RLF-05. Gastric-acce#1*S2#s

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D’YOUVILLE COLLEGE

BIOLOGY 108/508 - HUMAN ANATOMY & PHYSIOLOGY II

LECTURE # 5

DIGESTIVE SYSTEM IV

STOMACH, PANCREAS, & LIVER

4. Abdominal Gastrointestinal Tract:

Stomach (fig. 23 – 14):

• J-shaped organ in left upper quadrant of abdominal cavity; lesser omentum suspends it by its lesser curvature from the liver; greater omentum extends inferiorly from its greater curvature

fundus (above esophageal opening), body (spacious central part), pylorus

(antrum); pyloric valve at exit to duodenum

muscularis has three layers instead of two (oblique (inner), circular and longitudinal (outer)), which provide mixing contractions (fig. 23 – 15)

mucosa (fig. 23 – 15): folded into rugae when the organ is empty; features tubular glands known as gastric pits or gastric glands) with three types of cell:

i. Neck (Mucus-secreting) Cells: lubrication and protection

ii. Parietal (Acid-secreting) Cells: hydrochloric acid denatures proteins, activates pepsin

iii. Chief (enzyme-secreting) Cells: pepsinogen (activated to pepsin by HCl) digests protein

- Other cells secrete intrinsic factor (required for absorption of vitamin B

12

) and several hormones, including gastrin (from endocrine cells)

• collective exocrine secretions of the gastric pits: mucus, water, hydrochloric acid, enzymes, & intrinsic factor comprise gastric juice

neural and endocrine control of secretion (fig. 23 – 17):

i. Neural: parasympathetic fibers of vagus n. (cranial X) promote secretion of gastric juice and a hormone (gastrin)

ii. Endocrine: gastrin (from pylorus) extends gastric juice secretion; also certain food constituents (caffeine, spices, alcohol) known as “secretogogues” directly trigger gastric juice secretion

iii. Neural and Endocrine: entry of chyme into the duodenum triggers a

sympathetic nerve reflex (enterogastric reflex), which inhibits gastric secretion;

cholecystokinin (a hormone from duodenal mucosa) also inhibits further gastric secretion

peristalsis moves small amounts of chyme into the pylorus; presence of chyme in pylorus triggers relaxation of pyloric valve - chyme enters duodenum

• different foods remain different times in stomach: carbohydrates and proteins remain for shorter periods; fats for 3 to 6 hours (longer satiety value)

• retrograde emptying (vomiting) - activation of a reflex from medulla

oblongata; also triggered by drugs (emetics), toxins, motion

Bio 108/508 lec. 5 - p. 2

Pancreas (figs. 23 – 21 & 23 – 26):

• mixed gland (exocrine & endocrine) posterior and inferior to the greater curvature of the stomach

acini, (secretory units); pancreatic duct - joins the common bile duct (from liver) to form hepatopancreatic duct (empties into the duodenum)

• two types of secretion are produced:

a. Bicarbonate-rich Juice: neutralizes acidic chyme from the stomach; stimulated by an intestinal hormone, secretin

b. Enzyme-rich Juice: contains amylases, lipases, proteases (trypsin,

chymotrypsin, carboxypeptidase), and nucleases; proteases are activated in the intestinal lumen by enterokinase; another intestinal hormone, cholecystokinin, promotes this secretion (figs. 23 – 27 & 23 – 28)

Liver (fig. 23 – 21):

• largest organ of the abdominal cavity, occupies mainly the right upper

quadrant (right lobe); a small left lobe extends into left upper quadrant

•. Lobules (fig. 23 – 25): cylindrical columns of hepatocytes arranged in radial rows around a central vein - receive two distinct blood supplies: hepatic artery

(oxygen-rich blood) and hepatic portal vein (nutrient-rich blood from the small intestine); blood flows to the lobule’s central vein via spacious capillaries (sinusoids)

- drain via hepatic veins to inferior vena cava

• Metabolic Functions (figs. 24 – 13, 24 – 14, 24 – 15 & 24 – 16):

i. Carbohydrates: glucose oxidation: glycolysis, Krebs cycle & electron

transport system (aerobic); glycolysis only (anaerobic)

- glucose storage as glycogen (glycogenesis: stimulated by insulin); glucose release from glycogen (glycogenolysis: stimulated by glucagon)

- glucose production from non-carbohydrate sources, e.g. amino acid, fatty acid, (gluconeogenesis: stimulated by glucagon & cortisol)

ii. Lipids: triglycerides broken down to glycerol & fatty acids

• fatty acids oxidized for energy or reconstitute triglycerides

• triglycerides and cholesterol bound into lipoproteins: HDL: high protein content, LDL: low protein content, VLDL: very low protein content

cholesterol synthesized (from acetyl-CoA) or excreted (via bile) according to the body’s need; cholesterol converted to bile salts (emulsifying agents)

iii. Proteins: essential amino acids (required in diet)

• nonessential amino acids formed from essential amino acids as required and secreted into bloodstream (amino acid pool)

• amino acids assembled into plasma proteins, e.g. lipoproteins

• amino acids oxidized by deamination; ammonia (produced by oxidations) is converted to urea via urea cycle

iv. Bile Formation and Secretion: bile contains cholesterol, water, bile salts, bile pigments (from hemoglobin), and other substances

• released in response to cholecystokinin (gall bladder contraction)

• substances (e.g. calcium, cholesterol) may come out of solution forming

gall stones (may cause obstruction of biliary tract)

Bio 108/508 lec. 5 - p. 3

Biliary System (fig. 23 – 25): hepatocytes secrete bile into tiny ducts

(canaliculi) - drained by hepatic ducts to common hepatic duct; bile may be passed to the gall bladder (for storage) via a cystic duct, or it may be delivered directly to the duodenum via the common bile duct

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