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GASTROINTESTINAL SYSTEM BLOCK

PROBLEM 5
ALMIRA NABILA VALMAI
405130193

1.

LO

LO 1
ANATOMI DAN HISTOLOGI SALURAN
PENCERNAAN BAWAH

Small Intestine
90% of absorption occurs in the small
intestine

Large Intestine

Colon transverse section

Colon panoramic view,


transverse section

Appendix panoramic view,


transverse section

Rectum panoramic view,


transverse section

LO 2
FISIOLOGI DAN BIOKIMIA PROSES DEFEKASI

Faeces in colon
delayed
defecation

Rectum
stretches

Rectum, colon
sigmoid contraction
more harder

co
ntr
ac
ti o
n

stretch
receptor
stimulation

Relax sfingter ani


interna

Reflex
defecation
relax
defecation

Sfingter ani
externa

rectal wall that


stretched to
relax
defecation desire
abate
feces are pushed
more into the
rectum

defecation

Mecanism of Defecation
1. Haustra contraction.

Initiated by autonomous rhythmicity of colonic


smooth muscle.
These contraction throw the large intestine
into haustra, are similiar to small intestine
segmentation but occur much less frequently.
These movements are nonpropolsive; they
slowly shuffle the contents in a back-forth
mixing movement that exposes the colonic
content to the absorbtive mucosa.

2. Mass movements
It is massive contraction that drive the colonic
content into the distal part of the large intestine,
where material stored until defecation.
After
meals

Increase of
motility

Large segments of
ascending and
transverse colon
contract simultanously

Throw feces one third to


three forth s of the
length of the colon in
few seconds

3. Gastrocolic reflex
Causes of mass movements are triggered in
the colon primarily.
Mediated from the stomach to the colon by
gastrin and by extrinsic autonomic nervous.
This reflex is most evident after the first meals
of the day and is often followed by the urge to
defecate.

Reflexes
in Colon
and
Rectum:

LO 3
KELAINAN SALURAN PENCERNAAN BAWAH

Inflammatory Bowel Disease

Hirschprung

Anal disorders

Irritable Bowel Syndrome

Diverticulosis

Dysentery (Entamoeba
histolytica)

Dysentery (Shigella)

Food intolerance

Colon carcinoma

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