Surgery · Appendix, Small Intestine and Intestinal Obstruction

Which pattern of small bowel motility is responsible for clearing undigested residue and bacteria from the small intestine during fasting?

  • A Migrating motor complex (MMC)
  • B Peristalsis
  • C Segmentation
  • D Tonic contraction
Correct answer: A. Migrating motor complex (MMC)

Explanation

The migrating motor complex (MMC) is a cyclical pattern of electromechanical activity in the small intestine during fasting, recurring every 90-120 minutes. Phase III of the MMC produces a powerful peristaltic wave that sweeps undigested residue, desquamated cells, and bacteria from the small bowel into the colon, serving a 'housekeeper' function. Segmentation mixes chyme during digestion.

Reference: Ganong's Review of Medical Physiology, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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