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Mechanism of gastrointestinal
absorption
1. Stomach
• Only absorp alcohol, and some medicine ex :
aspirin
2. Intestinal tenue
• Structural modifications of the small intestine wall increase
surface area
– Plicae circulares/Folds of Kercking: deep circular folds of the mucosa
and submucosa
– Villi – fingerlike extensions of the mucosa
– Microvilli – tiny projections of absorptive mucosal cells’ plasma
membranes
3. intestinal crassum
• Mostly absorp water
Area of simple cylinder
Folds of Kercking
Villi
Microvilli
(brush border)
Degree by which different anatomical features increase surface area in the small intestine:
Increase in Surface Area
(Relative to cylinder)
Surface Area (cm2)Structure
1
600
30
3
4 cm Dia. x 260 cm L
~3,300
~10,000
~100,000
~2,000,000
• Carbohidrat
via cotransport with Na+, and facilitated diffusion
– Enter the capillary bed in the villi
– Transported to the liver via the hepatic portal vein
• Protein
Absorption: similar to carbohydrates
• Lipid
Diffusion into intestinal cells . The intestinal villi are coated by an
unstirred water layer which reduces the absorption of the poorly
water soluble lipids.
• Nucleat acid
Absorption: active transport via membrane carriers
Absorbed in villi and transported to liver via hepatic portal vein
• Vitamins
– Water soluble vitamins are absorbed by diffusion
– Fat soluble vitamins are absorbed as part of micelles
• Vitamin B12 requires intrinsic factor
• water
Absorption of water is passive and is determined
by differences in osmolarity of luminal
content and blood, therefore net transport of
water can occur in both direction.
• Electrolyte
Most ions are actively absorbed along the length of small
intestine
– Na+ is coupled with absorption of glucose and amino acids
– Ionic iron is transported into mucosal cells where it binds to ferritin
Anions passively follow the electrical potential established by
Na+
K+ diffuses across the intestinal mucosa in response to osmotic
gradients
Ca2+ absorption:
– Is related to blood levels of ionic calcium
– Is regulated by vitamin D and parathyroid hormone (PTH)

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Mechanism of gastrointestinal absorption

  • 2. 1. Stomach • Only absorp alcohol, and some medicine ex : aspirin
  • 3. 2. Intestinal tenue • Structural modifications of the small intestine wall increase surface area – Plicae circulares/Folds of Kercking: deep circular folds of the mucosa and submucosa – Villi – fingerlike extensions of the mucosa – Microvilli – tiny projections of absorptive mucosal cells’ plasma membranes
  • 4. 3. intestinal crassum • Mostly absorp water
  • 5. Area of simple cylinder Folds of Kercking Villi Microvilli (brush border) Degree by which different anatomical features increase surface area in the small intestine: Increase in Surface Area (Relative to cylinder) Surface Area (cm2)Structure 1 600 30 3 4 cm Dia. x 260 cm L ~3,300 ~10,000 ~100,000 ~2,000,000
  • 6. • Carbohidrat via cotransport with Na+, and facilitated diffusion – Enter the capillary bed in the villi – Transported to the liver via the hepatic portal vein • Protein Absorption: similar to carbohydrates • Lipid Diffusion into intestinal cells . The intestinal villi are coated by an unstirred water layer which reduces the absorption of the poorly water soluble lipids. • Nucleat acid Absorption: active transport via membrane carriers Absorbed in villi and transported to liver via hepatic portal vein
  • 7. • Vitamins – Water soluble vitamins are absorbed by diffusion – Fat soluble vitamins are absorbed as part of micelles • Vitamin B12 requires intrinsic factor • water Absorption of water is passive and is determined by differences in osmolarity of luminal content and blood, therefore net transport of water can occur in both direction.
  • 8. • Electrolyte Most ions are actively absorbed along the length of small intestine – Na+ is coupled with absorption of glucose and amino acids – Ionic iron is transported into mucosal cells where it binds to ferritin Anions passively follow the electrical potential established by Na+ K+ diffuses across the intestinal mucosa in response to osmotic gradients Ca2+ absorption: – Is related to blood levels of ionic calcium – Is regulated by vitamin D and parathyroid hormone (PTH)