Gastric Juice

Results in normal subjects and in patients with duodenal ulcer. Rune SJ. Comparison of the rates of gastric acid secretion in man after ingestion of food and after maximal stimulation with histamine. Gastrin is in the stomach and stimulates the gastric glands to secrete pepsinogen (an inactive form of the enzyme pepsin) and hydrochloric acid. The secretion of gastrin is stimulated by food arriving in the stomach.

This tolerance does become a major problem for patients with massive hyper secretion of acid – as in the Zollinger-Ellison syndrome. Tolerance becomes a limiting factor and the control of acid secretion usually fails after some weeks of treatment. In this rare disease, control of acid secretion with a PPI should be the normal approach. When acid secretion is stimulated with histamine, the systemic adverse effects of histamine can be prevented by a conventional antihistamine drug without affecting acid secretion.

Some of the hormones that are released from the small intestine by products of digestion (especially fat), in particular glucagon and secretin, suppress acid secretion also. The release of histamine is the most important positive regulation mechanism of the secretion of gastric acid in the stomach. Its release is stimulated by gastrin and acetylcholine and inhibited by somatostatin.

Gastric acid, gastric juice, or stomach acid, is a digestive fluid formed in the stomach and is composed of hydrochloric acid (HCl), potassium chloride (KCl), and sodium chloride (NaCl). The study describes gastric acid secretory response to a rice-based and a wheat-based meal over a prolonged period of five hours and buffer content of the stomach in five normal and seven duodenal ulcer subjects from the rice-eating eastern Indian population. The results suggest that (1) the meal-mediated gastric acid secretory response in duodenal ulcer subjects is much higher than in the controls, though the histamine stimulated response is similar even, (2) the type of meal, whether rice and fish based or wheat and meat based, does not influence the acid secretory response, and (3) the duodenal ulcer subjects in this area, two hours after a meal, have a buffer capacity similar to the controls. Gastric inhibitory peptide (GIP) is in the duodenum and decreases stomach churning in order to slow the emptying of the stomach. Another function is to induce insulin secretion.

This adaptive repertoire apparently does not exist for the frequently feeding diamondback water snake. Rather, they maintain function of the intestinal tract and other organs (suggested by the lack of any significant change in mass) during fasting and hence between meals experience both higher tissue metabolic rates and higher SMR. For these snakes, the maintenance of intestinal function, and thus elimination of regulatory processes, selectively outweighs the energetic benefits of downregulation. h -1 ) with stomach mass (g), we found that water snakes did experience a significant (P 5.0).

The chemical action of free amino acids and peptides excites the liberation of gastrin from the antrum into the circulation. Thus, there are mechanical, chemical, and hormonal factors contributing to the gastric secretory response to eating. This phase continues until the stomach has been left by the food.

Snakes exhibit an apparent dichotomy in the regulation of gastrointestinal (GI) performance with feeding and fasting; frequently feeding species modestly regulate intestinal function whereas infrequently feeding species rapidly upregulate and downregulate intestinal function with the start and completion of each meal, respectively. The downregulatory response with fasting for infrequently feeding snakes is hypothesized to be a selective attribute that reduces energy expenditure between meals.

Fed pythons, in contrast, experienced a near-doubling of gastric metabolism and a tripling of intestinal metabolic rate. For fasted individuals, the metabolic rate of the stomach and small intestine was lower for pythons than for water snakes significantly. The fasting downregulation of digestive function for pythons is manifested in a depressed gastric and intestinal metabolism, which selectively serves to reduce basal metabolism and hence promote survival between infrequent meals.

Gastric juice is secreted in response to vagal stimulation, either directly by electrical impulses or indirectly by stimuli received through the senses. Ivan Petrovich Pavlov, the Russian physiologist, originally demonstrated this method of gastric secretion in a now-famous experiment with dogs. a thin, clear, virtually colorless acidic fluid secreted by the stomach glands and active in promoting digestion. The normal volume of the stomach fluid is 20 to 100 mL and the pH is acidic (1.5 to 3.5).

Serum gastrin was measured by radioimmunoassay before and after amino acid infusion. All results were expressed as mean ± SEM. The gastric phase is mediated by the vagus nerve and by the release of gastrin.

The high affinity gastrin receptors that activate acid secretion are the receptors on the ECL cells actually. parietal cells compared to WT showed a marked reduction in the presence of tubulovesicles without evidence of expanded canaliculi. Tubulovesicles are important membrane structures that allow robust and rapid activation followed by cessation of acid secretion [26,27]. channels/transporters) fuse with the apical membrane to form a greatly expanded secretory canaliculus with increased elongated microvilli which are then are recycled back during the resting stage [20,26,27]. Schofield, Ito and Bolender [27] showed that maximal acid secretion induced with histamine and carbachol occurs in tandem with maximal morphological rearrangement and that the changes in the tubulovesicles and apical membrane microvilli correlated with maximal acid secretion.

The diffusion distances are then very short (micrometres) and the PPI is converted to its active form as soon as it reaches the acid space just outside the acid pump itself. It is then perfectly positioned to bind covalently to the H + /K + -ATPase on the parietal cell membrane. This binding is long lasting but is overcome by the synthesis of new pump molecules. Since the average half-life of the pump molecules is about 24 hours, this is the average half-time for the suppression of acid secretion. In conclusion, ablation of ClC-2 resulted in gastric gland dilation, reduced height of the gastric gland region (24%), disorganized cell layers in the gastric mucosa, loss of parietal cells (34%), reduced parietal cell H/K ATPase (53%), reduced parietal cell tubulovesicles without expanded canaliculi and reduced stimulated gastric acid secretion whether measured by monitoring the pH of the gastric contents or by gastric perfusion.

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