Revision Time and Git Reflexes: Brief: Dr. S. M. A. Waseem JNMC, AMU, Aligarh

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9/20/2021

REVISION TIME AND GIT


REFLEXES: BRIEF
Dr. S. M. A. Waseem
JNMC, AMU, Aligarh

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Distention initiates the peristalsis ( reflex+


anal direction of movement= LAW OF GUT)

Contractile ring responsible for


peristalsis begins in orad side and
pushes the content into anal Gut distends towards the anal side
direction. and receives the content: receptive
relaxation

Dr. S. M. A. Waseem, JNMC, AMU, Aligarh 2

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Dr. S. M. A. Waseem, JNMC, AMU, Aligarh

ENTERIC NERVOUS SYSTEM Myentric and Auerobachs plexus


Why motility from oral to aboral Because BER/ Slow wave activity increases from
direction oral to aboral direction.
Because inhibitory neurons are more towards the
aboral direction.
Electric activity of gut Slow wave/ BER: local changes. Segmental activity
Spike potentials: give rise to action potentials,
peristalsis
Types of motility Segmental : mixing and churning
Propulsive (persistalsis)

Interdigestive period motility, hunger Migrating Motor Complex


contractions From Mo cells of the intestine( motilin hormone)
Inner circular muscle contracts Diameter of segment decreases and length
increases
Outer longitudinal contracts Diameter of segment increases and length
decreases 3

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Types of contractions Tonic ( sustained/ maintained)


Phasic( rhythmic)
Functions of GIT Motility, digestion, absorbtion and
secretion
Excitatory NT Ach, Substance P
Inhibitory NT Nitric Oxide, VIP
Parasympathetic Increases the motility of GIT, Increases
secretions
Sympathetic Inhibitory to motility of GIT nad
secretions

Dr. S. M. A. Waseem, JNMC, AMU, Aligarh 4

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Dr. S. M. A. Waseem, JNMC, AMU, Aligarh

GIT PATTERN OF MOTILITY


Oesophagous Primary peristalsis
Secondary Peristalsis
Stomach Mixing
Peristalsis
Hunger contractions
Pyloric pump
Small intestine Segmental
Concentric and eccentric
peristalsis
Large intestine Mixing segmental (haustrations)
Propulsive (mass movements)
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GIT Reflexes : Summary


Dr. S. M. A. Waseem, JNMC, AMU, Aligarh

Defecation
Reflex
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