Gut Motility II: Motility of the Small and Large Bowel

Lecture 40, SFOS, Spring 2009

50 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
Time it takes for a meal to move through the small intestine
2-5 hours
Which portion of the intestines is used for food storage?
Large intestine
Rate of BER in the stomach
3/minute
Describe BER in the small intestine
Starts at 12/min in the duodenum and ends at 8-9/min in the ileum, so multiple pacemakers ensure that food movement is aboral
Describe the MMC in the small intestine
Approx every 90 mins, it travels from the stomach to the ileum at a rate of 5 cm/sec
Most prominent and most common contractions in the small intestine after a meal
Segmentation
Innervation required in the small intestine to maintain the fed pattern
Vagus
Ileal brake
Presence of fat in the ilem slows gastric emptying and intestinal transit to allow more time for absorption
Two basic processes that need to be accomplished in the small intestine and the major mechanism used to accomplish them
Segmentation --> mixing so all contents are exposed to the intestinal epithelium peristalsis --> propulsion so contents move along the length of the intestine
Defintion of segmentation
Sets of transient alternating rings of localized contraction and relaxation of circulat muscle layer in which chyme is displaced in both orally and aborally
Simulus and duration of segmentation contractions
Stretch less than a minute
Defintion of peristalsis
Contractions in adjecent segments in an oral to aboral sequence resulting in net propulsion of chyme
Peristaltic waves vs peristaltic rushes
Waves are only propogated short distances (3-5 cm) whereas rushes propel chyme long distances (not normally observed)
Velocity of peristaltic waves and chyme
0.5-2 cm/sec 1 cm/min
Stimulus of a peristaltic rush
Intense irritation so effect is to remove irritating chyme or relieve distention