Special cells in Stomach,Small intestine


GASTRIC GLAND
It has 4 special types of cells

  • Chief cells or zymogen cells
¤ secrete pepsinogen
¤ abundant in fundus of gastric gland

 •  Parietal or oxyntic cells
¤ secrete HCL and intrinsic factor of castle
¤ abundant in isthmus

 •  mucous cells
¤ secrete mucus
¤ abundant in neck

 • neuroendocrine cells
¤ G-cells : gastrin ;S-cells : somatostatin;enterochromaffin like cell : histamine
¤ present more deep in fundus

BRUNNER'S GLAND
 • characteristic of upper duodenum
 • secrete mucus

PANETH CELLS
 • Charecteristic of small intestine
 • granular,secretory,eosinophilic,exocrine cell
 • present deeply in crypts and unlike other cells dont migrate to surface of small intestine mucosa
 • life span is 28 days
 • contains zinc,lysosome,rough endoplasmic reticulum
 • secrete lysozyme,cryptidin,tnf a,phospholipase a2,antichymotrypsin

PAYERS PATCHES
 • characteristic of ileum
 • aggregates of lymphoid nodules

SPECIAL CELLS OF SMALL INTESTINE
 • mucosa of small intestine invaginates to form crypts of luberkuhn and evaginates yo form villi

• in villi :
1) goblet cells - secrete mucus and provides lubrication and barrier to infection
2) M cells (microfolds) - covers underlying lymphocytes,process antigens and present it to underlying lymphocytes
3) lymphocytes

• in crypts :
1) stem cells - replaces old dying cells in mucosa
2) paneth cells
3) neuroendocrine cells/APUD cells

NERVE INERVATION OF GIT
1) Auerbachs plexus/myentric
• between outer longitudinal muscle and inner circular muscle
• has motor control over git

2) Meissners plexus
• between circular muscle layer and mucosa
• has secretion control

Oesophagus


4 LAYERS OF OESOPHAGEAL WALL

  • Mucosa : lined by non keratinised stratified squamous epithelium
  • Submucosa :
  • Muscularis externa : Toughest layer;Upper 1/3 has skeletal muscle;lower 1/3 has smooth muscle;middle 1/3 has both skeletal and smooth muscles
  • Serosa
4 CONSTRICTIONS OF OESOPHAGUS
  • @ 15cm (from incisors)>> @ pharyngoesophageal jn>>c6 level
  • @23cm>> @ crossing of arch of aorta
  • @27 cm>> @ left bronchus crossing
  • @40cm>> @ piercing of diaphragm
5 BLOOD SUPPLY
  • Bronchial artery
  • Inferior thyroid artery
  • Descending thorasic aorta
  • Left gastric artery
  • Left inferior phrenic artery
6 LENGTH OF OESOPHAGUS
  • 15cm

Types of Epithelium


A) Squamous Epithelium

     1) Simple Squamous : (mnemonic - all MEn are Ant)

  • All - alveoli of lungs
  • M - mesothelium of pleura,pericardia,peritoneum
  • En - endocardium,endothelium
  • An - ansa nephroni (renal loop of henle)
    2)  Keratinised stratified squamous
  • Skin(epidermis)
  • ducts of sebaceous gland(all ducts of glands are lined by cuboidal epit except sebaceous gland duct)
   3) Non keratisnised stratified squamous
  • Mouth,tongue,tonsil,pharynx,esophagus
  • Cornea
  • Vagina
B) Columnar epithelium
   1) Simple columnar 
  • Stomach
  • Large intestine
  • Cervical canal
   2) columnar with striated border(regular microvilli)
  • Small intestine
   3) columnar with brush border(irregular microvilli)
  • Gall bladder
   4) columnar with cilia(mnemonic - U Race)
  • U - Uterus and uterine tubes
  • R - respiratory epithelium
  • A - auditory tube and parts of middle ear
  • C - cervical canal and ventricles
  • E - efferent ductules
   5) Pseudostratified columnar (mnemonic : all/ol trachea and auditory ducts are ur MP)
  • Ol - olfactory epith
  • Trachea and large bronchi
  • Auditory tubes
  • Ducts - ductus deferens
  • Ur MP- urethra membranous and penile
   6) secretory columnar(goblet cells)
  • Stomach,small intestine,large intestinee
  • Trachea ,bronchi
C) Cuboidal epithelium (Mnemonic  DEFG)
  • D - ducts of glands
  • E - eye
  • F - follicles of thyroid
  • G - germinal epithelium
D) Transitional epithelium
  • Urothelium( calyx ,pelvis,ampulla,ureter,bladder,part of uretha)

Bartholin gland
  • Homologous to bulbourethral gland of male
  • Ducts open outside hymen on inner surface of labia minora
  • Acini lined by cuboidal,mid portion by transitional and outer portion by squamous epithelium