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The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

Jan 19, 2016

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Corey Newton
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Page 1: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
Page 2: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
Page 3: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into the small intestine

Page 4: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

cardiac part, fundus, body pyloric part

(pyloric antrum and pyloric canal)

Page 5: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

The cardiac sphincter

is a specialized valve

found between the

esophagus and the

stomach. It prevents

backflow of food and

digestive enzymes.

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The is the frontal region of the stomach. It begins digestion of proteins and mixes together stomach contents.

Page 7: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

The body is the central region of the stomach. It also digests proteins and blends materials found in stomach.

Page 8: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

The pylorus is the back region of the stomach. It contracts to empty materials from the stomach into the small intestine

The pyloric sphincter is a specialized valve that prevents materials and digestive enzymes from escaping into the small intestine before digestion is completed in the stomach.

Page 9: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

Rugae are found on the interior layer of the stomach and aid in breaking down food when the stomach contracts.

Page 10: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
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Gastric areas (mammillated areas).

Mucosa is divided by furrows into small irregular elevations. These are the gastric areas.

Gastric pits (foveolae).  surface of each gastric area

to be studded with minute depressions, the gastric pits. 

Page 12: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

Epithelium Simple columnar Lamina Propria contains glands

which differ in each histological region of the stomach.

Muscularis Mucosae. 

It measures from 0.3-1.5 mm in thickness, being thinnest in the cardia and thickest in the body and fundus. 

 

Page 13: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
Page 14: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

  This layer separates the muscularis from the mucosa . 

It consists of coarse collagenous fibers and many elastic fibers, plus blood vessels, lymph vessels, nerves, and the plexus of Meissner.  Glands are absent.

Page 15: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
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an outer longitudinal, a middle circular, and an inner oblique. The oblique layer is best developed in the cardia

and body.  The circular layer is thickest in the pylorus where it forms the pyloric sphincter, which helps control the evacuation of food.  The longitudinal layer is continuous with the longitudinal muscle layer of the esophagus and duodenum.  The myenteric plexus lies in the connective tissue lamina, which separates the circular from the longitudinal muscle fibers.

Page 18: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
Page 19: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

  The outer layer consists of loose connective tissue covered on its superficial aspect by mesothelium.  Small blood vessels, lymphatics, and nerves lie in the connective tissue.

Page 20: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
Page 21: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

surface epithelium (simple, tall columnar).

It contains mucus-producing cells, surface mucous cells,

The mucus is alkaline and adheres to the epithelium. which protects the mucosa from the acidic contents of the stomach.

Page 22: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
Page 23: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

cellular composition and function of the gastric glands are specialized in the different parts of the stomach

Page 24: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

- Secrete mucus to protect epithelial cells from enzymes & acid

- Secrete HCl (for protein digestion) & intrinsic factor (for B12 absorption)

- Secrete pepsinogen which gets converted to “pepsin” when mixed with HCl; for protein digestion

- Secrete gastrin to regulate stomach emtying

Entero-

Page 25: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

Cardiac glands are heavily branched tubular glands which contain mainly mucus-producing cells.

Shallow Gastric Pits Short glands

Page 26: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.
Page 27: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

Each glandular tubule consists of three parts:

deep body, intermediary neck

upper isthmus.

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Branched, coiled tubular glands.

Endocrine cells, in particular gastrin-producing cells, are more frequent than in principal glands. A few parietal cells may be present but chief cells are usually absent.

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Page 30: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

In the pylorus, the pits extend downward to about one-half the thickness of the mucosa;

in the cardia, and fundus, the pits occupy only one-fourth the thickness of the mucosa

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are found between the parietal cells in the neck of the gland.They are difficult to distinguish from chief cells in plain H&E stained section

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contain Zymogens granules

Abundant RER give the cell Basophilic stain

most numerous of the four types. They occur primarily in the body of the glands.

produce pepsinogen, which is a precursor of the proteolytic enzyme pepsin.

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Large acidophilic cells.

secrete the hydrochloric acid of the gastric juice. Aside from activating the pepsinogen

Parietal cell also secrete intrinsic factor, which is necessary for the resorption of vitamin B12

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Scattered between the epithelial cells of the gastric mucosa and their basement membrane.

Demonstrated by Electron microscope or by Immunological technique.On light microscopy they appear clear.

Secretion is released in the lamina propria and distributed by blood vessels.

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Page 41: The stomach functions both as a reservoir and as a digestive organ. It empties its contents in small portions (suitable for continued digestion) into.

The best characterized endocrine cells in the gastric mucosa are gastrin-producing cells (G cells) and somatostatin-producing cells (D cells). G cells are most frequent in the middle third of the glands. They stimulate the secretion of acid and pepsinogen. G cell function is stimulated by nervous input, the distension of the stomach.

D cells are found mainly in glands of the pyloric antrum. They inhibit G cells and thereby acid production. D cell function is stimulated by acid in the lumen of the stomach and duodenum.

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The surface epithelium is renewed approximately every third day.

The source of the new cells is the isthmus, i.e. the upper part of the neck, of the gastric glands, where cells divide and then migrate towards the surface epithelium and differentiate into mature epithelial cells

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