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Gastrointestinal Physiology E-Book

Gastrointestinal Physiology E-Book

Leonard R. Johnson

(2018)

Additional Information

Abstract

Gain a foundational understanding of gastrointestinal physiology and how the GI system functions in health and disease. Gastrointestinal Physiology, a volume in the Mosby Physiology Series, explains the fundamentals of this complex subject in a clear and concise manner, while helping you bridge the gap between normal function and disease with pathophysiology content throughout the book.

  • Helps you easily master the material in a systems-based curriculum with learning objectives, Clinical Concept boxes, highlighted key words and concepts, chapter summaries, self-study questions, and a comprehensive exam.
  • Keeps you current with recent advances in gastrointestinal physiology with coverage of the physiological significance of gastrointestinal peptides; the regulation of mucosal growth and cancer; details surrounding acid secretion and peptic ulcers; and more.
  • Includes clear, 2-color diagrams that simplify complex concepts.
  • Features clinical commentaries that show you how to apply what you've learned to real-life clinical situations.
  • Covers the regulation of pancreatic secretion and gallbladder contraction; the transport processes for the absorption of nutrients; facts about fat absorption; and the regulation of food intake.

Complete the Mosby Physiology Series! Systems-based and portable, these titles are ideal for integrated programs.

    • Blaustein, Kao, & Matteson: Cellular Physiology and Neurophysiology
    • Cloutier: Respiratory Physiology
    • Koeppen & Stanton: Renal Physiology
    • Pappano & Weir: Cardiovascular Physiology
    • White, Harrison, & Mehlmann: Endocrine and Reproductive Physiology
    • Hudnall: Hematology: A Pathophysiologic Approach

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC ES1
GASTROINTESTINAL PHYSIOLOGY i
Series page ii
GASTROINTESTINAL PHYSIOLOGY iii
Copyright iv
PREFACE v
CONTENTS vi
1 - Regulation: Peptides of the Gastrointestinal Tract 1
GENERAL CHARACTERISTICS 1
DISCOVERY 2
CHEMISTRY 2
DISTRIBUTION AND RELEASE 4
ACTIONS AND INTERACTIONS 6
CANDIDATE HORMONES 8
NEUROCRINES 8
PARACRINES 9
2 - Regulation: Nerves and Smooth Muscle 12
ANATOMY OF THE AUTONOMIC NERVOUS SYSTEM 12
NEUROHUMORAL REGULATION OF GASTROINTESTINAL FUNCTION 14
ANATOMY OF THE SMOOTH MUSCLE CELL 15
SMOOTH MUSCLE CONTRACTION 15
3 - Swallowing 20
CHEWING 20
PHARYNGEAL PHASE 20
ESOPHAGEAL PERISTALSIS 21
RECEPTIVE RELAXATION OF THE STOMACH 25
4 - Gastric Emptying 28
ANATOMIC CONSIDERATIONS 28
CONTRACTIONS OF THE ORAD REGION OF THE STOMACH 29
CONTRACTIONS OF THE CAUDAD REGION OF THE STOMACH 29
CONTRACTIONS OF THE GASTRODUODENAL JUNCTION 31
CONTRACTIONS OF THE PROXIMAL DUODENUM 31
REGULATION OF GASTRIC EMPTYING 31
5 - Motility of the Small Intestine 37
ANATOMIC CONSIDERATIONS 37
TYPES OF CONTRACTIONS 37
PATTERNS OF CONTRACTIONS 38
VOMITING 42
6 - Motility of the Large Intestine 45
ANATOMIC CONSIDERATIONS 45
CONTRACTIONS OF THE CECUM AND ASCENDING COLON 46
CONTRACTIONS OF THE DESCENDING AND SIGMOID COLON 47
MOTILITY OF THE RECTUM AND ANAL CANAL 47
CONTROL OF MOTILITY 48
7 - Salivary Secretion 52
FUNCTIONS OF SALIVA 52
ANATOMY AND INNERVATION OF THE SALIVARY GLANDS 53
COMPOSITION OF SALIVA 54
Inorganic Composition 54
Organic Composition 58
REGULATION OF SALIVARY SECRETION 58
8 - Gastric Secretion 62
FUNCTIONAL ANATOMY 62
SECRETION OF ACID 65
ORIGIN OF THE ELECTRICAL POTENTIAL DIFFERENCE 66
ELECTROLYTES OF GASTRIC JUICE 66
STIMULANTS OF ACID SECRETION 67
Role of Histamine in Acid Secretion 67
STIMULATION OF ACID SECRETION 68
Cephalic Phase 68
Gastric Phase 68
Release of Gastrin 69
Intestinal Phase 70
INHIBITION OF ACID SECRETION 70
PEPSIN 71
MUCUS 73
INTRINSIC FACTOR 73
GROWTH OF THE MUCOSA 74
9 - Pancreatic Secretion 79
FUNCTIONAL ANATOMY 79
MECHANISMS OF FLUID AND ELECTROLYTE SECRETION 80
MECHANISMS OF ENZYME SECRETION 82
REGULATION OF SECRETION 83
Cephalic Phase 83
Gastric Phase 83
Intestinal Phase 83
CELLULAR BASIS FOR POTENTIATION 85
RESPONSE TO A MEAL 86
10 - Bile Secretion and Gallbladder Function 90
OVERVIEW OF THE BILIARY SYSTEM 90
CONSTITUENTS OF BILE 90
Bile Acids and the Enterohepatic Circulation 94
Cholesterol and Phospholipids 95
Bilirubin 95
Water and Electrolytes 96
GALLBLADDER FUNCTION 97
Filling 97
Concentration of the Bile 97
EXPULSION OF BILE 98
11 - Digestion and Absorption of Nutrients 102
STRUCTURAL-FUNCTIONAL ASSOCIATIONS 102
DIGESTION 102
ABSORPTION 103
Mucosal Membrane 103
Transport Processes 103
ADAPTATION OF DIGESTIVE AND ABSORPTIVE PROCESSES 104
CARBOHYDRATE ASSIMILATION 104
Principal Dietary Forms 104
Digestion 104
Absorption of Digestion Products 106
Regulation of Absorption 106
Abnormalities in Carbohydrate Assimilation 106
Development of Pancreatitis 109
Absorption of Digestion Products 109
Abnormalities in Protein Assimilation 111
LIPID ASSIMILATION 112
Digestion 112
Absorption of Lipolytic Products 114
Intracellular Events 115
Monoglyceride Acylation Pathway 115
Phosphatidic Acid Pathway 115
Abnormalities in Lipid Assimilation 116
VITAMINS 117
Abnormality in Vitamin Absorption 118
12 - Fluid and Electrolyte Absorption 121
BIDIRECTIONAL FLUID FLUX 121
IONIC CONTENT OF LUMINAL FLUID 121
TRANSPORT ROUTES AND PROCESSES 122
Sodium-Chloride Transport 122
Potassium Transport 124
MECHANISM FOR WATER ABSORPTION AND SECRETION 124
INTESTINAL SECRETION 125
CALCIUM ABSORPTION 126
IRON ABSORPTION 127
13 - Regulation of Food Intake 131
APPETITE CONTROL 131
THE NERVOUS SYSTEM 132
Hypothalamus 132
Enteric Nervous System and Vagus Nerve 132
THE ENDOCRINE SYSTEM 132
Insulin 133
Leptin 133
THE GASTROINTESTINAL SYSTEM 133
Cholecystokinin 134
Peptide YY 134
Ghrelin 134
Additional Peptides 134
A - ANSWERS TO SELF-STUDY PROBLEMS 137
CHAPTER 1 137
CHAPTER 2 137
CHAPTER 3 137
CHAPTER 4 137
CHAPTER 5 138
CHAPTER 6 138
CHAPTER 7 138
CHAPTER 8 138
CHAPTER 9 139
CHAPTER 10 139
CHAPTER 11 139
CHAPTER 12 139
CHAPTER 13 140
B - Comprehensive Multiple-ChoiceReview Examination 141
INDEX 148
A 148
B 148
C 149
D 149
E 150
F 150
G 150
H 151
I 151
J 151
K 151
L 152
M 152
N 152
O 152
P 153
R 153
S 153
T 154
U 154
V 154
W 155
Z 155