Svorc P, Bracoková I, Dorko E
Ustav fyziológie LF UPJS, Kosice.
Cesk Fysiol. 2001 Aug;50(3):115-8.
The gastrointestinal system is the gate through which nutritive substances, vitamins, minerals, and fluids enter the body. Proteins, fats and complex carbohydrates are broken down into absorbable units (products of the digestion) in the digestive tract and finally they are absorbed together with vitamins, minerals and water into the blood or the lymph. The digestive and absorptive functions of the gastrointestinal tract depend on the various mechanisms, which adjust the food, put it through the gastrointestinal tract and mix it together with digestive enzymes secreted by the salivary glands, stomach, pancreas, small intestine and with bile. Some of these mechanisms depend on the spontaneous activity of the smooth muscles, others involve the somatic and autonomous reflexes, paracrine effects of the chemical substances, hormones and local gastrointestinal hormones. The aim of this paper is to review the essential factors participating in the regulation of these processes (mainly motility and secretion) from the mouth cavity, stomach, duodenum, gallbladder, pancreas, small intestine and large intestine to the defecation. The basic regulatory factors are summarized in the schemes from the sources of the physiological textbooks, which are accepted in the whole world for the education of physiology in the medical faculties.
胃肠道系统是营养物质、维生素、矿物质和液体进入人体的通道。蛋白质、脂肪和复合碳水化合物在消化道内被分解为可吸收的单位(消化产物),最终它们与维生素、矿物质和水一起被吸收进入血液或淋巴。胃肠道的消化和吸收功能依赖于各种机制,这些机制调节食物,使其通过胃肠道,并将其与唾液腺、胃、胰腺、小肠分泌的消化酶以及胆汁混合。其中一些机制依赖于平滑肌的自发活动,其他机制涉及躯体和自主反射、化学物质的旁分泌作用、激素和局部胃肠激素。本文的目的是综述参与调节这些过程(主要是运动和分泌)的基本因素,这些过程涵盖从口腔、胃、十二指肠、胆囊、胰腺、小肠和大肠到排便的整个过程。基本调节因素总结在来自生理学教科书的图表中,这些图表在全世界的医学院校用于生理学教学,被广泛接受。