Gastric Glands (Permeabilization/Digitonin/Parietal Cell/ATP/Ionophore Effects) D
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The Oesophagus Lined with Gastric Mucous Membrane by P
Thorax: first published as 10.1136/thx.8.2.87 on 1 June 1953. Downloaded from Thorax (1953), 8, 87. THE OESOPHAGUS LINED WITH GASTRIC MUCOUS MEMBRANE BY P. R. ALLISON AND A. S. JOHNSTONE Leeds (RECEIVED FOR PUBLICATION FEBRUARY 26, 1953) Peptic oesophagitis and peptic ulceration of the likely to find its way into the museum. The result squamous epithelium of the oesophagus are second- has been that pathologists have been describing ary to regurgitation of digestive juices, are most one thing and clinicians another, and they have commonly found in those patients where the com- had the same name. The clarification of this point petence ofthecardia has been lost through herniation has been so important, and the description of a of the stomach into the mediastinum, and have gastric ulcer in the oesophagus so confusing, that been aptly named by Barrett (1950) " reflux oeso- it would seem to be justifiable to refer to the latter phagitis." In the past there has been some dis- as Barrett's ulcer. The use of the eponym does not cussion about gastric heterotopia as a cause of imply agreement with Barrett's description of an peptic ulcer of the oesophagus, but this point was oesophagus lined with gastric mucous membrane as very largely settled when the term reflux oesophagitis " stomach." Such a usage merely replaces one was coined. It describes accurately in two words confusion by another. All would agree that the the pathology and aetiology of a condition which muscular tube extending from the pharynx down- is a common cause of digestive disorder. -
Gastric and Duodenal Mucosa in 'Healthy' Individuals an Endoscopic and Histopathological Study of 50 Volunteers
J Clin Pathol: first published as 10.1136/jcp.31.1.69 on 1 January 1978. Downloaded from Journal of Clinical Pathology, 1978, 31, 69-77 Gastric and duodenal mucosa in 'healthy' individuals An endoscopic and histopathological study of 50 volunteers J. KREUNING1, F. T. BOSMAN2, G. KUIPER', A. M. v.d. WAL2, AND J. LINDEMAN2 From the Department of Gastroenterology' and the Department ofPathology2, University Medical Centre, Wassenaarseweg 62, Leiden, The Netherlands SUMMARY The results of histological and immunohistochemical examination of gastric and duo- denal biopsy specimens from 50 volunteers without a clinical history of gastrointestinal disease are reported. Multiple specimens of tissue from standard sites in the stomach and duodenum were carefully orientated, and serially sectioned for examination by light microscopy and for immuno- histochemical characterisation of plasma cells within the lamina propria. The antrum and fundus were normal in 32 of the 50 subjects but the other 18 showed histo- pathological evidence of gastritis in either the antrum or fundus. The latter appeared to be age- related. There was considerable variation in the appearance of the surface epithelium of the duodenum within as well as among individual subjects. Superficial gastric metaplasia in one or more biopsy copyright. specimens from the duodenal bulb was found in 64% of individuals. Histopathological examina- tion of the duodenum revealed signs of chronic inflammation in 12 % ofthe subjects. In two individ- uals there was active inflammation but in only one of these was the diagnosis made on endoscopic appearances. Histological criteria important for the diagnosis of duodenitis are discussed. The number of plasma cells in different biopsy specimens from subjects not showing histological signs of inflammation was variable. -
Aandp2ch25lecture.Pdf
Chapter 25 Lecture Outline See separate PowerPoint slides for all figures and tables pre- inserted into PowerPoint without notes. Copyright © McGraw-Hill Education. Permission required for reproduction or display. 1 Introduction • Most nutrients we eat cannot be used in existing form – Must be broken down into smaller components before body can make use of them • Digestive system—acts as a disassembly line – To break down nutrients into forms that can be used by the body – To absorb them so they can be distributed to the tissues • Gastroenterology—the study of the digestive tract and the diagnosis and treatment of its disorders 25-2 General Anatomy and Digestive Processes • Expected Learning Outcomes – List the functions and major physiological processes of the digestive system. – Distinguish between mechanical and chemical digestion. – Describe the basic chemical process underlying all chemical digestion, and name the major substrates and products of this process. 25-3 General Anatomy and Digestive Processes (Continued) – List the regions of the digestive tract and the accessory organs of the digestive system. – Identify the layers of the digestive tract and describe its relationship to the peritoneum. – Describe the general neural and chemical controls over digestive function. 25-4 Digestive Function • Digestive system—organ system that processes food, extracts nutrients, and eliminates residue • Five stages of digestion – Ingestion: selective intake of food – Digestion: mechanical and chemical breakdown of food into a form usable by -
Heterotopic Gastric Mucosa of the Ileum
Cases and Techniques Library (CTL) E423 because of various inflammatory or peptic processes [1]. Heterotopic gastric mucosa of the ileum HGM is usually clinically silent and does not require treatment; however, surgical intervention can be considered in patients with complications such as bleeding or intestinal obstruction [1]. Therefore, al- though HGM of the ileum is extremely rare, it should be considered in the differ- ential diagnosis of ileal polypoid lesions. Endoscopy_UCTN_Code_CCL_1AC_2AF Competing interests: None Chi-Ming Tai1, I-Wei Chang2, Hsiu-Po Wang3 1 Department of Internal Medicine Pathology, E-Da Hospital, I-Shou Fig. 1 Colonoscopic views of the terminal ileum showing several polypoid lesions, measuring 0.3– 0.8cm, with surface ulceration. University, Kaohsiung, Taiwan 2 Department of Pathology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan 3 Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan References 1 Boybeyi O, Karnak I, Güçer S et al. Common characteristics of jejunal heterotopic gastric tissue in children: a case report with review of the literature. J Pediatr Surg 2008; 43: e19– e22 2 Yu L, Yang Y, Cui L et al. Heterotopic gastric Fig. 2 Hematoxylin and eosin (H&E)-stained images of the biopsy specimens taken from the polypoid mucosa of the gastrointestinal tract: preval- lesions showing: a mucinous glands in the lamina propria (arrow), which resemble the pyloric glands of ence, histological features, and clinical char- the stomach (original magnification ×100); b higher power view of the mucinous glands (original acteristics. Scand J Gastroenterol 2014; 49: magnification×400). 138–144 3 Hammers YA, Kelly DR, Muensterer OJ et al. -
Local and Systemic Immune Responses in Murine Helicobacterfelis Active Chronic Gastritis J
INFECTION AND IMMUNITY, June 1993, p. 2309-2315 Vol. 61, No. 6 0019-9567/93/062309-07$02.00/0 Copyright X 1993, American Society for Microbiology Local and Systemic Immune Responses in Murine Helicobacterfelis Active Chronic Gastritis J. G. FOX,`* M. BLANCO,' J. C. MURPHY,' N. S. TAYLOR,' A. LEE,2 Z. KABOK,3 AND J. PAPPO3 Division of Comparative Medicine, Massachusetts Institute of Technology, 1 and Vaccine Delivery Research, OraVax Inc.,3 Cambridge, Massachusetts 02139, and School ofMicrobiology New South Wales, Sydney, Australia2 Received 11 January 1993/Accepted 29 March 1993 Helicobacterfelis inoculated per os into germfree mice and their conventional non-germfree counterparts caused a persistent chronic gastritis of -1 year in duration. Mononuclear leukocytes were the predominant inflammatory cell throughout the study, although polymorphonuclear cell infiltrates were detected as well. Immunohistochemical analyses of gastric mucosa from H. felis-infected mice revealed the presence of mucosal B220+ cells coalescing into lymphoid follicles surrounded by aggregates of Thy-1.2+ T cells; CD4+, CD5+, and of T cells predominated in organized gastric mucosal and submucosal lymphoid tissue, and CD11b+ cells occurred frequently in the mucosa. Follicular B cells comprised immunoglobulin M' (IgM+) and IgA+ cells. Numerous IgA-producing B cells were present in the gastric glands, the lamina propria, and gastric epithelium. Infected animals developed anti-H. felis serum IgM antibody responses up to 8 weeks postinfection and significant levels of IgG anti-H. felis antibody in serum, which remained elevated throughout the 50-week course of the study. An infectious etiology in gastric disease received little MATERIALS AND METHODS attention until Marshall and Warren first described Campy- Animals. -
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. -
Physiology of the Stomach and Regulation of Gastric Secretions
LECTURE III: Physiology of the Stomach and Regulation of Gastric Secretions EDITING FILE IMPORTANT MALE SLIDES EXTRA FEMALE SLIDES LECTURER’S NOTES 1 PHYSIOLOGY OF THE STOMACH AND REGULATION OF GASTRIC SECRETIONS Lecture Three OBJECTIVES •Functions of stomach. •Gastric secretion. •Mechanism of HCl formation. •Gastric digestive enzymes. •Neural & hormonal control of gastric secretion. •Phases of gastric secretion. •Motor functions of the stomach. •Stomach Emptying. Functional Anatomy of the Stomach: Orad (Reservoir) fundus and upper two orad thirds of the body physiologically Caudad (Antral Pump) lower third of the body plus antrum Caudad Figure 3-1 stomach fundus anatomical body antrum Figure 3-2 ● Gastric mucosa is formed of columnar epithelium that is folded into “pits”. ● The pits are the opening of gastric glands. ● There are several types of gastric glands in the stomach and are distributed differentially in the stomach. Figure 3-3 2 PHYSIOLOGY OF THE STOMACH AND REGULATION OF GASTRIC SECRETIONS Lecture Three Types of Gastric Glands: Mucus secreting glands oxyntic(parietal)glands Pyloric glands (cardiac glands) (most abundant glands) Mucus neck cells Types of cells - Peptic (Chief) cells Many G cells Parietal cells (Oxyntic cells) HCl Gastrin Mucus Pepsinogen secrete Mucus HCO3 IF Mucus Body & fundus Antrum Found in Cardia (above the notch) (below the notch) Proximal 80% of stomach Distal 20% of stomach Structure of a Gastric Oxyntic Gland: ★ HCl is secreted across the parietal cell microvillar membrane and flows out of the intracellular canaliculi into the oxyntic gland lumen. ★ The surface mucous cells line the entire surface of the gastric mucosa and the openings of the cardiac, pyloric, and oxyntic glands. -
The Digestive System
Hard palate Soft palate Swallowing (Deglutition) • Passage of food from the mouth (through pharynx & esophagus) to the stomach • Phases: 1) Buccal phase: - Voluntary - Food passes from mouth to pharynx - After mastication & bolus formation voluntary elevation of the tongue against the hard palate backward pushing of bolus to pharynx 2) Pharyngeal phase: - Involuntary (autonomic) - Bolus stimulates pharyngeal receptors afferent impulses through 5th, 9th, 10th cranial nerves swallowing center in medulla oblongata impulses through the efferent cranial nerves causing: (a) protective reflexes: Inhibits respiratory center to stop breathing (temporal apnea) Elevation of soft palate to prevent entering of food to nasal cavity Contraction of mylohyoid muscle press tongue against hard palate closing the oral opening of pharynx to prevent return of food to mouth Elevation of larynx to be closed by epiglottis preventing food entrance to trachea. Contraction of muscles of the vocal cords to close the glottis (b) Rapid peristaltic movement + relaxation of the pharyngeoesophageal sphincter food passes to esophagus 2) Esophageal phase: - Involuntary - Peristaltic movement occurs in the esophageal wall from the upper to the lower esophageal sphincters to propel the bolus to stomach - Types of peristaltic movements of the esophagus : primary & secondary. The esophageal sphincters - They are circular smooth muscles: a) Upper esophageal sphincter: - Between pharynx & esophagus. - Usually closed to prevent entrance of air into the stomach during breathing -
A Novel Human Gastric Primary Cell Culture System for Modelling
Gut Online First, published on December 24, 2014 as 10.1136/gutjnl-2014-307949 Helicobacter pylori ORIGINAL ARTICLE Gut: first published as 10.1136/gutjnl-2014-307949 on 24 December 2014. Downloaded from A novel human gastric primary cell culture system for modelling Helicobacter pylori infection in vitro Philipp Schlaermann,1 Benjamin Toelle,1 Hilmar Berger,1 Sven C Schmidt,2 Matthias Glanemann,2 Jürgen Ordemann,3 Sina Bartfeld,1,4 Hans J Mollenkopf,1 Thomas F Meyer1 ▸ Additional material is ABSTRACT published online only. To view Background and aims Helicobacter pylori is the Significance of this study please visit the journal online (http://dx.doi.org/10.1136/ causative agent of gastric diseases and the main risk factor gutjnl-2014-307949). in the development of gastric adenocarcinoma. In vitro studies with this bacterial pathogen largely rely on the use 1Department of Molecular What is already known on this subject? Biology, Max Planck Institute of transformed cell lines as infection model. However, this ▸ Helicobacter pylori infects over half of the for Infection Biology, Berlin, approach is intrinsically artificial and especially world’s population and can cause Germany inappropriate when it comes to investigating the fl 2 in ammation, peptic ulcers and ultimately lead Clinics for General, Visceral mechanisms of cancerogenesis. Moreover, common cell to gastric cancer. and Transplant Surgery, Charité ▸ H. pylori University Medicine, Berlin, lines are often defective in crucial signalling pathways Illuminating the molecular basis of - Germany relevant to infection and cancer. A long-lived primary cell induced carcinogenesis has been hampered by 3Center of Bariatric and system would be preferable in order to better approximate the absence of suitable in vitro infection Metabolic Surgery, Charité the human in vivo situation. -
The Pathogenesis of Duodenal Gastric Metaplasia: the Role of Local Goblet Cell Transformation Gut: First Published As 10.1136/Gut.46.5.632 on 1 May 2000
632 Gut 2000;46:632–638 The pathogenesis of duodenal gastric metaplasia: the role of local goblet cell transformation Gut: first published as 10.1136/gut.46.5.632 on 1 May 2000. Downloaded from R Shaoul, P Marcon, Y Okada, E Cutz, G Forstner Abstract Gastric metaplasia is characterised by the Background and aims—Gastric metapla- appearance of clusters of epithelial cells of gas- sia is frequently seen in biopsies of the tric phenotype in non-gastric epithelium and duodenal cap, particularly when inflamed may occur anywhere in the intestine and colon. or ulcerated. In its initial manifestation In the duodenum it is found in a small small patches of gastric foveolar cells percentage of otherwise normal biopsies1 but is appear near the tip of a villus. These cells much more frequently seen in association with contain periodic acid-SchiV (PAS) posi- inflammation.2–4 During the past decade the tive neutral mucins in contrast with the frequent association of duodenal gastric meta- alcian blue (AB) positive acidic mucins plasia with Helicobacter pylori gastritis has been 5–9 within duodenal goblet cells. Previous recognised and its potential importance investigations have suggested that these highlighted as a possible starting site for peptic 5 PAS positive cells originate either in ulceration. Gastric metaplasia has also been Brunner’s gland ducts or at the base of reported in Crohn’s disease of the duodenum10–12 and non-specific chronic duodenal crypts and migrate in distinct 23612 streams to the upper villus. To investigate duodenitis. the origin of gastric metaplasia in superfi- In the small intestine the earliest manifesta- cial patches, we used the PAS/AB stain to tion usually occurs as a small island of transformed epithelium on the tip or side of a distinguish between neutral and acidic 513 mucins and in addition specific antibodies villous. -
Heterotopic Gastric Mucosa of the Rectum UCTN
Heterotopic Gastric Mucosa of the Rectum UCTN Heterotopic gastric mucosa (HGM), which P. De Angelis1, A. Trecca2, P. Francalanci3, results from embryonic tissue displace- F. Torroni1, G. Federici di Abriola1, ment, can be found throughout the length B. Papadatou4, G. C. Ciofetta5, of the gastrointestinal tract. Heterotopic L. DallOglio1 gastric mucosa in the rectum is uncom- 1 Surgical and Endoscopic Digestive Unit, mon, and few cases have been described Ospedale Pediatrico Bambino Ges, Unusual Cases and Technical Notes in children [1±3]. Rome, Italy 2 Endoscopic and Gastroenterologic We report a case of a child of 4.5 years Operative Unit ªFabio di Giovanbattistaº, with recurrent rectal bleeding, tenesmus, UEGO FDG, Rome, Italy diarrhea, and abdominal pain. He under- 3 Department of Pathology, Ospedale went colonoscopy, which showed an ulcer Pediatrico Bambino Ges, Rome, Italy of diameter 1 cm covered by a whitish 4 Department of Gastroenterology, membrane, 15 cm from the anal verge. Ospedale Pediatrico Bambino Ges, Histological findings confirmed a solitary Rome, Italy rectal ulcer. The child apparently respon- Figure 1 Sessile polypoid lesions, seen with 5 Nuclear Medicine Unit, Ospedale ded well to medical therapy with mesal- the endoscope in retroversion. Pediatrico Bambino Ges, Rome, Italy. amine enema, but the abdominal pain and diarrhea with bleeding recurred. Co- References lonoscopy showed two sessile polypoid lesions, 1.5 cm in diameter, on the poster- 1 Wiersma R, Hadley GP, Govender D, ior rectal wall, within 5 cm from the anal Grant HW. Rectal gastric heterotopia in verge (Figure 1). Histological examination infancy. J Pediatr Surg 2002; 37: 1481± of biopsies revealed colonic mucosa asso- 1482 ciated with gastric corpus-fundic mucosa 2 Taylor AL. -
A Case Report of Circumferential Presentation with Stricture of Heterotopic Gastric Mucosa in the Cervical Esophagus
Case report A Case Report of Circumferential Presentation with Stricture of Heterotopic Gastric Mucosa in the Cervical Esophagus Camilo Blanco A, MD,1 Esperanza Teusabá T., MD,2 Karen Russi, MD.3 1 Gastrointestinal Surgeon and Digestive Endoscopist, Abstract Master’s Degree in Education, Associate Instructor in the Faculty of Education at the Universidad Heterotopic gastric mucosa in the cervical esophagus is a condition that is probably underdiagnosed. The El Bosque, Director of the Videoendoscopy vast majority of patients are asymptomatic, and detection is an incidental finding. In symptomatic patients, Unit of Restrepo Ltda. in Bogotá, Colombia. manifestations are associated with non-neoplastic or neoplastic changes that allow categorization into five camiloblancoagmail.com 2 Medical Pathologist at Patolab Ltda attached to the types. The case presented here is a patient who had Type III with dysphagia and pharyngeal globus due to Videoendscopy Unit of Restrepo Ltda. in Bogotá, heterotopic gastric mucosa in the cervical esophagus with circumferential presentation with stenosis. At the Colombia time of publication, only seven similar cases could be found in the literature. Detection, supported by new ima- 3 Medical Anesthesiologist in the Videoendscopy Unit of Restrepo Ltda. in Bogotá, Colombia ging technologies such as chromoendoscopy, may be an indicator of the quality of endoscopic performance in a manner that is similar to detection of adenomas in colonoscopy. ......................................... Received: 10-11-14 Keywords Accepted: 06-04-15 Patches in the cervical esophagus, gastric heterotopic mucosa in the cervical esophagus, esophageal pat- ches, globus pharyngeal, cervical esophagus, endoscopic diagnosis. INTRODUCTION (10), although studies to validate the superiority of this diagnostic technique are ongoing.