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Dental Histology Exam 2
Digestive System
57
Medical
Professional
10/05/2008

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Term
What are the 3 functions of the digestive system?
Definition

1. Break down large molecules into smaller one for easy absorption.

2. Absorb water, vitamins and minerals from food.

3. To provide a barrier for rest of the body from the contents of the lumen.

Term
What are the main layers ans sublayers of the digestive tract?
Definition

1. Mucosa (epithelial lining, lamina propria and muscularis mucosae)

2. Submucosa

3. Muscularis Externa

4. Serosa

Term
Describe the Mucosa layer (mucous membrane)?
Definition

1. Epithilial lining - StratSE to Simple Cub. Epithelium.

2. Lamina propria - Areolar CT, very vascular, lymphatics, smooth muscle, lymph tissue and sometimes glands.

3. Muscularis Mucosae - usually inner circular and outer longitudinal layers of smooth muscle.

Term
Describe the Submucosa layer?
Definition
Dense Irregular CT, vasculature, Meissner's nerve plexis
Term
Describe the Muscularis externa layer?
Definition
Usually 2 layers of smooth muscle (stomach has 3). Inner circular, outer longitudinal. Auerbach's myenteric nerve plexus.
Term
Describe the Serosa layer?
Definition
Areolar CT, vasculature, adipose, covered by mesothelium (simple SE). Esophagus has NONE.
Term
What type of epithelium lines the esophagus?
Definition
Nonkeratinized Strat SE
Term
The Submucosa in the esophagus contain what type of glands?
Definition
Tubuloacinar esophageal glands that secrete mucous.
Term
Where are esophageal cardiac glands located?
Definition
In the esophagus within the lamina propria near the stomach and mouth
Term
What are the 3 types of muscle with in the muscularis depending on location?
Definition

Proximal (mouth) - Striated

Middle - Striated and Smooth

Distal - Smooth (this is where some serosa is found, after passing through diaphram)

Term
What replaces a serosa layer for most of the esophagus?
Definition
Adventitia, which is a type of CT that combines with CT in other areas.
Term
What are the main functions of the stomach?
Definition

1. Secretes hormones (neuroendocrine cells)

2. Continues breakdown of carbs

3. introduce acidic fluid to food

4. Process food into chyme with muscular action

Term
What are the 4 major regions of the stomach?
Definition

1. Cardia

2. Fundus

3. Body

4. Pylorus

Term
Rugae
Definition
The longitudinal folds of the relaxed stomach
Term
Describe the mucosa of the stomach
Definition

-Simple Colum. Ep. forms gastric pits

-Barned tubular glands empty into pits

-All Ep. cells secrete mucous to protect from acid

Term
What is the cardia region?
Definition

-Transition zone from esophagus to stomach.

-Cariac glands in lamina propria secrete mucous, lysozyme and some HCL

Term

Where are gastric glands located?

 

Definition

In fundus and body.

Empty into shallow gastric pits and contain many cell types.

Term
What type of cells are in the neck of gastric glands?
Definition
Stem cells, mucous neck cells and parietal cells.
Term
What type of cells are in the base of gastric glands?
Definition
Parietal, chief and enteroendocrine
Term
Describe stem cells
Definition

-Rare

-Actively dividing

-Can replace surface or pit cells  or differentiate into mucous neck, parietal, chief or enteroendocrine

Term
Describe mucous neck cells
Definition

-Irregually shaped and secrete mucous

-Trap bicarbonate to neutrilize pH near epithelium

-Stimulated by vagus nerve, stomach distention and HCL

Term
Describe parietal cells
Definition

-Mainly in upper portion of gastric gland

-Round/triangular with centrally placed nucleus

-Secrete HCL, KCL and gastric intrinsic factor (B12 absorbtion)

-Stimulated by histamine and gastrin

Term
Describe chief cells
Definition

-Near base of gastric glands

-Basophilic, granules contain Pepsinogen (pepsin ->protein digestion)

- Secrete lipase for fat

Term
Decribe enteroendocrine cells
Definition

-Near base of gastric gland

-part of Diffuse Neuroendocrine System DNES

-hormones released:

1. regulate water and electrolyte met. and enzyme secretion

2. regulat GI motility and mucosal growth

3. stimulate release of other hormones

Term
Describe the Pylorus region of the stomach
Definition

-Many DEEP gastric pits that empy into simple tubular glands

-Contain mucous, gastrin and D cells

-Glands secrete lysozyme

Term
What do gastrin (G) cells do?
Definition
Secrete gastrin, which stimulates parietal cells
Term
What do D cells do?
Definition

-Type of enteroendocrine cell

-release somatostatin whihc inhibits gastrin release

Term
How many layers is the muscularis externa in the stomach?
Definition

3:

1. External longitudinal

2. Middle circular

3. Inner oblique

 

Middle layer becomes thickened to form pyloric sphincter

Term
What are the main functions of the small intestine?
Definition

-Most food undergoes final digestion

-Nutrients are absorbed

-Hormones are secreted

-Have very long villi for absorbtion

Term
What are the 3 divisions of the small intestine?
Definition

1. Duodenum

2. Jejunum

3. Ileum

Term
What division of the small intestine has the most prominent folds?
Definition

Jejunum.

Known as Plicae Circulares

Term
What are the layers of the intestinal wall?
Definition

1. Mucosa

2. Submucosa (separated from mucosa by the muscularis mucosa)

3. Muscularis Externa (2 layers)

4. Serosa (covered by mesothelium of the visceral peritoneum)

Term
Describe Absorptive cells
Definition

-Tall columnar cells with oval nucleus near base

-Brush border at apex

-Border consists of microvilli and glycocalyx

-Nutrient absorbtion as well as enzyme breakdown of carbs and proteins occurrs here

(lipids are digested via pancreatic lipase and bile)

Term
Describe goblet cells
Definition

-Stuck between absorptive cells

-Increase in number toward distal end of intestine

-Secrete mucous

Term
Describe Paneth cells
Definition

-Pyramid shaped exocrine cells located in basal area of intestinal glands

-Secrete lysozyme,

tumor necrosis factor (promotes inflammation)

and  defensins (increase perm. of bacteria and parasites)

Term
Descirbe M (microfold) cells
Definition

-Special epithelial cell

-Holds macropahges and lymphocytes, keeps them readily available

-Can bring antigens to them for destruction

Term
What are the glands of the small intestine?
Definition
Glands of Leiberkuhn
Term
What are the functions of the crypts of Leiberkuhn?
Definition

1. Provide a pool of cells tomigrate to villi and replace lost cells

2. Secrete mucous

3. Produce alkaline fluid to neutralize stomach acid

Term
What do the neuroendocrine cell in the small intestine produce?
Definition

1. Secretin - enhances insulin and pancreatic bicarbonate secretion

2. Cholecystokinin - slows down gastric emptying, stimulate bile and pancreatic enzyme secretion

Term
What is the lymphatic vessel contained within each villus?
Definition
The lacteal
Term
What is the ANS intrinsic component  of intestinal motility (peristalsis)?
Definition

-Comprised of Meissner's plexus within the submucosa

-Aurbach's plexus between the 2 smooth muscle layers

-These integrate info about intestinal contents and degree of distention in the wall

Term
What is the ANS extrinsic component of intestinal motility?
Definition

-Parasympatheic nerves that stimulate activity

-Sympathetic nerves that depress activity

Term
Describe the duodenum
Definition

-Submucosal Brunner's glands (coiled tubuloacinar glands that secrete alakiline mucous, empy into crypts)

 -Short leaf-like villi

-Occasional Paneth cells at crypt base, enteroendocrine cells in villi

Term
Describe the Jejunum
Definition

-Long finger-like villi, prominet lacteals

-NO brunner's glands

-Possible peyer's patches

-Crypts have paneth cells

Term
Describe the Ileum
Definition

-Lots of Peyer's patches (all immune tissue)

-Villi finger-like but short

-Paneth cells in crypt base

Term
What is a Peyer's patch?
Definition

-Lymphoid follicle within the mucosa and submucosa of parts of the small intestine

-Comprise most of the gut associated lymph tissue GALT

 

Term
What are the 2 parts of a Peyer's patch?
Definition

1. Dome - between peyer's patch and suface epithelium. Contains B lymphocytes, macropages and plasma cells

2. Germinal center - contains B lymphocytes expressin IgA, CD4+ T lymphocytes, and antigen presenting cells

Term
Plasma cells found in the peyer's patch produce what?
Definition
Secretory IgA. Inhibits attachment of bacteria and toxins to epithelium
Term
What are the segments of the large intestine?
Definition

1. Cecum (with appendix)

2. Acending colon

3. Transverse colon

4. Descening colon

5. Sigmoid colon

6. Rectum

Term
What are the 3 main functions of the Large intestine?
Definition

1. Absorb water, minerals, sodium, and vitamins

2. Secrete mucous

3. Form feces

Term
The Large intestine contains mumerous folds (plicae). True or False?
Definition

False. The large intestine has no folds or villi (except in the rectum). There are numerous glands of Leiberkuhn.

 

Term
What are the 4 cell types found in the large intestine?
Definition

1. Absorptive

2. Goblet

3. Stem

4. Enteroendocrine

Term
There are no paneth cells in the large intestine. True or False?
Definition
True. Can sometimes be found in the Cecum though.
Term
Glands in the large intestine are not found below what level?
Definition
The muscularis mucosa.
Term
GALT in the large intestine is found where?
Definition
Lamina propria and submucosa
Term
The outer longitudinal smooth muscle of the large intestine is gathered into 3 bands called what?
Definition
The Taeniae coli
Term
Describe the appendix
Definition

-Stems from the cecum

-Has some folds

-Very large amounts of lymphiod tissue (possibly important early in life)

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