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Krabbe Mid-Term Lec 1 Part 1
Digestion, Absorption, Transport, and Excretion of Nutrients
57
Health Care
Professional
01/13/2013

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Term
Gastrointestinal Tract has 3 primary roles
Definition
Extract macronutrients, Absorb necessary micronutrients and trace elements, & Serve as a physical and immunologic barrier to microorganisms, foreign material, and potential antigens
Term
Percent of the human diet is digested and absorbed by the GI tract
Definition
92-97
Term
The villi and microvilli cause a huge increase in the
Definition
surface area
Term
primary site of nutrient absorption
Definition
small intestine
Term
The GI tract is more susceptible than most tissues to:
Definition
1. micronutrient deficiencies
2. protein calorie malnutrition
3. damage resulting from toxins, drugs, irradiation, or interruption of its blood supply
Term
The life span of the GI tract is _______ days
Definition
3-5
Term
when the the cells of the GI tract die, they are recycled in the body and account for as much as _______g of protein per day
Definition
50-60
Term
The effects of a few days of starvation will result in GI tract
Definition
atrophy
Term
Atrophy of the GI tract results in
Definition
reduction of surface area
reduced secretions
reduced synthetic functions
reduced blood flow
reduced absorptive capacity
Term
Normal GI function can be returned in as little as ___ days with resumption of food intake following starvation
Definition
2
Term
Research indicates that the human GI tract functions optimally on _______ consumption of healthy food rather than food consumption interspersed with prolonged fasts
Definition
frequent
Term
In the stomach Stomach
Food is mixed with
Definition
acidic fluid and proteolytic and lipolytic enzymes
Term
the Majority of digestion occurs in the
Definition
Small Intestine
Term
The majority of digestion that occurs in the small intestine happens in the first ______cm
Definition
100
Term
enzymes are released from the
Definition
pancreas and small intestine
Term
bile is released from the
Definition
liver and gall bladder
Term
in the small intestine Starches are reduced to
Definition
smaller molecular weight carbohydrates
Term
in the small intestine Proteins to
Definition
small-medium sized peptides
Term
in the small intestine Lipids to
Definition
triglycerides to free fatty acids and monoglycerides
Term
In the small intestine the enzymes from the brush border make some of the final contributions to digestion by:
Definition
Further reducing carbohydrates to monosaccharides
Further reducing proteins to single AA, dipeptides, and tripeptides
Term
Movement of ingested and secreted material in the GI tract is regulated by
Definition
peptide hormones, nerves, and enteric muscles
Term
The colon absorbs water,
Definition
electrolytes (Na+, K+), and forms Vitamin K by bacterial action
Term
This is responsible for Fermenting the remaining fiber, resistant starch, sugar and amino acids
Definition
colonic flora
Term
This Produces SCFA’s (and gas) which provide energy to the mucosa, and absorb the remaining water and salts
Definition
colonic flora
Term
Digestive enzymes are synthesized in the
Definition
mouth, stomach, pancreas, and small intestine
Term
No digestive enzymes are secreted in the
Definition
large intestine
Term
In its pure form, ______ cannot be transported across the mucosa of the small intestine
Definition
lactose
Term
fermented dairy products such as yogurt are well tolerated by individuals who are lactose-intolerant because of the bacterial enzyme __________ (produced by the culture) in ‘live’ yogurt
Definition
Beta–galactosidase
Term
Beta–galactosidase which is able to digest lactose to glucose and galactose, is __________ and hence is thought to survive gastric digestion
Definition
intracellular
Term
In infants and young children, lactase deficiency is usually a transient problem occurring after an episode of _____________, but it is commonly a feature of any disease that causes damage to the intestinal mucosa (e.g., celiac disease).
Definition
gastroenteritis
Term
in a number of populations (e.g., ________________) a high proportion of adults have very little lactase activity. This adult deficiency is believed to have a genetic basis.
Definition
African, Mexican, Greenland Eskimo
Term
Regulation of GI activity falls under the control of
Definition
Nerves
Neurotransmitters
Neuropeptide Hormones
Term
Neural mechanisms of GI control include
Definition
Intrinsic system & External system
Term
External system of GI control includes
Definition
nerve fibers running to and from the central and autonomic nervous system (chiropractic will effect)
Term
Intrinsic system of GI control includes
Definition
2 layers of nerves embedded in the gut wall (effected by distension, the sense of food being there)
Term
Receptors in the gut wall are sensitive to
Definition
chyme (semiliquid-protein/fat/carbs) and lumen distention (fullness)
Term
GI is largely _________ in regards to motility and secretions
Definition
self-regulating
Term
Sympathetic fibers (fear-anger-stress) ____ GI transit
Definition
slow
Term
Parasympathetic fibers are active upon the sight or smell of food which stimulates
Definition
gastric acidity (anticipation), may also send signals of colicky pain, sharp pain, nausea, urgency, or gastric fullness/emptiness
Term
HCL secretion, pepsinogen, and motility
Definition
Gastrin
Term
“G” cells in antral mucosa of stomach
Definition
Gastrin
Term
Triggers: antrum distention after a meal, smell or sight of food (vagus nerve), presence of proteins, alcohol, caffeine, food extracts in the antrum of the stomach
Definition
Gastrin
Term
opposes the action of gastrin
Definition
Secretin
Term
Protects small intestine, creates a better environment for enzymes
Definition
Secretin
Term
Water and bicarbonate secretion from pancreas into duodenum
Definition
Secretin
Term
"S” cells from the proximal small intestine
Definition
Secretin
Term
Triggers: Acid in the small intestine
Definition
Secretin
Term
“I” cells of small bowel mucosa
Definition
Cholecystokinin (CCK)
Term
Triggers: proteins and fats
Definition
Cholecystokinin (CCK)
Term
Functions:
Secretion of pancreatic enzymes
Gallbladder contraction
Increase motility
Slow gastric emptying
Increase satiety
Definition
Cholecystokinin (CCK)
Term
Incretin hormone (help keep blood glucose from rising excessively after a meal)
Definition
Glucose-dependent insulinotropic polypeptide (GIP)
Term
Triggers: glucose and fat
Definition
Glucose-dependent insulinotropic polypeptide (GIP) & Glucagon-like peptide (GLP-1)
Term
Functions: insulin release from pancreas
Definition
Glucose-dependent insulinotropic polypeptide (GIP)
Term
Incretin hormone
Definition
Glucagon-like peptide (GLP-1)
Term
Functions: decrease glucagon and increase insulin secretion, delay gastric emptying, promotes satiety
Definition
Glucagon-like peptide (GLP-1)
Term
Triggers: bile and pancreatic secretions in the duodenum
Definition
Motilin
Term
Functions: increases gastric emptying and GI motility (stimulates smooth muscle contraction in the stomach
Definition
Motilin
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