peristalsis
Triggered by esophageal distention from retained food
tertiary peristalsis
Irregular, nonpropulsive contractions.
lower esophageal sphincter (LES)
normally contracted to prevent acid reflux, but relaxes during swallowing to let food enter the stomach
Retropulsion
When stomach contractions push chyme toward the pylorus, only a small amount passes into the duodenum. Most is pushed backward into the stomach.
Retropulsion helps…
mix food thoroughly
The enterogastric reflex and CCK help…
slow emptying so the small intestine has time to digest and absorb nutrients
The small intestine uses:
Segmentation: Mixing chyme with digestive secretions.
Peristaltic rush:
Intense intestinal irritation, such as severe infectious diarrhea, can trigger very strong, rapid peristalsis to move irritating contents into the colon.
The ileocecal valve helps prevent backflow of colonic contents into the
small intestine
Large intestine and defecation
The colon has two main functions:
Absorb water and electrolytes to form solid feces.
Haustrations
pouchlike segments created by contractions of circular muscle and the longitudinal muscle bands called the teniae coli. They help mix colonic contents
an example of defecation reflex
voluntary relaxation of the external anal sphincter allows defecation
what is the difference between internal anal sphincter and external anal sphincter
internal relaxes involuntarily, external is voluntarily controlled