This document discusses the secretion of various digestive substances throughout the gastrointestinal tract. It begins by describing the general principles of secretion, including the different cell types that produce mucus and enzymes. It then covers secretion in specific organs, including the stomach (gastric glands and regulation), pancreas (digestive enzymes and regulation), liver (bile production and role in fat digestion), and small intestine. The roles of nerves, hormones and other factors in stimulating or inhibiting secretion are also explained.
Posterior Pituitary or Neurohypophysis composed mainly of glial-like cells called pituicytes.
The pituicytes do not secrete hormones.
They act simply as a supporting structure for large numbers
of terminal nerve fibers and terminal nerve endings from nerve tracts.
That originate in the supraoptic and paraventricular
nuclei of the hypothalamus.
Posterior Pituitary or Neurohypophysis composed mainly of glial-like cells called pituicytes.
The pituicytes do not secrete hormones.
They act simply as a supporting structure for large numbers
of terminal nerve fibers and terminal nerve endings from nerve tracts.
That originate in the supraoptic and paraventricular
nuclei of the hypothalamus.
The endocrine system is composed of organs positioned throughout the body in widely separated locations. Endocrinology is the study of the structure and functioning of the endocrine system.
This presentation provides a clear understanding of the physiology of the circulatory system. It focus lies on the division and component of the circulatory system, the three major function of the circulatory system, blood composition, structure of the heart, blood circulation; pulmonary and systemic circuit, valves of the heart, the pathway of blood flow through the heart, the cardiac cycle, pressure changes during the cardiac cycle; systole and diastole, cardiac output, heart sounds among others.
This presentation was designed by Fasama H. Kollie and presented by Benetta N. Kekulah, Cordelia Capehart and Abraham Peters.
Tubular reabsorption (The Guyton and Hall physiology)Maryam Fida
It is the second step of urine formation.
It is defined as;
“ The process by which water and other substances are transported by renal tubules back to blood is called Tubular Reabsorption”.
Tubular reabsorption is highly selective.
Some substances like glucose and amino acids are completely absorbed from tubules. So, the urinary excretion is zero.
Ions such as Na+, Cl-, HCO3- are highly absorbed but rate of absorption and excretion varies, according to body needs.
Materials Not Reabsorbed
Nitrogenous waste products
Urea
Uric acid
Creatinine
Excess water
The endocrine system is composed of organs positioned throughout the body in widely separated locations. Endocrinology is the study of the structure and functioning of the endocrine system.
This presentation provides a clear understanding of the physiology of the circulatory system. It focus lies on the division and component of the circulatory system, the three major function of the circulatory system, blood composition, structure of the heart, blood circulation; pulmonary and systemic circuit, valves of the heart, the pathway of blood flow through the heart, the cardiac cycle, pressure changes during the cardiac cycle; systole and diastole, cardiac output, heart sounds among others.
This presentation was designed by Fasama H. Kollie and presented by Benetta N. Kekulah, Cordelia Capehart and Abraham Peters.
Tubular reabsorption (The Guyton and Hall physiology)Maryam Fida
It is the second step of urine formation.
It is defined as;
“ The process by which water and other substances are transported by renal tubules back to blood is called Tubular Reabsorption”.
Tubular reabsorption is highly selective.
Some substances like glucose and amino acids are completely absorbed from tubules. So, the urinary excretion is zero.
Ions such as Na+, Cl-, HCO3- are highly absorbed but rate of absorption and excretion varies, according to body needs.
Materials Not Reabsorbed
Nitrogenous waste products
Urea
Uric acid
Creatinine
Excess water
Gastrointestinal Hormones by Pandian M, Dept of Physiology DYPMCKOP, for MBBS...Pandian M
Classify GIT hormones
List the source and functions of different GI hormones
Explain the mechanism of action and regulation of secretion of different GI Hormones
Describe the role of GI hormones in regulation of GI functions
Explain the dysfunctions produced by alteration in secretion of GIT hormones
Common medication used for anesthesia, there action; dosage; adverse effect; duration of action.
They Include {inhalation + Induction + Muscle relaxant + Anticholinergic + Analgesic + Resuscitation}
in this presentation lecture we gone take a hypo and hyper thyrodism that affect the human cell because both situation may increase or decrease the basal metabolic rate.
When the pituitary Gland it' s function is increased whether the cause are?
Both anterior and Posterior gland secretions are increased the most causes are ADENOMAS
in this presentation you will be learn the different drug form that all medical health workers prescribing the medication.
the medical student should have a good knowledge and keep in mind these drug forms based on medical administration the drugs are classified into invasive (injection and transdermal implantation) and non invasive (oral, inhalers, suppository)
Medical equipment and tools are crucial to saving a person's life or performing any procedure.
i presented here the most and commonly equipment used by medical student to improve their skills
This note paper is short notes of general physiology for medical students who which to understand the concept of the physiology, physiology is the mother of medicine.
A summary of skeletal muscle contraction and relaxationAyub Abdi
it consist for 4 pages and cover all the steps that occur during muscle contraction and relaxation, I does not take a time just 5 minute is enough to read. I hope it's interesting.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. • The GIT secretory gland has to function:
1- Digestive enzymes.
2- Production mucus for lubrication and
protection.
• Most digestive secretions are formed in
response to the presence of food in the
alimentary tract.
3. GENERAL PRINCIPLES OF
ALIMENTARY TRACT SECRETION:
• Surface of the epithelium in most parts of the
gastrointestinal tract are billions of single-cell
mucous glands called simply mucous cells or
sometimes goblet cells.
• Many surface areas of the gastrointestinal tract
are lined by pits (crypts of lieberkühn).
• In the stomach and upper duodenum are large
numbers of deep tubular glands.
• Several complex glands—the salivary glands,
pancreas, and liver.
4.
5. A) Contact of Food with the Epithelium Stimulates
Secretion—Function of Enteric Nervous Stimuli:
• local epithelial stimulation also activates the enteric
nervous system of the gut wall by:
(1) Tactile stimulation,
(2) Chemical irritation, and
(3) Distention of the gut wall.
B) Autonomic Stimulation of Secretion:
• Parasympathetic Stimulation Increases the Alimentary
Tract Glandular Secretion Rate - (glossopharyngeal and
vagus) such as: *salivary glands, *esophageal glands,
*gastric glands, *pancreas, and *Brunner’s glands in the
duodenum, *distal portion of the large intestine (pelvic).
The remainding of these by means of local neural and
hormonal stimuli.
6. • Sympathetic Stimulation Has a Dual Effect on the
Alimentary Tract Glandular Secretion Rate.
(1) sympathetic stimulation alone usually slightly
increases secretion and
(2) if parasympathetic or hormonal stimulation is
already causing copious secretion by the glands,
superimposed sympathetic stimulation usually
reduces the secretion usually by means of
vasoconstriction.
C) Regulation of Glandular Secretion by Hormones:
• The hormones are liberated from the
gastrointestinal mucosa in response to the presence
of food in the lumen of the gut.
7. BASIC MECHANISM OF SECRETION
BY GLANDULAR CELLS:
1- Nutrient material from base.
2- Mitochondria produce atp.
3- ATP is used for synthesis of
protein by the help of er and
ribosome.
4- This protein fuse with the golgi
complex for processing then
forming into a secretory vesicles.
5- This vesicle will rmain in the
cell until hormonal and neural
stimulation.
6- Ca will cause release of these
vesicles by exocytosis.
1- Secretion of Organic Substances.
2- Water and Electrolyte Secretion.
8. The importance of mucus
in the gastrointestinal tract:
• Is a thick secretion composed mainly of water, electrolytes,
and a mixture of several glycoproteins.
• Slightly different in different parts of the gastrointestinal tract.
1. Has adherent qualities.
2. Coats the wall of the gut and prevents actual contact of most
food particles with the mucosa.
3. Low resistance for slippage.
4. Fecal particles to adhere to one another to form the feces.
5. Strongly resistant to digestion by the gastrointestinal
enzymes.
6. The glycoproteins of mucus have amphoteric properties,
which means that they are capable of buffering small
amounts of either acids or alkalies.
9.
10. • Esophageal secretions are entirely mucous and mainly
provide lubrication for swallowing.
• The main body of the esophagus is lined with many simple
mucous glands.
• At the gastric end and to a lesser extent in the initial
portion of the esophagus, many compound mucous
glands can also be found.
1. The mucus secreted by the compound glands in the upper
esophagus prevents mucosal excoriation by newly
entering food.
2. The compound glands located near the esophagogastric
junction protect the esophageal wall from digestion by
acidic gastric juices that often reflux from the stomach
back into the lower esophagus.
• Despite this protection, a peptic ulcer at times can still
occur at the gastric end of the esophagus.
11.
12. Glands of stomach:
1- Mucus-secreting cells.
2- The oxyntic or gastric (acid-forming) glands: secrete
A. Hydrochloric acid.
B. Pepsinogen.
C. Intrinsic factor.
D. Mucus.
3- The pyloric glands: secrete mainly
A. Mucus.
B. Gastrin (hormone).
• The oxyntic glands are located on the inside surfaces of
the body and fundus of the stomach.
• The pyloric glands are located in the antral portion of the
stomach.
13.
14.
15. Secretions from the Oxyntic
(Gastric) Glands:
(1) mucous neck cells, which
secrete mainly mucus.
(2) peptic (or chief) cells,
which secrete large
quantities of
pepsinogen.
(3) parietal (or oxyntic) cells,
which secrete
hydrochloric acid and
intrinsic factor.
16.
17. • The Basic Factors That Stimulate Gastric
Secretion Are Acetylcholine, Gastrin, and
Histamine:
• Acetylcholine - pepsinogen by peptic cells.
- hydrochloric acid by parietal cells.
- mucus by mucous cells.
• Gastrin and Histamine –strongly act parietal cells.
- little effect of other cells.
18. Secretion and Activation of Pepsinogen:
1. Secreted by the peptic and mucous cells of the
gastric glands.
2. Has no digestive activity.
3. Contact with HCL acid, it is activated to form
active pepsin.
4. Pepsin functions as an active proteolytic
enzyme in a highly acidic medium (optimum ph
1.8 to 3.5).
5. Hydrochloric acid is as necessary as pepsin for
protein digestion in the stomach.
19. Secretion of Intrinsic Factor by Parietal Cells:
A. secreted by the parietal cells along with the
secretion of hydrochloric acid.
B. intrinsic factor, which is essential for absorption
of vitamin B12 in the ileum.
C. When the acid-producing parietal cells of the
stomach are destroyed
D. The person develop achlorhydria and pernicious
anemia.
E. (pernicious anemia) failure of maturation of the
red blood cells in the absence of vitamin B12
20.
21. Secretion from pyloric glands:
Structurally similar to the oxyntic glands.
Contain few peptic cells.
No parietal cells.
Contain mostly mucous cells, identical with the
mucous neck cells of the oxyntic glands.
Secrete the hormone Gastrin, which plays a key
role in controlling gastric secretion.
• The stomach has a SURFACE MUCOUS CELLS:
which is a thick, alkaline, viscid mucus.
22. STIMULATION OF GASTRIC ACID
SECRETION
• Secretion of this acid is under continuous
control by both endocrine and nervous
signals.
• Enterochromaffin-like cells (ecl cells), the
primary function of which is to secrete
histamine.
• Pyloric gland (gastin or g cells) – gastrin
ecl cells – histamine partial cells - Hcl
23.
24. :
• Cephalic phase, a gastric phase, and an intestinal
phase.
A) cephalic phase: secretion of gastric juice by the
stimuli arising from head region (cephalus).
1. Unconditioned reflex.
2. Conditioned reflex.
B) gastric phase: secretion of gastric juice when food
enters the stomach.
C) intestinal phase: secretion of gastric juice when
chyme enters the intestine.
27. Introduction:
• internal structure is similar to that of the
salivary glands.
• Pancreatic acini – produce pancreatic
digestive enzyme.
• Duct’s from the acini – produce large quantity
of sodium bicarbonate.
• Pancrease also produce an insulin but it’s not
part of panceatic enzyme.
28.
29.
30. PANCREATIC DIGESTIVE
ENZYMES:
• Enzymes for digesting (carbohydrate, protein, lipid).
• It also contains large quantities of bicarbonate ions, which
play an important role in neutralizing the acidity of the
chyme emptied from the stomach into the duodenum.
• Trypsin, chymotrypsin, and carboxypolypeptidase are
digestive enzyme for protien.
• Trypsin and chymotrypsin not relsease of individual amino
acid.
• But carboxypolypeptidase may do.
• Pancreatic amylase (execpt cellulose) release of
disaccharides and a few trisaccharides from starch,
glycogen, carbohydrate.
31. • The main enzymes for fat digestion are:
(1) pancreatic lipase, which is capable of hydrolyzing
neutral fat into fatty acids and monoglycerides;
(2) Cholesterol esterase, which causes hydrolysis of
cholesterol esters;
(3) phospholipase, which splits fatty acids from
phospholipids.
• trypsinogen, chymotrypsinogen, and
procarboxypolypeptidase are inactive form of
pancreatic digestive enzyme.
• In the intestinal mucosa an enzyme called
enterokinase causes trypsinogen to be trypsin
intern causes autocatalytic.
• Trypsin also change the chymotrypsinogen, and
procarboxypolypeptidase to become active from.
32.
33. • Secretion of Trypsin Inhibitor Prevents Digestion
of the Pancreas.
• REGULATION OF PANCREATIC SECRETION:
34.
35. Phases of Pancreatic Secretion:
• Secretion of pancreatic juice is regulated by both nervous and hormonal factors.
A) Cephalic phase:
• Vagal nerve endings secrete acetylcholine, which stimulates pancreatic secretion.
B) Gastric Phase:
• When gastrin is transported to pancreas through blood, it stimulates the
pancreatic secretion, so the pancreatic juice secreted during gastric phase is rich
in enzymes.
C) Intestinal Phase:
• Hormones Stimulating Pancreatic Secretion
i. Secretin
ii. Cholecystokinin
• Hormones Inhibiting Pancreatic Secretion
i. Pancreatic polypeptide (PP) secreted by PP cells in islets of Langerhans of pancreas
ii. Somatostatin secreted by D cells in islets of Langerhans of pancreas
iii. Peptide YY secreted by intestinal mucosa
iv. Peptides like ghrelin and leptin
39. Introduction:
• One of the many functions of the liver is to
secrete bile, normally between 600 and 1000
ml/day.
A- Bile acids help fat digestion and absorption by
means of:
(1) emulsify the large fat particles of the food into
many minute particles.
(2) aid in absorption of the digested fat end
products through the intestinal mucosal
membrane.
B- excretion of bilirubin and excess cholestrol.
40. PHYSIOLOGIC ANATOMY OF BILIARY
SECRETION:
• Bile is secreted in two stages by the liver:
1- the hepatocytes (large amounts of bile acids,
cholesterol,and other organic constituents).
2- directly into the duodenum or stored in
gallbladder.
41.
42.
43. Storing and Concentrating Bile in the
Gallbladder:
• Bile secreted when it’s needs until that it’s stored in
gallbladder.
• The maximum volume that the gallbladder can hold
is only 30 to 60 milliliters.
• Every 12 hr the bile secretion is 450ml contains
water, Na, Cl, other electrolyte but the epithelial
mucosa of gallbladder is absorbed continuously of
these until it become concentrated.
• The concentrated bile contain bile salts, cholesterol,
lecithin, and billirubin.
• Bile is normally concentrated up to 5 fold or as much
as 15 – 20 folds
44. Cholecystokinin Stimulates
Gallbladder Emptying:
1. The gallbladder begins to empty after meals
comes to intestinal.
2. Gallbladder emptying is rhythmical contractions
of the gallbladder wall.
3. Simultaneous relaxation of the sphincter of oddi,
4. Acetylcholine-secreting nerve fibers from both
the vagi and the intestinal enteric nervous
system are less effect on gallbladder contraction.
45.
46.
47.
48. • Brunner’s glands, is located in the wall of the first
few centimeters of the duodenum, mainly between
the pylorus of the stomach and the papilla of Vater.
• These glands secrete large amounts of alkaline
mucus in response to:
(1) tactile or irritating stimulion the duodenal mucosa;
(2) vagal stimulation, which causes increased brunner
gland secretion concurrently with increase in
stomach secretion; and
(3) gastrointestinal hormones, especially secretin.
• Brunner’s glands are inhibited by sympathetic
stimulation. (ulcer)
49. SECRETION OF INTESTINAL DIGESTIVE
JUICES BY THE CRYPTS OF LIEBERKÜHN:
• Lie between the intestinal villi.
• Surfaces of both the crypts and the villi are covered
by an epithelium composed of two types of cells:
(1) A moderate number of goblet cells, which secrete
mucus that lubricates and protects the intestinal
surfaces.
(2) A large number of enterocytes, which, in the crypts,
secrete large quantities of water and electrolytes
and, over the surfaces of adjacent villi, reabsorb the
water and electrolytes along with the end products
of digestion.
50. Mechanism of Secretion of the
Watery Fluid:
• In the presence of active secretion of Cl and
bicarbonate causes electrical attractiveness of
Na ion, so these ions together cause osmotic
movement of water.
51. Digestive Enzymes in the Small
Intestinal Secretion:
(1) several peptidases for splitting small peptides into amino
acids;
(2) four enzymes—sucrase, maltase, isomaltase, and
lactase—for splitting disaccharides into monosaccharides;
(3) small amounts of intestinal lipase for splitting neutral fats
into glycerol and fatty acids.
• The life cycle of an intestinal epithelial cell is about 5 days.
• The epithelial cells deep in the crypts of Lieberkühn
continually undergo mitosis.
• As the villus cells age, they are finally shed into the
intestinal secretions.
REGULATION OF SMALL INTESTINE SECRETION—LOCAL STIMULI
(enteric Nervous system) – tactile stimuli.
54. • Has many crypts of lieberkühn;
• Unlike the small intestine, does not have villi.
• The epithelial cells not secrete digestive
enzymes.
• They secrete mucus.
• Mucus contains moderate amounts of
bicarbonate ions.
55. • Mucus in the large intestine protects the
intestinal wall against excoriation, but in
addition, it provides an adherent medium for
holding fecal matter together.
• Stimulation of the pelvic nerves from the
spinal cord, which carry parasympathetic
innervation to the distal one half to two thirds
of the large intestine, also can cause a marked
increase in mucus secretion.