Gastric juice
Succus gastricus
Gastric juice is the strongly acidic secretion of the gastric glands, about 1.5–2 L a day. It contains HCl, pepsinogen, gastric lipase, mucus and intrinsic factor.
Overview
Gastric juice is a mixture of a parietal component (HCl and KCl) and a non-parietal alkaline component (Na⁺, HCO₃⁻ and mucus). As the secretion rate rises, the parietal fraction dominates, so H⁺ rises and Na⁺ falls. K⁺ stays higher than in plasma at all rates (about 10–15 mmol/L).
Acid and pepsin together digest protein. Acid also kills most ingested microbes and frees vitamin B12 and iron from food. Chyme leaving the stomach is a semi-fluid mixture of partly digested food and gastric juice.
Parts & subdivisions
- From parietal cells. Denatures proteins, activates pepsinogen, kills microbes and helps absorption of non-haem iron.
- From chief cells. Starts protein digestion.
- Intrinsic factorFrom parietal cells. Binds B12 in the duodenum for ileal uptake.
- Mucus and bicarbonateFrom surface and neck mucous cells. Form the protective gel layer.
- Gastric lipaseAcid-stable lipase.
Function
- Protein digestion.
- Barrier against ingested pathogens.
- Release of B12 and iron from food.
- Formation of chyme.
Clinical significance
Vomiting and metabolic alkalosis
Losing gastric juice removes H⁺ and Cl⁻, which leaves a hypochloraemic metabolic alkalosis. Volume depletion activates aldosterone, which increases renal K⁺ and H⁺ loss. The result is hypokalaemia and "paradoxical aciduria". The classic example is pyloric stenosis.
Compiled from standard anatomy and physiology references — see the Digestive System sources. For education only; not medical advice.