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Chapter 6.4 Goings-on in the Stomach

BOOK TITLE: Understanding Medical Physiology: A Textbook for Medical Students

Author
1. Bijlani R.L.
ISBN
9788180612213
DOI
10.5005/jp/books/10999_45
Edition
3/e
Publishing Year
2004
Pages
11
Author Affiliations
1. All India Institute of Medical Sciences, New Delhi
Chapter keywords
gastrojejunal junction, enzyme production, enterogastrone activity, gastric juice, alimentary canal, hormonal mechanism, inflammatory response, structural organization, exogenous administration, intracellular canaliculi, tubulovesicular membranes, chemical stimulation, duodenal receptors, secretory products

Abstract

This chapter discusses goings-on in the stomach, where all the food that we eat is delivered to the stomach almost instantaneously. Gastric juice, which is acidic, is secreted by the stomach in anticipation of the arrival of food. Gastric juice initiates the digestion of proteins. The stomach has a richly glandular mucosa which is lined by simple columnar epithelium. Gastric secretion is accurately synchronized with the need for gastric juice. Hydrogen ions are actively secreted into the lumen. The potential difference persists even in the non-secreting stomach. The acid producing cells and pepsinogen producing cells respond to most of the regulatory factors in a similar way. Gastrin release is inhibited by somatostatin. Acetylcholine is released by the postganglionic parasympathetic fibres of the vagus nerve. Histamine is a very potent stimulator of gastric acid secretion. Somatostatin secretion is stimulated by gastric acidity. Proteins, fats and carbohydrates have a duodenal site of action.

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