MRCP UK EXAMINATIONS

ABDOMINAL

GASTROINTESTINAL

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Where is secretin released?
A
In the duodenal mucosa in response to the arrival of gastric acid
B
In the esophageal mucosa in response to the arrival of a food bolus
C
In the gastric mucosa in response to the arrival of the bolus and the mixture
D
None of the above
Explanation: 

Detailed explanation-1: -Secretin is also secreted by specific endocrine cells in the mucosa of the proximal small intestine and expressed in smaller numbers in the jejunum of duodenum (2, 29).

Detailed explanation-2: -Secretin is secreted by S cells in the duodenum and affects numerous other organ systems. Secretin receptors (SR) are expressed in the basolateral domain of several cell types. [3] Besides regulating the growth of epithelial cells in the pancreas and biliary system, secretin additionally exerts trophic effects.

Detailed explanation-3: -Secretin is secreted in response to one known stimulus: acidification of the duodenum, which occurs most commonly when liquified ingesta from the stomach are released into the small intestine.

Detailed explanation-4: -Regulation of synthesis and release Secretin is synthesized and secreted by S cells in the small intestine, and neurons in the brain. Secretin release is mainly stimulated by gastric acid delivered into the duodenal lumen.

Detailed explanation-5: -Secretin is secreted from S cells in the duodenum in response to H+ and fatty acids in the lumen. Specifically, a pH less than 4.5 signals arrival of gastric contents, which initiates the release of secretin.

There is 1 question to complete.