Test 3- Gastric Motility

proximal

reception of ingested food and storage of contents is a function of the ______ stomach

distal

mixing/grinding of contents and controlled propulsion into the duodenum are functions of the _______ stomach

acid chyme

a liquid mix of food, pepsin and HCl (gastric acid)

concentric spheres

ingestia is formed into _________ at it is taken into the stomach

acid chyme- pylorus

as food spreads out during ingestion the most liquified food becomes ______ and travels to the _______

tonic

the basic motility pattern of the proximal stomach is _____

proximal

there is no peristalsis in the ______ stomach

circular

the tonic contractions of the stomach are dominated by ______ smooth muscle

contracted

the circular smooth muscle of the stomach slowly becomes more _______ during a meal

distally

main action of tonic contractions is to slowly force digesta ________

receptive relaxation

a continuation of primary or secondary esophageal peristalsis into the proximal stomach

inhibitory

______ effector neurons from the vagus relax the proximal circular smooth muscle of the stomach during a meal

accommodation

_______ allows tension in the stomach wall to increase significantly without an increase in intragastric pressure

tension

______ receptors signal to the CNS when pressure in the stomach wall increases

inhibitory

tension receptor firing ultimately causes vagal ______ effector neurons to signal to the stomach circular muscle

LES

accommodation of the stomach wall prevents increase back-pressure to the _____

antrum

propulsion of food occurs via steady pressure toward the pyloric ______ after the stomach is filled

decreased- increased

stomach emptying reduces wall tension causing ______ inhibitory effector tone and ______ circular smooth muscle tone

peristalsis

the basic motility pattern of the distal stomach is ______ driven by a pacemaker in the stomach mid-region

propulsion

in the ______ stage of emptying there is a peristaltic ring at the mid-stomach propelling digesta to the pylorus

emptying

in the ______ stage of emptying there is a peristaltic ring at mid-antrum and acid chyme moves out of the pylorus

retropulsion

in the ______ stage of emptying there is a peristaltic ring at the distal antrum and reflux of solid material causing mixing

increased- ulcers

pigs fed ground meal have _______ reflux of acid chyme causing _____

quickly

the stomach empties more ______ when full

gastric volume, food presence

increased _______ and ________ are stimuli for gastric motility

neural

stimulatory control of gastric motility and emptying is mediated by ______ activity

mechano

______receptors monitor gastric volume

chemo

______receptors detect amino acids, pH and osmolarity

ENS

general visceral afferent activation of the CNS leads to increase vagus output via _____ effectors

colon

afferent activation in the stomach leads to increased ______ motility outside of the stomach

gastric motility, emptying

afferent activation in the stomach leads to increased _______ and ______ within the stomach

ENS

afferent activation in the stomach leads to local ______ activation

filling

gastrin releasing peptide neurons respond to _______ of the stomach