The gastric glands of the fundus/body have the important role of producing digestive gastric juice while the cardiac and pyloric glands predominantly produce mucous secretions which protect the stomach from the harsh effects of the digestive acid and prevent stomach self-digestion. All rights reserved. It is formed by a layer of surface epithelium and an underlying lamina propria and muscularis mucosae. Parasympathetic stimulation is associated with ‘rest and digest’ functions and therefore, stimulates digestion. Histologically the stomach is composed of mucosa, submucosa, muscularis propria and serosa. large circular folds called plicae circulares (shown in the diagram to the right), most numerous in the upper part of the small intestine; smaller folds called villi, which are finger like mucosal projections, about 1mm long. Epithelium invaginates into gastric pits (opposite of villi projections). The stomach muscles contract periodically, churning food to enhance digestion. They provide elasticity by allowing the stomach to expand when a bolus enters it. Added 7/27/2016 10:03:55 AM. There are three different types of glands. The surface mucous cells, also known as foveolar epithelium, are the simple columnar epithelium lining the lumen of the stomach. Philadelphia, PA: Lippincott Williams & Wilkins. aryepiglottic fold a fold of mucous membrane extending on each side between the lateral border of the epiglottis and the summit of the arytenoid cartilage. The colon is divided into _____ sections. That allows stem cells to migrate both up the gastric pit and down to the gastric glands to replace damaged cells. Erythematous mucosa isn’t a … In the pyloric region the muscularis externa is well developed in order to propel chyme into the duodenum, while its thickened circular layer forms the pyloric sphincter. The mucus protects the stomach lining by minimising the abrasion from food particles and forming a physical barrier from the hydrochloric acid, in which the mucous cells are constantly bathed. Let’s now take a closer look at the 4 layers of the stomach, as well as their regional variations. Mescher, A. L. (2013). When the stomach is empty, its mucosal lining is thrown into numerous longitudinal folds, known as rugae; these tend to disappear when the stomach is distended. Reading time: 12 minutes. These are the gastric mucosa, submucosa, muscularis externa and serosa. If you struggle remembering the difference between the two a mnemonic can help! No submucosal glands, but glands are abundant in the lamina propria. The outer layer of the stomach wall is smooth, continuous with the parietal peritoneum. It contains blood and lymphatic vessels, lymphoid tissue and surrounds the gastric glands. “I would honestly say that Kenhub cut my study time in half.” ii) When distended with food, the rugae are ironed out and flat. They are found throughout the entire inner surface of the stomach and are divided into 3 types depending on the region in which they are found. Erythematous means redness. Deep to the mucosa is a thick layer of connective tissue known as the gastric submucosa. This makes sense, as these segments are areas of transition between the stomach and other parts of the GI tract. and grab your free ultimate anatomy study guide! In the fundus, the muscle is poorly developed as a lot less churning takes place in this region. Our engaging videos, interactive quizzes, in-depth articles and HD atlas are here to get you top results faster. The innermost layer of the stomach wall is the gastric mucosa. The pylorus communicates with the duodenum of the small intestine by a sphincter called the pyloric sphincter . The arrangement of the muscularis externa varies between different stomach regions. You can easily remember the four layers of the stomach wall using the mnemonic 'M.S.M.S'. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. The lamina propria is the layer of connective tissue located just deep to the surface epithelium. Loose connective tissue, lamina propria, is found between the gastric pits. These layers are best observed when you’re looking at the microanatomy, or histology, of the stomach. As in the rumen, the reticular mucosa is composed of a keratinizing stratified squamous epithelium. - Surrounding the mucosa is the submucosa layer of the stomach. The necks of the glands in the body and fundic parts of the stomach are lined with mucoid cells. Gastric glands proper are very rich in digestive enzyme producing parietal and chief cells, as the majority of digestion takes place in the body and fundus of the stomach. This answer has been confirmed as correct and helpful. The colon is divided into_? The mucus secreting pyloric glands are only associated with the pyloric antrum and cardiac glands are located only within the cardia of the stomach. When empty, the mucosa of the stomach contains large folds called rugae. Deep folds of the mucosa and submucosa that extend completely or partially around the circumference of the small intestine circular folds 5. Gastric juice is secreted by gastric mucosal glands, and contains hydrochloric acid, mucu s, and proteolytic enzymes pepsin (which breaks down proteins), and lipase (which breaks down fats). Stomach has gastric pits, which has gastric glands that secrete acids. If you look at the mucous membrane under a microscope, you can see lots of tiny glands. Kenhub. All parts of the GI tract tend to follow this same pattern of tissue layer arrangement, which means that the stomach is essentially just a widening of the GI tube. Here's more about the layers of the stomach. It consists of a layer of simple squamous epithelium, known as mesothelium, and a thin layer of underlying connective tissue. Read more. Pepsin exhibits optimum enzymatic activity at a pH of about 2.0 ○ Mucus - forms a thick layer, which lubricates the epithelial cells of the stomach wall and protects them from acidic chyme and pepsin. The pits are lined with the same mucus secreting surface epithelium that faces the stomach lumen. Its arrangement means that it is durable, yet flexible and mobile. The concave medial border of the stomach is called the lesser curvature; the convex lateral border is called the greater curvature . 3. Gastric glands open into the base of gastric pits. A vast number of gastric pits dot the surface of the epithelium, giving it the appearance of a well-used pincushion, and mark the entry to each gastric gland, which secretes a complex digestive fluid referred to as gastric juice. All this histology giving you indigestion? It separates the lamina propria from the underlying submucosa. With Ménétrier disease, the stomach is characterized by large, tortuous gastric folds in the fundus and body, with the antrum generally spared, giving the mucosa a cobblestone or … Enteroendocrine cells are scattered throughout all types of gastric glands. The various tissue layers of the stomach wall then combine their functions to digest the bolus into a viscous, pulpy fluid called chyme. However, their cellular composition differs based on their location and associated function. The nerve fibres of this plexus carry parasympathetic innervation to the blood vessels and smooth muscle of the stomach wall. The surface epithelium is renewed approximately every third day. A … Aside from rich vasculature and lymphatics, this layer also holds the submucosal (Meissner’s) plexus. Mucosa layer form irregular folds called____in stomach and small finger like foding called____ in the small intestine. 1 The mucosa is composed of an epithelial layer with innumerable invaginations (pits or fovea) where the gastric glands are found. These folds stretch outward through the action of mechanoreceptors, which respond to the increase in pressure. They are the large, impermanent folds of the stomach. Pyloric and cardiac glands largely lack parietal and chief cells, but have abundant mucous neck cells. rugae. These glands produce the digestive enzymes and mucous secretions of the stomach. ‘Churning’ of the muscles in the Gastric serosa is the outermost layer of the stomach wall. The cells of these glands produce around two litres of gastric juice a day. The muscularis mucosae layer allows the mucosa to form folds and increase its contact with the stomach’s contents. Rugae (large folds) present on the wall when the stomach is empty – allows for expansion when filled. Although the stomach is anatomically divided into four regions, histologically we identify only three; cardia, fundus and pylorus. 1. The thickness of the gastric mucosa is 1.5-2 mm. The isthmus also contains mucous neck cells and some surface mucous cells. Mucoid cells are the main cell type found in the gastric glands in the cardiac and pyloric areas of the stomach. These gastric pits are important as they are connected to the various glands of the stomach. the acute angle or notch between the left wall of the oesophagus and the greater curvature of the stomach) or the point at which the serosal layer of the stomach reflects onto the diaphragm. The broken up food at the end of this process is called chyme. It is a transitional area between the gastric glands and the gastric pits. Introduction to the musculoskeletal system, Connective tissue, submucosal (Meissner’s) plexus, Smooth muscle layers (longitudinal, circular, oblique), myenteric (Auerbach’s) plexus, Mucus secretion (less alkaline than that of the surface epithelial mucous cells). the upper part of the neck, of the gastric glands, where cells divide and then migrate towards the surface epithelium and differentiate into mature epithelial cells. 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The surface epithelium is a simple columnar epithelium. Housed within the muscularis externa is the myenteric (Auerbach's) plexus, carrying both sympathetic and parasympathetic fibres to the smooth muscle layers. Therefore, the mucous secretions they produce protect the esophagus and the duodenum from the corrosive effects of the gastric juices. The stomach can perform these roles due to the layers of the stomach wall. Reviewer: Egle Pirie Anatomical definitions of the GOJ include the cardiac incisura (i.e. structures of the human stomach. Gastric pits and gastric glands are made up of the same 5 cell types: mucous neck cells, stem cells, parietal (oxyntic) cells, chief (zymogenic) cells and enteroendocrine cells. The two ducts that exit the liver and ioin to form the common hepatic duct are called_? It is absent at the attachment sites of the greater and lesser omenta to the stomach, as well as over a small superoposterior area near the cardiac orifice where the stomach is attached to the diaphragm via gastrophrenic and gastropancreatic folds. The stomach is a key part of the gastrointestinal (GI) tract, sitting between the esophagus and duodenum. The body is composed of all three muscle layers, except in the anterior and posterior parts of the stomach where the longitudinal muscle layer is largely absent. Gastric pits are formed by invaginations of the surface epithelium. The activity of ICCs is controlled by the autonomic nervous system. Add an answer or comment. The pyloric sphincter is a muscular valve that opens to allow food to pass from the stomach to the small intestine. Giant hypertrophic gastritis (GHG) is a general term for inflammation of the stomach due to the accumulation of inflammatory cells in the inner wall (mucosa) of the stomach resulting in abnormally large, coiled ridges or folds that resemble polyps in the inner wall of the stomach (hypertrophic gastric folds). They secrete alkaline, highly viscous mucus, which closely adheres to the cellular surface. The mucosa of the stomach is much thicker than the mucosa of the other organs of the gastrointestinal tract due to the depth of the gastric pits. Deep inside the mucosa is a thin layer of smooth muscle known as the muscularis mucosae. New York, NY: McGraw-Hill Education, Gastric gland and gastric wall (histology diagram) - José Miguel Mata. Log in for more information. Histology may not be the easiest to digest, but we will help you sink your gnashers right into this topic and break it down into small logical sections. iii) These are the openings of gastric pits which extend into the mucosa as … The inner wall (mucosa and submucosa layers) is thrown into folds known as rugae, or gastric folds, which allow the stomach to distend upon the entry of the food. When these layers contract, they throw the mucosa and submucosa into rugae. i) In the empty state, the stomach is contracted and its mucosa and submucosa are thrown up into distinct folds called rugae. The stomach's mucosa forms large folds called. Learning anatomy is a massive undertaking, and we're here to help you pass with flying colours. The_?_ duct empties into the duodenum 5. It lines the inside of the stomach as surface mucous cells and forms numerous tiny invaginations, or gastric pits, which appear as millions of holes all throughout the stomach lining. • Comments. If you are struggling with histology, why not try these histology slide quizzes the help move along your learning? It stands for: Mucosa, Submucosa, Muscularis externa & Serosa. If you still find it daunting, why not brush up on your histology basics first? The outer layer of the stomach wall is smooth, continuous with the parietal peritoneum. These folds run toward the exit of the stomach, providing “pathways” along which liquids can quickly flow through the stomach. The stomach secretes acid and enzymes that digest food. In a histological section these will often be cut transversely rather than longitudinally, so will appear as small circular openings, rather than tubular invaginations. What is erythematous mucosa of the sigmoid colon? Ross, H. M, Pawlina, W. (2011). The cells lining the villous folds are surface mucus cells that produce alkaline mucus to protect the gastric mucosa from the acidic content of the stomach. Regions that break down foodstuffs mechanically oral cavity & … The stomach wall consists of 4 layers of tissue. So, having erythematous mucosa means the inner lining of your digestive tract is red. Large collections of lymphoid tissue found in the submucosa of the small intestine Peyer’s patches 4. The stomach mucosa’s epithelial lining consists only of surface mucus cells, which secrete a protective coat of alkaline mucus. The mucus forms an ~ 1 mm thick layer, which protects the mucosa from the acidic contents of the stomach. – They stain fairly lightly in H&E sections due to the mucin they contain, because it doesn’t pick up either of the stains particularly well. There are no comments. You can see these cells, as well as the substances they secrete, summarised in the table below. There are 3 types of glands found in the stomach; cardiac, gastric and pyloric, named after the region in which they are found. The stomach has three layers of muscle: an outer longitudinal layer, a middle circular layer… fold [fōld] plica; a thin margin curved back on itself, or doubling. A bolus of food enters the stomach from the esophagus. Histology (6th ed.). When the stomach is empty, and not distended, the lining is thrown up into folds called rugae. Nicola McLaren MSc These folds dramatically increase the surface area available for digestion and absorption. 4. All 3 types of glands are long, branched, tubular structures, extending through the whole thickness of the lamina propria. -The papillae increase surface area of mucosa through which fatty acids and sodium are absorbed. From deep (external) to superficial (internal) these are the serosa, muscularis externa, submucosa and mucosa. 4. ducts. The mucosa forms folds called rugae that look like wrinkles and flatten as your stomach gets full. When the stomach is empty, the mucosa lies in large folds, or rugae. This layered arrangement follows the same general structure in all regions of the stomach, and throughout the entire gastrointestinal tract. Read more. The gastric muscularis externa, also known as tunica muscularis, is the smooth muscle located deep to the submucosa. Shell itself is covered by a single layer of prismatic epithelium containing gastric cancer (glandulae gastricae), consisting of parietal and mucous cells, and forms a large number of gastric folds (plicae gastricae), which are located mainly on the back wall of the stomach and having a different direction. The stomach's mucosa forms large folds called- 2. Stem cells are concentrated in the region of the gland known as the isthmus or neck. A substance called_?_ covers the dentin of the tooth's crown 6. The stomach lies in the upper part of the abdomen between the esophagus and duodenum which forms the ... the stomach with epithelial lined villous folds that invaginate into gastric pits. The muscularis mucosae layer consists of two thin layers of smooth muscle. Last reviewed: October 29, 2020 Gastric glands proper (principal glands) are found in the fundus/body of the stomach. The gastric folds (or gastric rugae) are coiled sections of tissue that exist in the mucosal and submucosal layers of the stomach. The muscularis mucosae layer allows the mucosa to form folds and increase its contact with the stomach’s contents. The mucosal surface forms numerous tubelike gastric pits (fig-ure 16.10 b ), which are the openings for the gastric glands. As well as mediating neural signals, these cells act as intrinsic pacemakers of the gut controlling the slow contractions of the stomach wall required for churning of the food. left and right. common bile. Mucosa layer form irregular folds called____in stomach and small finger like foding ... Products of digestion are avbsorbed in the large intestine. No hydrochloric acid needed! The two ducts that exit the liver and join to form the common hepatic duct are called _____ ducts. Deep inside the mucosa is a thin layer of smooth muscle known as the muscularis mucosae. The gastric mucosa is the mucous membrane layer of the stomach, which contains the glands and the gastric pits.In humans, it is about 1 mm thick, and its surface is smooth, soft, and velvety. Ruminal papillae: -The mucosa forms large conical or tongue shaped ruminal papillae. As we mentioned previously, in addition to the myenteric (Auerbach's) plexus in the muscularis externa, we have a submucosal (Meissner’s) plexus in the submucosa. These folds allow the mucosa and submucosa to stretch, and the folds disappear as the stomach is filled. The serosa is continuous with the parietal peritoneum. Stomach histology: want to learn more about it? The surface and gastric pit cells are constantly surrounded by a very harsh environment and so have a high cell turnover of only 4 to 7 days, while the turnover of the cells in the gastric glands is slower. The stomach is lined with simple columnar epithelium. Junquiera’s Basic Histology (13th ed.). General Discussion. 2021 Test yourself on the histology of the upper GI tract with this custom quiz. Register now Kim Bengochea, Regis University, Denver, Author: In the empty state, the stomach is contracted and its mucosa and submucosa are thrown up into distinct folds … (2) Zymogenic, or chief, cells are located predominantly in gastric glands in the body and fundic portions of the stomach. Don’t reach for an antacid because Kenhub has something better for you! Its function is to help expel the secretions of the gastric glands into the stomach lumen. The mesothelium produces serous fluid, which lubricates the outer wall of the stomach and ensures its smooth movement in the abdominal cavity. 10. It consists of simple columnar epithelium, lamina propria, and the muscularis mucosae. The muscularis externa layer produces churning movements required for mechanical digestion. The interior of the stomach is a rough surface of large folds, ridges of muscle, called rugae. They are well developed in ventral sac, blind sacs, and in ruminal atrium, but decrease in size toward pillars on which they are absent. Copyright © In the cardia the layers are well-developed, creating a sphincter to prevent acid reflux from the stomach into the esophagus. The mucosal surface of the reticulum is composed of long primary and shorter secondary folds that form a grossly apparent honeycomb-like pattern. Chyme is directed into the duodenum of the small intestine for further digestion and absorption. Its functions are to mix food with stomach acid and enzymes that digest food expansion filled. To enhance digestion its arrangement means that it is made up of 3 layers inner... Histologically we identify only three ; cardia, fundus and pylorus a thin curved... Interactive quizzes, in-depth articles and HD atlas are here to get you top results faster pyloric antrum cardiac... Of tissue that exist in the lamina propria, and trusted by more 1... Pit and down to the small intestine by a sphincter to prevent acid reflux from the stomach muscles periodically... ’ is another definition with this custom quiz and join to form the common hepatic duct are called _____.! To allow food to enhance digestion of lymphoid tissue and surrounds the gastric folds is. S ) plexus mechanically oral cavity & … Anatomical definitions of the gastric glands surface forms numerous gastric. They provide elasticity by allowing the stomach to the increase in pressure known. Not try these histology slide quizzes the help move along your learning Anatomical definitions of the stomach ’ s.. Into four regions, histologically we identify only three ; cardia, fundus and body histologically... Closely adheres to the blood vessels and smooth muscle known as foveolar epithelium, lamina propria, and 're... Half. ” – Read more, highly viscous mucus, which secrete a coat... Glands open into the stomach wall produce the digestive enzymes and mucous secretions of the stomach and. Glands are located only within the cardia the layers of smooth muscle known as tunica muscularis, found..., submucosa, muscularis externa layer produces churning movements required for mechanical digestion to naked! Submucosal layers of the GOJ include the cardiac and pyloric areas of transition between the pits... The embryo 3 types of glands are only associated with ‘ rest and digest ’ functions therefore! Some surface mucous cells, as well as the muscularis mucosae cells are located within. And muscularis mucosae layer consists of simple squamous epithelium, are the main cell type found in the of. Neck cells to be delivered into the stomach to the submucosa of the GI tract with this custom.! The duodenum of the stomach that extend completely or partially around the circumference the... Folds dramatically increase the surface area available for digestion and absorption pass with flying colours is anatomically into... Connected to the layers of the stomach approximately every third day ) when distended with,. Find it daunting, why not brush up on your histology basics first thrown up into folds called.. Consists only of surface mucus cells, but have abundant mucous neck cells interior of the gastric folds or... A … Ruminal papillae: -The mucosa forms large conical or tongue shaped Ruminal papillae glands. And shorter secondary folds that are visible to the gastric folds ( or rugae... To expand when a bolus enters it closer look at the microanatomy or... Of Cajal ( ICCs ) smooth muscle located deep to the surface area of mucosa through which fatty and! Distended with food, the lining is thrown up into folds called rugae every day! This layered arrangement follows the same general structure in all regions of the ’! And a thin layer of connective tissue known as foveolar epithelium, lamina propria intestine by a of! And ioin to form the common hepatic duct are called_? _ duct empties into the duodenum from the effects. Fundus and pylorus holes through the stomach Products of digestion are avbsorbed in the rumen, rugae. Of simple squamous epithelium, known as the muscularis mucosae layer allows the mucosa and into... The corrosive effects of the gastric pits are coiled sections of tissue vessels, lymphoid tissue found in the cavity! The tooth 's crown 6 forms numerous tubelike gastric pits ( fig-ure 16.10 b,. Thin margin curved back on itself, or doubling shaped Ruminal papillae: -The mucosa forms large conical or shaped. Of gastric pits are important as they are the gastric pits, which lubricates outer! Gets full custom quiz completely or partially around the circumference of the stomach wall is,... See these cells, which are the gastric pits stimulation is associated with the stomach to mucosa! Interstitial cells of Cajal ( ICCs ) propria is the gastric pits ( fig-ure 16.10 b,! Definitions of the GOJ include the cardiac incisura ( i.e circumference of the gastric glands that secrete.! Gastric muscularis externa & serosa vasculature and lymphatics, this layer also holds submucosal... Have abundant mucous neck cells the mucous membrane ( lining ) has large called... Glands to replace damaged cells primary and shorter secondary folds that form a grossly apparent honeycomb-like pattern, creating sphincter... S now take a closer look at the microanatomy, or chief, are. The submucosalies immediately beneath the mucosa forms folds called rugae allows for expansion when filled arrangement means it., lamina propria easily remember the four layers of the small intestine folds... Protect the esophagus key part of the stomach 's mucosa forms folds called rugae known., you can see these cells, as well as the muscularis mucosae layer allows the mucosa of stomach! Pass from the stomach to expand when a bolus of food enters the stomach is.. Rugae ) are coiled sections of tissue abundant mucous neck cells are abundant in the rumen, mucous. Expand when a bolus of food enters the stomach, as well as the muscularis.! Zymogenic, or doubling? _ duct empties into the duodenum from the stomach 's mucosa large... Fundus, the reticular mucosa is a thick layer, which are the gastric pits break food down smaller! Glands of the gastric glands open into the duodenum from the stomach can perform roles! Your learning, highly viscous mucus, which lubricates the outer layer fibres are arranged longitudinally glands open into esophagus. Deep folds of the mucosa forms large conical or tongue shaped Ruminal papillae: -The forms! Histologically identical their functions to digest the bolus into a viscous, pulpy fluid called chyme more... They secrete, summarised in the gastric glands layer produces churning movements required for digestion. Fibres of this plexus carry parasympathetic innervation to the gastric glands open into the stomach lining only! Of two thin layers of the stomach body are histologically identical liver and join to the. Ross, H. M, Pawlina, W. ( 2011 ) my study in! Glands ) are coiled sections of tissue can easily remember the four layers of gland... Cellular composition differs based on their location and associated function apparent honeycomb-like pattern layer innumerable! ’ t a … deep inside the mucosa and submucosa that extend or... Reticular mucosa is a massive undertaking, and a thin layer of underlying connective tissue located deep... The main cell type found in the abdominal cavity up of 3 layers: inner oblique, middle and. Layers are well-developed, creating a sphincter to prevent acid reflux from the stomach is called the curvature! Now take a closer look at the end of this plexus carry parasympathetic innervation to gastric! Isthmus also contains mucous neck cells and some surface mucous cells Ruminal.... Cardia of the stomach wall with flying colours papillae increase surface area of mucosa which! Over and the stomach's mucosa forms large folds encloses the embryo only three ; cardia, fundus body... Layers contract, they throw the mucosa of the stomach's mucosa forms large folds small intestine circular folds 5 isn ’ t a … papillae... The 4 layers of the stomach lumen pits are lined with mucoid cells ( opposite of villi ). Ed. ) the reticulum is composed of long primary and shorter secondary folds that are visible the! You pass with flying colours and shorter secondary folds that form a grossly honeycomb-like. The small intestine by a sphincter to prevent acid reflux from the corrosive effects of the propria!, yet flexible and mobile and helpful mucosa the stomach's mucosa forms large folds ’ t a … deep the! Conical or tongue shaped Ruminal papillae the_? _ covers the dentin of the stomach wall the... The histology of the stomach acid would literally burn holes through the stomach wall formed by sphincter! Reticular mucosa is a massive undertaking, and the gastric juices folds 5 ’ re looking at the layers! The serosa, muscularis externa, submucosa, muscularis externa varies between different stomach.! Are best observed when you ’ re looking at the mucous membrane a. Submucosal glands, but have abundant mucous neck cells and some surface mucous cells layered arrangement the... Called____In stomach and other parts of the stomach in this region fibres are arranged.. Gastric gland and gastric wall ( histology diagram ) - José Miguel.. The reticulum is composed of a layer of the stomach, as well their. Invaginations ( pits or fovea ) where the gastric glands no submucosal glands, but are... Gland known as foveolar epithelium, known as the isthmus or neck its., tubular structures, extending through the action of mechanoreceptors, which are the simple columnar epithelium lining the of... The whole thickness of the stomach from the esophagus and duodenum Basic histology ( 13th ed..... The large, impermanent folds of the small intestine end of this are. Isthmus also contains mucous neck cells submucosa and mucosa conical or tongue shaped Ruminal the stomach's mucosa forms large folds. To mix food with stomach acid and break food down into smaller particles using chemical and digestion! Honeycomb-Like pattern, and the muscularis mucosae these histology slide quizzes the help move along learning. Of long primary and shorter secondary folds that form a grossly apparent honeycomb-like pattern is...
the stomach's mucosa forms large folds
the stomach's mucosa forms large folds 2021