Digestion and Absorption
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Coffee and Its Effect on Digestion
Expert report Coffee and its effect on digestion By Dr. Carlo La Vecchia, Professor of Medical Statistics and Epidemiology, Dept. of Clinical Sciences and Community Health, Università degli Studi di Milano, Italy. Contents 1 Overview 2 2 Coffee, a diet staple for millions 3 3 What effect can coffee have on the stomach? 4 4 Can coffee trigger heartburn or GORD? 5 5 Is coffee associated with the development of gastric or duodenal ulcers? 6 6 Can coffee help gallbladder or pancreatic function? 7 7 Does coffee consumption have an impact on the lower digestive tract? 8 8 Coffee and gut microbiota — an emerging area of research 9 9 About ISIC 10 10 References 11 www.coffeeandhealth.org May 2020 1 Expert report Coffee and its effect on digestion Overview There have been a number of studies published on coffee and its effect on different areas of digestion; some reporting favourable effects, while other studies report fewer positive effects. This report provides an overview of this body of research, highlighting a number of interesting findings that have emerged to date. Digestion is the breakdown of food and drink, which occurs through the synchronised function of several organs. It is coordinated by the nervous system and a number of different hormones, and can be impacted by a number of external factors. Coffee has been suggested as a trigger for some common digestive complaints from stomach ache and heartburn, through to bowel problems. Research suggests that coffee consumption can stimulate gastric, bile and pancreatic secretions, all of which play important roles in the overall process of digestion1–6. -
A Comparative Study of the Ultrastructure of Microvilli in the Epithelium of Small and Large Intestine of Mice
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by PubMed Central A COMPARATIVE STUDY OF THE ULTRASTRUCTURE OF MICROVILLI IN THE EPITHELIUM OF SMALL AND LARGE INTESTINE OF MICE T. M. MUKHERJEE and A. WYNN WILLIAMS From the Electron Microscope Laboratory, the Departlnent of Pathology, the University of Otago Medical School, Dunedin, New Zealand ABSTRACT A comparative analysis of the fine structure of the microvilli on jejunal and colonic epi- thelial cells of the mouse intestine has been made. The microvilli in these two locations demonstrate a remarkably similar fine structure with respect to the thickness of the plasma membrane, the extent of the filament-free zone, and the characteristics of the microfila- ments situated within the microvillous core. Some of the core microfilaments appear to continue across the plasma membrane limiting the tip of the microvillus. The main differ- ence between the microvilli of small intestine and colon is in the extent and organization of the surface coat. In the small intestine, in addition to the commonly observed thin surface "fuzz," occasional areas of the jejunal villus show a more conspicuous surface coat covering the tips of the microvilli. Evidence has been put forward which indicates that the surface coat is an integral part of the epithelial cells. In contrast to the jejunal epithelium, the colonic epithelium is endowed with a thicker surface coat. Variations in the organization of the surface coat at different levels of the colonic crypts have also been noted. The func- tional significance of these variations in the surface coat is discussed. -
General Principles of GIT Physiology Objectives
General Principles of GIT Physiology Objectives: ❖ Physiologic Anatomy of the Gastrointestinal Wall. ❖ The General & Specific Characteristics of Smooth Muscle. ❖ Neural & Hormonal Control of Gastrointestinal Function. ❖ Types of Neurotransmitters Secreted by Enteric Neurons. ❖ Functional Types of Movements in the GIT. ❖ Gastrointestinal Blood Flow "Splanchnic Circulation". ❖ Effect of Gut Activity and Metabolic Factors on GI Blood Flow. Done by : ➔ Team leader: Rahaf AlShammari ➔ Team members: ◆ Renad AlMigren, Rinad Alghoraiby ◆ Yazeed AlKhayyal, Hesham AlShaya Colour index: ◆ Turki AlShammari, Abdullah AlZaid ● Important ◆ Dana AlKadi, Alanoud AlEssa ● Numbers ◆ Saif AlMeshari, Ahad AlGrain ● Extra َ Abduljabbar AlYamani ◆ َوأن َّل ْي َ َس ِلْ ِْلن َسا ِنَ ِإََّلَ َما َس َع ىَ Gastrointestinal System: GIT Gastrointestinal System Associated Organs (Liver,gallbladder,pancreas,salivary gland) Gastrointestinal Function: ● The alimentary tract provides the body with a continual supply of water, electrolytes, and nutrients. To achieve this function, it requires: 1 Movement of food through the alimentary tract (motility). 2 Secretion of digestive juices and digestion of the food. 3 Absorption of water, various electrolytes, and digestive products. 4 Circulation of blood through the gastrointestinal organs to carry away the absorbed substances. ● Control of all these functions is by local, nervous, and hormonal systems. The Four Processes Carried Out by the GIT: 2 Physiologic Anatomy of the Gastrointestinal Wall ● The following layers structure the GI wall from inner surface outward: ○ The mucosa ○ The submucosa ○ Circular muscle layer ○ longitudinal muscle layer Same layers in Same layers Histology lecture Histology ○ The serosa. ● In addition, sparse bundles of smooth muscle fibers, the mucosal muscle, lie in the deeper layers of the mucosa. The General Characteristics of Smooth Muscle 1- Two Smooth Muscle Classification: Unitary type ● Contracts spontaneously in response to stretch, in the Rich in gap junctions absence of neural or hormonal influence. -
A Tissue-Engineered Model of the Intestinal Lacteal for Evaluating Lipid Transport by Lymphatics
ARTICLE A Tissue-Engineered Model of the Intestinal Lacteal for Evaluating Lipid Transport by Lymphatics J. Brandon Dixon,1,2 Sandeep Raghunathan,1 Melody A. Swartz1,2,3 1Institute of Bioengineering, School of Life Sciences, E´ cole Polytechnique Fe´de´rale de Lausanne (EPFL), CH-1015 Lausanne, Switzerland; telephone: þ41 21 693 9686; fax: þ41 21 693 9670; e-mail: melody.swartz@epfl.ch 2Department of Biomedical Engineering, Northwestern University, Evanston, Illinois 3Institute of Chemical Sciences and Engineering, School of Basic Sciences, EPFL, Lausanne, Switzerland Received 4 September 2008; revision received 21 February 2009; accepted 20 March 2009 Published online 1 April 2009 in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/bit.22337 trafficking, but in addition, lymphatics are central to the transport of dietary lipid from the gut. In the small intestine, ABSTRACT: Lacteals are the entry point of all dietary lipids into the circulation, yet little is known about the active enterocytes reesterify the majority of free fatty acids (FFAs) regulation of lipid uptake by these lymphatic vessels, and absorbed from the lumen of the gut into triacylglycerols there lacks in vitro models to study the lacteal—enterocyte which are then incorporated into chylomicrons (Tso and interface. We describe an in vitro model of the human Balint, 1986) and secreted basally to be picked up solely by intestinal microenvironment containing differentiated lacteals, which are blind-ended lymphatic vessels in the Caco-2 cells and lymphatic endothelial cells (LECs). We characterize the model for fatty acid, lipoprotein, albumin, center of each villus (Azzali, 1982; Schmid-Scho¨nbein, and dextran transport, and compare to qualitative uptake of 1990). -
General Principles of GIT Physiology
LECTURE I: General Principles of GIT Physiology EDITING FILE IMPORTANT MALE SLIDES EXTRA FEMALE SLIDES LECTURER’S NOTES 1 GENERAL PRINCIPlES OF GIT PHYSIOLOGY Lecture One OBJECTIVES • Physiologic Anatomy of the Gastrointestinal Wall • The General/specific Characteristics of Smooth Muscle • Smooth muscle cell classifications and types of contraction • Muscle layers in GI wall • Electrical Activity of Gastrointestinal Smooth Muscle • Slow Waves and spike potentials • Calcium Ions and Muscle Contraction • Neural Control of Gastrointestinal Function-Enteric Nervous System (ENS) • Differences Between the Myenteric and Submucosal Plexuses • Types of Neurotransmitters Secreted by Enteric Neurons • Autonomic Control of the Gastrointestinal Tract • Hormonal Control of Gastrointestinal Motility • Functional Types of Movements in the GI Tract • Gastrointestinal Blood Flow (Splanchnic Circulation) • Effects of Gut Activity and Metabolic Factors on Gastrointestinal Blood Flow Case Study Term baby boy born to a 29 year old G2P1+ 0 by NSVD found to have features of Down’s syndrome. At 30 hours of age Baby was feeding well but didn’t pass meconium. On examination abdomen distended. Anus patent in normal position. During PR examination passed gush of meconium. Diagnosis: Hirschsprung disease. Figure 1-1 It is a developmental disorder characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. Gastrointestinal Tract (GIT) ★ A hollow tube from mouth to anus ★ Hollow organs are separated from each other at key locations by sphincters. System Gastrointestinal Accessory (Glands & Organs) ★ Produce secretions. Figure 1-2 2 GENERAL PRINCIPlES OF GIT PHYSIOLOGY Lecture One Functions of the GI System (Alimentary Tract) provides the body with a continual supply of Water Electrolytes Nutrients ★ To achieve this function it requires: 1 Movement of food through the alimentary tract (motility). -
Antenatal Diagnosis of Microvillus Inclusion Disease
Obstetrics & Gynecology International Journal Case Report Open Access Antenatal diagnosis of microvillus inclusion disease Abstract Volume 12 Issue 4 - 2021 Microvillus inclusion disease is a rare autosomal recessive disorder due to defective apical Gular Israfilova, Banu Arslanca, Yavuz Emre surface of the enterocytes presenting with severe watery diarrhea starting at birth. We describe a female infant who had antenatal diagnosis of microvillus inclusion disease. At Sukur, Acar Koç Department of Obstetrics and Gynecology, Ankara University 36th gestational week of a 32-year-old woman ultrasound examination revealed dilatation of School of Medicine, Turkey fetal sigmoid colon. The amniotic fluid level was normal. An amniocentesis was performed to rule out congenital sodium and chloride diarrhea in the prenatal period. The patient didn’t Correspondence: Gular Israfilova, MD, Ankara University prefer to undergo genetic tests. In conclusion, prenatal ultrasonographic identification of School of Medicine, Department of Obstetrics and Gynecology, dilated bowel loops without polyhydramnios suggests differential diagnosis of microvillus Dikimevi, Ankara, Turkey, Tel 0090 5375752340, inclusion disease in addition to congenital chloride diarrhea, jejunoileal atresia, volvulus, Email meconium ileus, Hirschsprung disease, enteric duplications, anorectal atresia. Received: July 29, 2021 | Published: August 12, 2021 Keywords: congenital diarrhea, microvillus inclusion disease, prenatal diagnosis Introduction respectively. On postpartum 3rd day, the neonate suffered from watery diarrhea and abdominal distension. Abdominal X-ray showed dilated Microvillus inclusion disease (MVID) is a congenital bowel intestinal loops and pneumoperitoneum (Figure 2). On postpartum 5th disease characterized by severe diarrhea, malabsorption and day, the infant was referred to the gastroenterology department due to 1 growth retardation in infancy. Severe watery diarrhea begins in the 19% weight loss. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
1999, a Cluster of Microvillous Inclusion Disease in the Navajo
A cluster of microvillous inclusion disease in the Navajo population John F. Pohl, MD, Mitchell D. Shub, MD, Eric E. Trevelline, MD, Kristy Ingebo, MD, Gary Silber, MD, ANancy Rayhorn, RN, BSN, Steve Holve, MD, and Diana Hu, MD riod.1 The prognosis is generally poor, We report 4 unrelated patients with characteristic microscopic findings of with most patients dying by the second microvillous inclusion disease (MID) with early-onset phenotype. All 4 pa- decade of life as a result of complica- tients came from the Navajo reservation in northern Arizona. A literature tions of parenteral alimentation includ- 4 search revealed a fifth unrelated Navajo child with MID. The unusually ing liver failure or sepsis. Various high incidence in this population indicates that a founder effect might be re- treatments including glucocorticoids, sponsible for an increased frequency of this rare genetic disorder in the pentagastrin, human epidermal growth factor, disodium cromoglycate, adreno- Navajo. It is recommended that all Navajo infants presenting with severe corticotropic hormone, prednisolone, diarrhea during early infancy undergo investigation for MID. (J Pediatr and elemental formula feedings have 1999;134:103-6) failed.5-7 However, somatostatin, which is not universally successful,8 reduced stool output in 2 patients,9,10 with an increased weight velocity Microvillous inclusion disease, a rare children with a specific subset of in- noted in 1.10 Loperamide has only disorder with an unknown cause, re- tractable diarrhea and described com- transiently decreased stool output.1 sults in an intractable secretory diar- plete villous atrophy, crypt hypoplasia, Three patients have received intestinal rhea that begins in early infancy. -
Transcytosis of Listeria Monocytogenes Across The
Transcytosis of Listeria monocytogenes across the intestinal barrier upon specific targeting of goblet cell accessible E-cadherin Georgios Nikitas, Chantal Deschamps, Olivier Disson, Théodora Niault, Pascale Cossart, Marc Lecuit To cite this version: Georgios Nikitas, Chantal Deschamps, Olivier Disson, Théodora Niault, Pascale Cossart, et al.. Tran- scytosis of Listeria monocytogenes across the intestinal barrier upon specific targeting of goblet cell accessible E-cadherin. Journal of Experimental Medicine, Rockefeller University Press, 2011, 208 (11), pp.2263-2277. 10.1084/jem.20110560. pasteur-02040395 HAL Id: pasteur-02040395 https://hal-pasteur.archives-ouvertes.fr/pasteur-02040395 Submitted on 20 Feb 2019 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives| 4.0 International License Published Online: 3 October, 2011 | Supp Info: http://doi.org/10.1084/jem.20110560 Downloaded from jem.rupress.org on February 19, 2019 Article Transcytosis of Listeria monocytogenes across -
The Role of Lactic Acid in Gastric Digestion
[Reprinted from The Medical News, December 30, 1893.] THE ROLE OF LACTIC ACID IN GASTRIC DIGESTIOA ALLEN A. JONES, M.D., CLINICAL INSTRUCTOR IN MEDICINE AND INSTRUCTOR IN PRACTICE, MEDICAL DEPARTMENT, UNIVERSITY OF BUFFALO. Lactic acid is present in the stomach under nor- mal conditions from thirty to forty minutes after a test-meal composed of a roll and water or of chopped lean beef, dry bread, and water. At the expiration of that time lactic acid should entirely disappear from the stomach-contentsand free hydro- chloric acid alone should prevail. During the first thirty or forty minutes after meals the digestion of starches and albuminoids progresses quite rapidly, as may be proved by finding the middle-products and end-products of gastric digestion present, so that the presence of free lactic acid does not pro- hibit digestion. As soon as food enters the healthy stomach the secretion of hydrochloric acid is excited and it increases in amount until the production of lactic acid is checked. The exact origin of lactic acid in the healthy stomach is still a matter of debate. It may arise wholly from fermentation, or from the combination of some food-product with a secretion 1 Read before the Buffalo Academy of Medicine, November x 4) 1893. 2 from the gastric glandules, or from the gastric mucosa as a distinct secretion, although electric stimulation of the gastric glandules excites the se- cretion of hydrochloric acid and not of lactic acid. I think it arises largely from fermentation of the food, as its amount is usually proportionate to the amount of starchy, saccharine, and milk foods taken. -
EFSUMB Recommendations and Guidelines for Gastrointestinal Ultrasound EFSUMB-Empfehlungen Und Leitlinien Des Gastrointestinalen
Guidelines & Recommendations EFSUMB Recommendations and Guidelines for Gastrointestinal Ultrasound Part 1: Examination Techniques and Normal Findings (Long version) EFSUMB-Empfehlungen und Leitlinien des Gastrointestinalen Ultraschalls Teil 1: Untersuchungstechniken und Normalbefund (Langversion) Authors Kim Nylund1, Giovanni Maconi2, Alois Hollerweger3,TomasRipolles4, Nadia Pallotta5, Antony Higginson6, Carla Serra7, Christoph F. Dietrich8,IoanSporea9,AdrianSaftoiu10, Klaus Dirks11, Trygve Hausken12, Emma Calabrese13, Laura Romanini14, Christian Maaser15, Dieter Nuernberg16, Odd Helge Gilja17 Affiliations and Department of Clinical Medicine, University of Bergen, 1 National Centre for Ultrasound in Gastroenterology, Norway Haukeland University Hospital, Bergen, Norway Key words 2 Gastroenterology Unit, Department of Biomedical and guideline, ultrasound, gastrointestinal, examination Clinical Sciences, “L.Sacco” University Hospital, Milan, Italy technique, normal variants 3 Department of Radiology, Hospital Barmherzige Brüder, Salzburg, Austria received 24.06.2016 4 Department of Radiology, Hospital Universitario Doctor accepted 09.08.2016 Peset, Valencia, Spain 5 Department of Internal Medicine and Medical Specialties, Bibliography Sapienza University of Rome, Roma, Italy DOI https://doi.org/10.1055/s-0042-115853 6 Department of Radiology, Queen Alexandra Hospital, Published online: September 07, 2016 | Ultraschall in Med Portsmouth Hospitals NHS Trust, Portsmouth, United 2017; 38: e1–15 © Georg Thieme Verlag KG, Stuttgart · New Kingdom -
Duodenal Leiomyoma: a Rare Cause of Gastrointestinal Haemorrhage S Sahu, S Raghuvanshi, P Sachan, D Bahl
The Internet Journal of Surgery ISPUB.COM Volume 11 Number 2 Duodenal Leiomyoma: A Rare Cause Of Gastrointestinal Haemorrhage S Sahu, S Raghuvanshi, P Sachan, D Bahl Citation S Sahu, S Raghuvanshi, P Sachan, D Bahl. Duodenal Leiomyoma: A Rare Cause Of Gastrointestinal Haemorrhage. The Internet Journal of Surgery. 2006 Volume 11 Number 2. Abstract Benign neoplasms of smooth muscles of the duodenum are a rare condition. A 60-year-old male presented with recurrent history of melaena. Upper GI endoscopy showed a smooth bulging in the second part of the duodenum. Contrast enhanced CT scan of the abdomen showed a lobulated duodenal wall thickening in the second part of the duodenum causing luminal distortion without any exoenteric component and local infiltration, suggestive of leiomyoma. Awareness and proper evaluation of patients with upper gastrointestinal bleeding may help in diagnosing this rare condition. INTRODUCTION Figure 1 Leiomyomas are benign neoplasms of smooth muscles that Figure 1: Contrast enhanced computed tomography of the abdomen showing duodenal wall thickening in the second commonly arise in tissues with a high content of smooth part. muscles such as uterus. CASE A 60-year-old male presented with recurrent history of malaena and pain in the upper abdomen since one year. Examination revealed a moderate degree of pallor and tenderness in the right hypochondrium. Investigations showed a haemoglobin of 7.5gm/dl, a total leukocyte count of 9500/cu.mm and a differential count with neutrophils 63%, lymphocytes 31%, eosinophils 4% and basophils 2%. Liver and renal function tests were within normal limits. Upper GI endoscopy was planned which showed a smooth bulging in the second part of the duodenum.