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SOME OF THE MANY DIGESTION FACTS TO KNOW Know all of the notes, worksheets, charts, diagrams , etc Know significance of all of the following: Fact: Amylase and lipase deactivated in stomach by acid and protein digestive enzymes Lipase does not work in the mouth because fat is not emulsified!!! What commonly ingested substances are absorbed by blood directly from the stomach? (VERY LITTLE absorbed here! Aspirin, alcohol, and a few other drugs) Fact: Virtually all absorption of nutrients in the SI pH of stomach? 2 Fact: Bile--Emulsify fats-physically separates fat into tiny droplets result in large surface area for the fats--Facilitate fat and cholesterol absorption Fact: Chief bile pigment=bilirubin (breakdown of heme) Sphincter of Oddi-guards entry of common bile and pancreatic duct to duodenum Brunner’s glands-produce alkaline mucus in duodenum to neutralize chyme Kupffer cells-phagocytic cells in liver-remove debris such as bacteria from blood Hepatocytes-liver cells that make bile Fat soluble Vitamins need to be accompanied by fat-A, D, E, K Hormones that enhance bile production--Secretin and CCK Only stomach function essential to life? Production of Intrinsic Factor so Vitamin B12 can be absorbed-important for RBC formation Gastrin secretion stimulates secretion of gastric juice Ghrelin secretion->hypothalamus increases appetite Pyloric Retropulsion-30 ml chyme in pylorus 3 ml chyme released into duodenum 27 ml chyme goes back to stomach to remix Helicobacter pylori---one of main causes of ulcers in stomach Route of nutrients from villi? ( Villi mucosa->active transport->capillary blood->hepatic portal vein to liver -veins to capillaries to veins is called a portal system) Exception-some lipids absorbed by diffusion into lacteal Lacteals in villi do? Absorb fats Where is most water absorbed? Small intestine (even though this is the main function of the colon) Which organ has absorption of water as its main function? Colon Diverticula-- Abnormal pouch or sac on the intestines Haustra-Normal pouches of the colon Autoimmune disorders of the digestive tract-- Ulcerative colitis and Crohn Disease Peyer’s Patches-significance of increase toward the end of the small intestine? (Protect from bacteria in colon) Why is it important that only small amounts of chyme be released into SI at a time? Overwhelm SI if all released at once…..low pH would not allow SI enzymes to work How is pepsinogen->pepsin an example of a positive feedback process? The more protein in the stomach the more pepsinogen->pepsin formation How is this different from negative feedback? Why don’t the protein-digesting enzymes of pancreas digest the pancreas itself? (They are released as inactive proenzymes)