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GI

graph TD
    X[Intestine] ==> X1[Mucosa] & X2[Sub-Mucosa] & X3[Smooth Muscles] & X4[Adventia];
    X1 ==> X1a[Epithelium] & X1b[Lamina Propria] & X1c[Muscualris Mucosa];
    X2 ==> X2a[Connective Tisue];
    X3 ==> X3a[Longitudinal and Horizontal Smooth Muscle];

Nerve Supply to Smooth Muscles

graph TD
    X[Meissner's Plexus] -.Supply.-> Xa[Smooth muscle of Mucosa];
    Xa -.FunctIon.-> Xa1[COmpress Mucosa epithelium];
    Y[Aurbach's Plexus/Myentric Plexus] -.Supply between .-> Ya[Vertical and Horizontal SM];
    Ya -.Function.->Ya1[Peristalsis];

Esophagus

Layers of Esophagus

Mucosa Submucosa Muscualris Externa Serosa/Adventia
Stratified non-Kerotinized Squmous Epithelium Dense irregular Connective Tissue Upper 1/3 - Skeletal Muscles(regurgitation)
MALT- Mucosa Asscoiated Lymphoidal Tissue Submucosal glands Middle 2/3 - SKeletal Muscle and Smooth muscle
Smooth Muscle layer innervated by Meissenrs' Plexus er 1/3 - Only Smooth Muscle

At junction of Stomach and Esophagus the Stratified Squmaous Epithelum changes suddly to Simple Columnar Epithelium and secrete Bicarbonate ions to buffer acid

Stomach and Intestine

Stomach

  1. Secretion of Enzymes = rich in glands ,no villi.
Characteristics Stomach Intestine
Mucosa Simple Columnar Epithelium with pits and Glands Simple Coloumnar Epithelium wit Pits and Villi

Stomach Pits and Gands

Pits Glands Functions
Surface Mucosal Glands Mucus and Bicarbs : TO protect the Surface Epithelium
Neck - Mucosa cell PRotection
Stem Cells Proliferate to Replace Damaged cell on Pits and Glands
Parital Cell, rich in mitochondria to produce ATP for pumping H+ into lumen HCL and Intrinsic Factor Production under Gastrin
Enteric-Endothelium Produce GAstrin
Chief Cells, basophilic staininge rich in protein Pepsinogen and Lipase

Zollinger-Ellison Syndrome aka Gastrinoma

Hyper secretion of Gastrin from Entero-Endocrine cell tumor, leads to Gastric and Duodenal ulcer from failure in neutralisation of mucus from Pits and Necks og Gastric Mucosa cells.


Intestine

Intestine Plica Circularis

Increase Surface Area(Villiception)= Increased Absorption of Nutrients

  1. Intsetine loops
  2. Sub-Mucosa layer folds(Plica Circularis)
  3. Mucosal Layer folds, and pits
  4. Micro-Villi on Simple Columnar Epithelium
  5. Glycocalyx - Extreacellular matrix
graph TD
    X[Intestine] ==>X1(Dueodenum) & X2(Jejunum) & X3(Illeum);

Cells of Intestinal Mucosa

Cells Functions
Simple Columnar Epithelial(Enterocytes) Absorption of nutrients and then into Portal system
Fat into Lymph via Chylomicrons
Goblet cells Mucus for lubricator and protection
Paneth cells ant the Pits Like macrophage produce Granules to digest bacteria
Entro-Endocrine Cells(Secretin and CCK) For bicarbonate secretion in Duodenum

Duodenum vs Jejunum vs Illeum

Duodenum Jejunum Illeum
Vili - Short(due starting of absorption) Villi -longest (most absorption)
Mucosa - Burnner's gland (protection against Acid from stomach) Pyer's Patch- immune function

Absorption of Glucose by Enterocytes Absorption of Proteins by Enterocytes

Large Intestine

LARGE INTESTINE 1. no villi ,glands for Motilin secretion- no need for absorption 2. Mucosa rich in Goblet cells(lube for feces) 3. outer Longitudianl layer thick - For feces pushing