Sandbox cerebral palsy: Difference between revisions

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*The bicarbonate ions act to neutralize harsh acids.
*The bicarbonate ions act to neutralize harsh acids.
*If the balance of gastric acid secretion and mucosal defenses is disrupted, acid interacts with the epithelium to cause damage
*If the balance of gastric acid secretion and mucosal defenses is disrupted, acid interacts with the epithelium to cause damage
{| class="wikitable"
! colspan="2" |Defense mechanisms of
Gastric mucosal barrier
|-
|Mucus layer
|Forms a protective gel-like coating over the entire gastric mucosal surface
|-
|Epithelial layer
|Epithelial cell layer are bound by tight junctions that repel fluids
|-
|Bicarbonate ions
|Neutralize acids
|}

Revision as of 15:20, 26 October 2017

Pathophysiology

Mucosal barrier

  • The gastric mucosa is protected from the acidic environment by mucus, bicarbonate, prostaglandins, and blood flow.
  • This mucosal barrier consists of three protective components which include:
    • Layer of epithelial cells lining.
    • Layer of mucus, secreted by surface epithelial cells and Foveolar cells.
    • Bicarbonate ions, secreted by the surface epithelial cells.

Mechanism of Action

  • The insoluble mucus forms a protective gel-like coating over the entire surface of the gastric mucosa.
  • The mucus protects the gastric mucosa from autodigestion by e.g. pepsin and from erosion by acids and other caustic materials that are ingested.
  • The bicarbonate ions act to neutralize harsh acids.
  • If the balance of gastric acid secretion and mucosal defenses is disrupted, acid interacts with the epithelium to cause damage
Defense mechanisms of

Gastric mucosal barrier

Mucus layer Forms a protective gel-like coating over the entire gastric mucosal surface
Epithelial layer Epithelial cell layer are bound by tight junctions that repel fluids
Bicarbonate ions Neutralize acids