Exogenous Leptin Controls the Development of the Small Intestine in Neonatal Piglets
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Mouth Esophagus Stomach Rectum and Anus Large Intestine Small
1 Liver The liver produces bile, which aids in digestion of fats through a dissolving process known as emulsification. In this process, bile secreted into the small intestine 4 combines with large drops of liquid fat to form Healthy tiny molecular-sized spheres. Within these spheres (micelles), pancreatic enzymes can break down fat (triglycerides) into free fatty acids. Pancreas Digestion The pancreas not only regulates blood glucose 2 levels through production of insulin, but it also manufactures enzymes necessary to break complex The digestive system consists of a long tube (alimen- 5 carbohydrates down into simple sugars (sucrases), tary canal) that varies in shape and purpose as it winds proteins into individual amino acids (proteases), and its way through the body from the mouth to the anus fats into free fatty acids (lipase). These enzymes are (see diagram). The size and shape of the digestive tract secreted into the small intestine. varies in each individual (e.g., age, size, gender, and disease state). The upper part of the GI tract includes the mouth, throat (pharynx), esophagus, and stomach. The lower Gallbladder part includes the small intestine, large intestine, The gallbladder stores bile produced in the liver appendix, and rectum. While not part of the alimentary 6 and releases it into the duodenum in varying canal, the liver, pancreas, and gallbladder are all organs concentrations. that are vital to healthy digestion. 3 Small Intestine Mouth Within the small intestine, millions of tiny finger-like When food enters the mouth, chewing breaks it 4 protrusions called villi, which are covered in hair-like down and mixes it with saliva, thus beginning the first 5 protrusions called microvilli, aid in absorption of of many steps in the digestive process. -
Short Bowel Syndrome with Intestinal Failure Were Randomized to Teduglutide (0.05 Mg/Kg/Day) Or Placebo for 24 Weeks
Short Bowel (Gut) Syndrome LaTasha Henry February 25th, 2016 Learning Objectives • Define SBS • Normal function of small bowel • Clinical Manifestation and Diagnosis • Management • Updates Basic Definition • A malabsorption disorder caused by the surgical removal of the small intestine, or rarely it is due to the complete dysfunction of a large segment of bowel. • Most cases are acquired, although some children are born with a congenital short bowel. Intestinal Failure • SBS is the most common cause of intestinal failure, the state in which an individual’s GI function is inadequate to maintain his/her nutrient and hydration status w/o intravenous or enteral supplementation. • In addition to SBS, diseases or congenital defects that cause severe malabsorption, bowel obstruction, and dysmotility (eg, pseudo- obstruction) are causes of intestinal failure. Causes of SBS • surgical resection for Crohn’s disease • Malignancy • Radiation • vascular insufficiency • necrotizing enterocolitis (pediatric) • congenital intestinal anomalies such as atresias or gastroschisis (pediatric) Length as a Determinant of Intestinal Function • The length of the small intestine is an important determinant of intestinal function • Infant normal length is approximately 125 cm at the start of the third trimester of gestation and 250 cm at term • <75 cm are at risk for SBS • Adult normal length is approximately 400 cm • Adults with residual small intestine of less than 180 cm are at risk for developing SBS; those with less than 60 cm of small intestine (but with a -
New Developments in Goblet Cell Mucus Secretion and Function
REVIEW nature publishing group New developments in goblet cell mucus secretion and function GMH Birchenough1, MEV Johansson1, JK Gustafsson1, JH Bergstro¨m1 and GC Hansson1 Goblet cells and their main secretory product, mucus, have long been poorly appreciated; however, recent discoveries have changed this and placed these cells at the center stage of our understanding of mucosal biology and the immunology of the intestinal tract. The mucus system differs substantially between the small and large intestine, although it is built around MUC2 mucin polymers in both cases. Furthermore, that goblet cells and the regulation of their secretion also differ between these two parts of the intestine is of fundamental importance for a better understanding of mucosal immunology. There are several types of goblet cell that can be delineated based on their location and function. The surface colonic goblet cells secrete continuously to maintain the inner mucus layer, whereas goblet cells of the colonic and small intestinal crypts secrete upon stimulation, for example, after endocytosis or in response to acetyl choline. However, despite much progress in recent years, our understanding of goblet cell function and regulation is still in its infancy. THE INTESTINE system of mucus covering the epithelium. There is a The gastrointestinal tract is a remarkable organ. Not only can it two-layered mucus system in the stomach and colon and a digest most of our food into small components, but it is also single-layered mucus in the small intestine.5 The mucus layers filled with kilograms of microbes that live in stable equilibrium in these three regions perform their protective function using with us and our immune system. -
The Transcriptional Repressor Blimp1/Prdm1 Regulates Postnatal Reprogramming of Intestinal Enterocytes
The transcriptional repressor Blimp1/Prdm1 regulates postnatal reprogramming of intestinal enterocytes James Harpera, Arne Moulda, Robert M. Andrewsb, Elizabeth K. Bikoffa, and Elizabeth J. Robertsona,1 aSir William Dunn School of Pathology, University of Oxford, Oxford OX1 3RE, United Kingdom; and bWellcome Trust Sanger Institute, Genome Campus, Hinxton-Cambridge CB10 1SA, United Kingdom Edited by Brigid L. M. Hogan, Duke University Medical Center, Durham, NC, and approved May 19, 2011 (received for review April 13, 2011) Female mammals produce milk to feed their newborn offspring rise to the developing crypts. The crypt derived adult enterocytes before teeth develop and permit the consumption of solid food. that emerge at postnatal day (P) 12 and repopulate the entire Intestinal enterocytes dramatically alter their biochemical signature epithelium lack Blimp1 expression. Conditional inactivation of during the suckling-to-weaning transition. The transcriptional re- Blimp1 results in globally misregulated gene expression patterns, pressor Blimp1 is strongly expressed in immature enterocytes in and compromises small intestine (SI) tissue architecture, nutrient utero, but these are gradually replaced by Blimp1− crypt-derived uptake, and survival of the neonate. In combination with tran- adult enterocytes. Here we used a conditional inactivation strategy scriptional profiling, the present experiments demonstrate that to eliminate Blimp1 function in the developing intestinal epithe- Blimp1/Prdm1 orchestrates orderly and extensive reprogramming lium. There was no noticeable effect on gross morphology or of the postnatal intestinal epithelium. formation of mature cell types before birth. However, survival of mutant neonates was severely compromised. Transcriptional Results profiling experiments reveal global changes in gene expression Down-Regulated Blimp1 Expression in Crypt Progenitors Beginning at patterns. -
Anatomy of the Small Intestine
Anatomy of the small intestine Make sure you check this Correction File before going through the content Small intestine Fixed Free (Retro peritoneal part) (Movable part) (No mesentery) (With mesentery) Duodenum Jejunum & ileum Duodenum Shape C-shaped loop Duodenal parts Length 10 inches Length Level Beginning At pyloro-duodenal Part junction FIRST PART 2 INCHES L1 (Superior) (Transpyloric Termination At duodeno-jejunal flexure Plane) SECOND PART 3 INCHES DESCENDS Peritoneal Retroperitoneal (Descending FROM L1 TO covering L3 Divisions 4 parts THIRD PART 4 INCHES L3 (SUBCOTAL (Horizontal) PLANE) Embryologic Foregut & midgut al origin FOURTH PART 1 INCHES ASCENDS Lymphatic Celiac & superior (Ascending) FROM L3 TO drainage mesenteric L2 Arterial Celiac & superior supply mesenteric Venous Superior mesenteric& Drainage Portal veins Duodenal relations part Anterior Posterior Medial Lateral First part Liver Bile duct - - Gastroduodenal artery Portal vein Second Part Liver Transverse Right kidney Pancreas Right colic flexure Colon Small intestine Third Part Small intestine Right psoas major - - Superior Inferior vena cava mesenteric vessels Abdominal aorta Inferior mesenteric vessels Fourth Part Small intestine Left psoas major - - Openings in second part of the duodenum Opening of accessory Common opening of bile duct pancreatic duct (one inch & main pancreatic duct: higher): on summit of major duodenal on summit of minor duodenal papilla. papilla. Jejunum & ileum Shape Coiled tube Length 6 meters (20 feet) Beginning At duodeno-jejunal flexur -
Nutrition Digestive Systems
4-H Animal Science Lesson Plan Nutrition Level 2, 3 www.uidaho.edu/extension/4h Digestive Systems Sarah D. Baker, Extension Educator Goal (learning objective) Pre-lesson preparation Youth will learn about the differences, parts and Purchase supplies (bread, soda, orange juice, functions between ruminant and monogastric diges- Ziploc baggies) tive systems. Make copies of Handouts 1, 2, and 3 for group Supplies Prepare bread slices Copies of Handout 1 “Ruminant vs Monogastric Make arrangements to do the meeting in a lo- Digestive System” make enough copies for group cation that has internet connection, tables, and Copies of Handout 2 “Ruminant Digestive System chairs – Parts and Functions” make enough copies for Read/review lesson group Watch video Copies of Handout 3 “Monogastric Digestive Sys- Test computer/internet connection and video be- tem – Parts and Functions” make enough copies fore meeting https://youtu.be/JSlZjgpF_7g for group Computer (may need speakers depending on facil- Lesson directions and outline ity and group size) Share the following information with the youth: Internet connection to view YouTube video The definition of digestion is the process of break- Slices of bread cut into 4 squares (each member ing down food by mechanical and enzymatic action in will need one square of bread) the stomach and intestines into substances that can be used by the body. The digestive system performs five Sandwich size Ziploc baggies (one bag for each major functions: member) 1. Food intake One, three-ounce cup for holding liquid (one cup for each member) 2. Storage 1 Liter of bottle of soda 3. -
Studies on the Site of Fat Absorption
Gut: first published as 10.1136/gut.2.2.168 on 1 June 1961. Downloaded from Gut, 1961, 2, 168 Studies on the site of fat absorption 2 Fat balances after resection of varying amounts of the small intestine in man C. C. BOOTH, D. ALLDIS, AND A. E. READ Fronm the Departments of Medicine and Chemical Pathology, Postgraduate Medical School ofLondon SYNOPSIS This paper demonstrates that in man, as in the rat, increasing amounts of fat reach more distal levels of the small intestine as the dietary load increases. Opinions have varied as to the site of fat absorption containing between 30 and 75 g. daily. The results in the small intestine of experimental animals of these balances indicated how much of the small (Bernard, 1856; Frazer, 1943; Kremen, Linner, and intestine is required to absorb moderate amounts Nelson, 1954; Benson, Chandler, Vansteenhuyse, of fat normally. Increasing fat diets were then given and Gagnon, 1956; Turner, 1958; Booth, Read, and to four patients, for if the site of fat absorption is Jones, 1961). It is now clear that the site where fat related to the dietary fat, it might be expected that is normally absorbed depends on the dietary load. increasing fat diets would cause increasing degrees When a small amount of fat is given to a rat, for of steatorrhoea in patients with intestinal resections. http://gut.bmj.com/ instance, absorption takes place almost entirely in the jejunum. If larger quantities are fed larger PATIENTS STUDIED amounts are absorbed in the jejunum, but at the same time an increasing proportion of the ingested Fat balances were carried out in seven patients who had undergone resection of varying amounts of the distal fat escapes absorption in the upper intestine and small intestine (Cases 1 to 7) and two patients who had passes on into the ileum where absorption then also resections of the proximal intestine (Cases 8 and 9). -
Small Intestine Cancer Early Detection, Diagnosis, and Staging Detection and Diagnosis
cancer.org | 1.800.227.2345 Small Intestine Cancer Early Detection, Diagnosis, and Staging Detection and Diagnosis Catching cancer early often allows for more treatment options. Some early cancers may have signs and symptoms that can be noticed, but that is not always the case. ● Can Small Intestine Cancer (Adenocarcinoma) Be Found Early? ● Signs and Symptoms of Small Intestine Cancer (Adenocarcinoma) ● Tests for Small Intestine Cancer (Adenocarcinoma) Stages and Outlook (Prognosis) After a cancer diagnosis, staging provides important information about the extent of cancer in the body and anticipated response to treatment. ● Small Intestine Cancer (Adenocarcinoma) Stages ● Survival Rates for Small Intestine Cancer (Adenocarcinoma) Questions to Ask About Small Intestine Cancer Get some questions you can ask your cancer care team to help you better understand your cancer diagnosis and treatment options. ● Questions to Ask Your Doctor About Small Intestine Cancer 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 Can Small Intestine Cancer (Adenocarcinoma) Be Found Early? (Note: This information is about small intestine cancers called adenocarcinomas. To learn about other types of cancer that can start in the small intestine, see Gastrointestinal Carcinoid Tumors1, Gastrointestinal Stromal Tumors2, or Non-Hodgkin Lymphoma3.) Screening is testing for diseases like cancer in people who do not have any symptoms. Screening tests can find some types of cancer early, when treatment is most likely to be effective. But small intestine adenocarcinomas are rare, and no effective screening tests have been found for these cancers, so routine testing for people without any symptoms is not recommended. For people at high risk For people with certain inherited genetic syndromes4 who are at increased risk of small intestine cancer, doctors might recommend regular tests to look for cancer early, especially in the duodenum (the first part of the small intestine). -
Enterocyte Proliferation and Intracellular Bacteria in Animals
Gut 1994; 35: 1483-1486 1483 PROGRESS REPORT Gut: first published as 10.1136/gut.35.10.1483 on 1 October 1994. Downloaded from Enterocyte proliferation and intracellular bacteria in animals S McOrist, C J Gebhart, G H K Lawson Considerable proliferation of enterocytes, candidates for the bacteria involved.2 Recent forming adenomatous growths within the work shows that the intracellular bacteria are a intestinal mucosa, is a consistent feature of a new genus of obligate intracellular bacteria, number of enteric conditions in animals, now living within enterocytes. This report describes referred to under the general heading of pro- recent advances in the taxonomic status of the liferative enteropathy. These were originally bacteria and its association with disease patho- described in pigs as adenomas ofthe ileum and genesis in animals, focusing on how this can colon1 and this condition was found to have a aid an understanding of enterocyte prolifera- worldwide occurrence.2 Similar conditions tion. were subsequently described in a number of other animal species, again under the general heading of proliferative enteropathy or Intracellular bacteria enteritis. The degree, however, of mucosal The intracellular bacteria in proliferative proliferation, corresponding to a description of enteropathy in animals have been closely hyperplasia, through adenoma to a more studied in the pig and hamster species, in carcinomatous form, varies between species. which the disease is common and widespread. Occasional reports of the condition in the fox,3 Clinical diagnosis of infection and disease is, horse,4 and guinea pig5 describe a hyperplastic however, difficult2 and the disease might be condition of the mucosa whereas hamsters6 7 recognised more widely if diagnostic tools develop adenomatous lesions similar to the became available. -
Effect of Chronic Ethanol Ingestion on Enterocyte Turnover in Rat Small Intestine
Gut: first published as 10.1136/gut.28.1.52 on 1 January 1987. Downloaded from Gut, 1987, 28, 52-55 Effect of chronic ethanol ingestion on enterocyte turnover in rat small intestine R MAZZANTI AND W J JENKINS From the Department of' Medicine, Royal Free Hospital School of Medicine, Rowland Hill Street, Londlon SUMMARY Whether chronic ethanol ingestion significantly damages the small intestine remains controversial. To clarify this we have analysed the morphology of the small intestinal epithelium and quantified its renewal in chronically ethanol fed rats. Twenty adult male rats were pair fed for 28 days a nutritionally adequate liquid diet containing either ethanol as 36% of total calories or an isocaloric diet in which fat substituted for ethanol. Crypt cell production rate was determined in the jejunum and ileum by the metaphase arrest method. Weight gain and small intestinal morphology were similar in ethanol fed and control rats, but enterocyte turnover was significantly reduced in the jejunum (p<O.05) and ileum (p<0.0l) of the ethanol fed rats. This effect of ethanol on the small intestine is probably systemic rather than local, because the changes in jejunum and ileum were similar, and it may contribute to the development of malnutrition in chronic alcoholics. A variety of changes in intestinal function have Methods been reported after acute or habitual alcohol consumption.' Impaired absorption of vitamins,25 ANIMALS sugars6 7 and amino acids8 9 has been shown in Twenty adult male Sprague-Dawley rats, which http://gut.bmj.com/ the presence of ethanol, and the chronic consump- initially weighed between 210 g and 310 g, were tion of ethanol is often associated with malnutrition maintained in single cages on a 12 hour light-dark and diarrhoea, but whether these are caused by cycle at 21 ±1°C room temperature. -
The Digestive and Endocrine Systems Examination
The Digestive and Lesson 3 Endocrine Systems Lesson 3 ASSIGNMENT 6 Read in your textbook, Clinical Anatomy and Physiology for Veterinary Technicians, pages 358–377, 436, and 474–475. Then read Assignment 6 in this study guide. Introduction The endocrine system involves the secretion of chemicals called hormones by glands within the body. These chemicals control bodily functions, often at locations very distant from the gland that secreted the chemical. The opposite of endocrine is exocrine, which involves the secretion of sub- stances into spaces outside the body. The glands in the skin and gastrointestinal tract are examples of exocrine organs. (The lumen of the intestine is a space that technically isn’t “within” the body, because it’s continuous with the outside environment via the mouth and anus.) The pancreas is unique in being both an endocrine gland and an exocrine gland. The endocrine function is the secretion of substances such as insulin, which metabolizes sugar. The exocrine function involves the secretion of digestive enzymes into the duodenum. Many endocrine organs exist throughout the body (see Table 15-2 on page 360 of your textbook). While they’re all classified as endocrine glands, their anatomy and functions aren’t necessarily similar or even remotely related. Therefore, there isn’t really a grand organizational scheme to this sys- tem as there is with some of the other body systems. The glands are considered together only because their means of secretion is similar. All endocrine glands secrete hormones in the form of proteins that travel via the blood to the target organ for that particular hormone. -
The Multifunctional Gut of Fish
THE MULTIFUNCTIONAL GUT OF FISH 1 Zebrafish: Volume 30 Copyright r 2010 Elsevier Inc. All rights reserved FISH PHYSIOLOGY DOI: This is Volume 30 in the FISH PHYSIOLOGY series Edited by Anthony P. Farrell and Colin J. Brauner Honorary Editors: William S. Hoar and David J. Randall A complete list of books in this series appears at the end of the volume THE MULTIFUNCTIONAL GUT OF FISH Edited by MARTIN GROSELL Marine Biology and Fisheries Department University of Miami-RSMAS Miami, Florida, USA ANTHONY P. FARRELL Faculty of Agricultural Sciences The University of British Columbia Vancouver, British Columbia Canada COLIN J. BRAUNER Department of Zoology The University of British Columbia Vancouver, British Columbia Canada AMSTERDAM • BOSTON • HEIDELBERG • LONDON • OXFORD NEW YORK • PARIS • SAN DIEGO • SAN FRANCISCO SINGAPORE • SYDNEY • TOKYO Academic Press is an imprint of Elsevier Academic Press is an imprint of Elsevier 32 Jamestown Road, London NW1 7BY, UK 30 Corporate Drive, Suite 400, Burlington, MA 01803, USA 525 B Street, Suite 1800, San Diego, CA 92101-4495, USA First edition 2011 Copyright r 2011 Elsevier Inc. All rights reserved No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher Permissions may be sought directly from Elsevier’s Science & Technology Rights Department in Oxford, UK: phone (þ44) (0) 1865 843830; fax (þ44) (0) 1865 853333; email: [email protected]. Alternatively, visit the Science and Technology Books website at www.elsevierdirect.com/rights for further information Notice No responsibility is assumed by the publisher for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein.