Gastroinestinal/Hepatobiliary Histology Objectives MHD II 2012-13 Gastrointestinal Histology On H&E stained sections, identify the four general layers of the digestive tract organs (esophagus, stomach, small bowel, colon): Mucosa; submucosa; muscularis externa, and adventitia/serosa On H&E stained sections identify the following components of the mucosa: epithelium, lamina propria, muscularis mucosa Describe the components of the submucosal layer of the digestive organs Explain the location of Meissner plexus vs Auerbach plexus and describe the function of each Name the type of epithelium comprising the mucosa of the esophagus, stomach, small bowel, appendix, colon and anal canal. Describe the composition of the lower esophageal sphincter and its function Name the four parts of the stomach. Identify gastric pits and explain their function. On high power H&E stained sections distinguish parietal cells from chief cells. List the substances secreted by each of the cells. Describe the composition of the pyloric sphincter and its function. Identify the following key components of the small intestine: Duodenum: villi, Brunner glands Jejunum: villi Ileum: villi, goblet cells, Peyer patches Define Crypts (or Glands) of Lieberkuhn. Contrast villi vs plicae circulares On H&E stained sections distinguish colon from small intestine. Define taenia coli. In H&E stained sections of pancreas distinguish the endocrine components of the pancreas from the exocrine components. Gastroinestinal/Hepatobiliary Histology Objectives MHD II 2012-13 In H&e stained sections of pancreas identify pancreatic acinar cells vs ducts. Hepatobiliary Histology On a low power H&E stained section outline a liver lobule. Identify the components of the portal triad: portal vein, hepatic artery, bile ductule. Identify hepatic sinusoids and describe the endothelium that lines the sinusoids. List the structures that form the space of Disse. Define “Kupfer cells” and their function. Describe the location of bile canaliculi and their function. Describe the path of blood flow as it is filtered through the liver. Describe the path of bile flow from the liver to the gall bladder. Explain the rationale of dividing the hepatic acinus into three zones. Identify the three layers of the gallbladder: mucosa, muscularis and serosa/adventitia.