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General principles
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Hormonal control
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GI Paracrines released by ENDOCRINE CELLS
- Somatostatin
- Histamine
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GI Neurocrines Neurotransmitters released by AXON
- Vasoactive intestinal peptide (VIP)
- Gastric-releasing peptide (GRP)
- Enkephalins
- Subtopic 4
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Autonomic control
- Parasympathetic stimulation that increase the activity of ENS
- Sympathetic stimulation that inhibits gastrointestinal activity
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Neural control: Enteric Nervous System
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Two plexus: Myenteric plexus and Auerbach's plexus
- Differences between the two plexuses
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Types of neurotransmitters secreted
- Acetylcholine
- Norepinephrine
- Adenosine triphosphate (ATP)
- Serotonin
- Dopamine
- Cholecystokinin
- Substance P
- Bombesin
- Neuropeptide Y
- Nitric oxide
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Physiological anatomy and Motility
- Smooth muscle functions as a Syncytium
- Electrical activity: Slow waves and Spike potentials
- Change in voltage of RMP
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Functional movement
- TONIC contraction
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PERISTALSIS propulsive movement
- Myenteric plexus in peristalsis
- SEGMENTATION contraction
- General functions/introduction
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Propulsion and Mixing of food
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Ingestion of food
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Mastication (Chewing)
- Main causes
- Rebound contraction
- Function
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Swallowing (Deglutition)
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Main stages
- Voluntary stage
- Involuntary Pharyngeal stage
- Momentarily interruption the respiration
- Oesophageal stage
- Two types of Peristalsis
- Primary
- Secondary
- Receptive relaxation of the stomach
- Gastroesophageal sphincter
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Motor function of the stomach
- General features
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Storage function
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Basic electrical rhythm of the stomach wall
- Chyme
- Hunger contraction
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Stomach emptying
- Role of Pylorus
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Regulation of stomach emptying
- Gastric factors
- Effects of gastric food volume on Rate of Emptying
- Hormone Gastrin promotes stomach emptying
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Duodenal factors that inhibit stomach emptying
- Distention of duodenum
- The presence on any irritation of the duodenal mucosa
- Acidity of duodenal chyme
- Osmolarity of the chyme
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Movements of the intestine
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Colon movements
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General functions
- Absorption of water and electrolytes form the chyme
- Storage of fecal matter
- Mixing movements or HAUSTRATIONS
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Propulsive movements or MASS MOVEMENTS
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Initiation by Gastrolic and Duodenocolic Reflex
- Result from distention of stomach and duodenum
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Defecation
- Defecation reflexes
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Small intestine movements
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Segmentation contraction or Mixing contraction
- Regularly spaced
- Isolated
- Irregularly spaced
- Weak regularly spaced
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Propulsive contraction
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Peristaltic Waves
- Controlled by Nervous and Hormonal signals
- Peristaltic Rush
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ILEOCECAL valve prevents backflow from the colon to the small intestine
- Feedback control by Reflex of the Cecum