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GI details
4
15
Physiology
Post-Graduate
04/14/2008

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Cards

Term
Gastrin stimulates what cells
Definition
1. parietal (HCl & IF)
2. Enterochromaffin-like cells--Histamine-- parietal cells--acid
Term
Gastrin Inhibited by
Definition
ph below 3, which also stimulates somatostatin prod.
Term
Zollinger Ellison Syndrome
Definition
small gastrinomas- produce lots of acid--test: give gastrin & see no increase in acid= tumor
Term
CCK stimulated by
Definition
CCK is stimulated by fatty acids & peptides & is related to gastrin chemically
Term
CCK stimulates/relaxes what
Definition
CCK stimulates gallbladder contraction, relaxes Sphincter of Oddi, & stimulates enzyme secretion & potentiates bicarbonate secretion caused by secretin.
Potentiations are important in combined effects of hormones
Term
CCK feedback?
Definition
CCK Feeds back & inhibits gastric emptying. Fat is the limiting foodstuff. If digestion is proceeding slowly, CCK is increased, feeds back & reduces rate at which food is coming out of stomach into duodenum, allowing complete digestion to occur
Term
CCK not affected by?
Definition
CCK not affected by whole proteins or whole fats
CCK has weak response to acid
Term
Secretin stimulus for release
Definition
reacts strongly to PH under 4.5- often called NATURE's ANTACID
Term
Only hormone released in response to ALL three food stuffs (hydrolyzed fats, amino acids, glucose)
Definition
Gastric Inh Peptide (GIP) [Peptide YY prob stronger inhibitor]
Term
Motilin stimulant
Definition
Motilin is stimulated by fat & acid in duodenum. Occurs SPONTANEOUSLY during interdigestive periods
Term
GLP-1 (7-36) function
Definition
strong stimulus for insulin release
Term
Ghrelin
Definition
released during fasting, stimulates food intake (orexigenic) & GH release
Term
peptide YY
Definition
released from intestine by FATS and feedsback to inhibit gastric acid secr. & SUPPRESSES appetite (antiorexigenic).
Term
Guanylin
Definition
binds guanyly cylclase to up cGMP & open CFTR Cl- secretion [E.coli mimics effect to cause diarrhea).
Term
Half of GI peptide tumors are?
Definition
50% gastrinomas (up secrete acid)
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