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Sacral
distal half of the large intestine up to anus (to execute defecation reflexes).
pelvic nerves
C ranial
esophagus, stomach, pancreas and the intestines down to the first half of the large intestine.
entirely In vagus nerve.
spikes
potentials excite the muscle contraction.
slow wave potential rises there is a greater frequency of spike potentials
are true action potentials
Occur automatically
when resting membrane potential of GIT smooth muscle becomes more positive
(-40mV) (normal resting membrane potential is between -50 and -60 mV).
Slow waves
O rigin of slow waves
From interstitial cells of Cajal
ICCs form a network with each other
interposed between the smooth muscle layers
with synaptic-like contacts to smooth muscle cells.
ICC, the GI pacemaker), which are abundant in the myenteric plexuses.
Frequency (from 3 to 12 /min):
8 terminal ileum
12 in duodenum
3 in body of stomach
Their intensity varies (5 -15 mv)
They are oscillating depolarization and repolarization in the resting membrane potential with unknown cause.
Are not A.P
Most GI contractions occur rhythmicall
determined by ferquency of the “slow waves“ of s.m membrane potential
Start of A.P anywhere within muscle it travels to all directions in muscle
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Bring products of digestion in contact with absorptive surfaces.
Blend different juices with the chyme.
Other stimuli
physical irritation of epithelial lining in gut.
chemical
to accommodate digestion and absorption
Such as in Orad region of stomach, lower esophageal, ileocecal and internal anal sphincter
Caused by:
entry of Ca ions (not associated with changes in membrane potentials)
hormones
repetitive spike potentials
Such as in gastric antrum, small intestine and esophagus
Associated with slow waves
VIP
NO (nitric oxide)
ATP
Neurotransmitters of secreto-motor neurons
Histamine
VIP (vasoactive intestinal peptide)
Ach
Release of water, electrolytes and mucus from crypts of Lieberkuhn
Neurotransmitters of motor neurons
Ach (acetylcholine)
Substance P
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Contract in response to neural input (such as in esophagus & gall bladder)
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Inner
controls mainly GI secretion, absorption and local blood flow.
Lying in the submucosa
• called the submucosal or Meissner's plexus
Outer
Controls mainly GI movements.
Lying between longitudinal and circular muscle layers
Called myenteric or Auerbach’s plexus
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This sphincter remains tonically constricted (protects the esophagus from the stomach acidic juices)
until the peristaltic swallowing wave passes down the esophagus and causes a “receptive relaxation” of the sphincter
1. Oral phase 2. Pharyngeal phase 3. Esophageal phase
Esophageal stage (involuntary)
Pharyngeal stage (involuntary)
The motor impulses to the pharynx and upper esophagus are transmitted
from the swallowing center by the 5th, 9th, 10th, and 12th cranial nerves
Sensory impulses from the mouth
received by nucleus tractus solitarius (NTS)
via medulla oblongata through trigeminal and glossopharyngeal Nerves.
Oral stage (voluntary)
Presence of a bolus of food in the mouth initiates reflex inhibition of muscles of mastication
causing lower jaw to drop. initiates a stretch reflex of jaw muscles leading to rebound contraction.
which automatically raises the jaw to cause closure of the teeth, and compresses the bolus against the linings of the mouth
allowing the jaw to drop and rebound another time; this is repeated again and again.
inhibits the jaw muscles once again
Chewing muscles are innervated by 5th cranial nerve.
Posterior teeth (molars)
Anterior teeth (incisors)
Begin digestion of carbohydrate ( α-amylase)
Breakdown bolus to small particles
Lubricate bolus with salivary secretion