Summary: Case 7: (Hu)Man Vs Machine

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  • 1 The enteric nervous system

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  • Where is the myenteric plexus?

    Located in between the longitudinal and circular muscles of muscularis externae. It controls digestive tract motility throughout the whole gut and consists of an ascending and descending network of neurons.
  • Where is the submucosal plexus?

    Located in submucosa and is involved in local secretion, absorption and local muscle movement.
  • 1.1 Cephalic phase

  • What organ is triggered once someone smells, sees or tastes food?

    The medulla oblangata
  • 1.2 Gastric phase

  • The gastric phase is initiated once food enters the stomach, what happens during this kick-off?

    Several hormonal and neural mechanisms are activated
  • Which 5 cells are triggered inside the stomach once the gastric phase is launched and what do they secrete/activate?

    • Chief cells - inactive pepsinogen
    • Parietal cells - pepsin, gastric acid
    • Mucous cells - mucous
    • G cells - gastrin
    • Enterochromaffin-like cells - histamine
  • 1.3 Intestinal phase

  • Which 3 chemicals stimulate gastric secretion?

    • Gastrin
    • Histamine
    • Acetylcholine
  • 2 Hormones that trigger digestion

  • Which 5 hormones that trigger digestion are released by the small intestine?

    • Secretin
    • Cholecystokinin
    • Gastric inhibitory peptide
    • Motilin
    • Glucose-dependent insulinotropic peptide 
  • What do the gastric glands secrete once they are stimulated by the stomach produced hormone, gastrin?

    • Pepsinogen
    • Hydrochloric acid
  • What are the 3 appetite hormones and what do they signal;?

    • PYY - Full
    • Insulin and leptin - suppress hunger
    • Ghrelin - hunger
  • 2.2 Long reflexes

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  • What are cephalic reflexes?

    Long reflexes that originate outside the digestive system include feedforward reflexes and emotional reflexes and originate in the brain.
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