Download LAB 15 Practical Histology Digestive system Tubular Digestive

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts

Pancreas wikipedia , lookup

Bariatric surgery wikipedia , lookup

Intestine transplantation wikipedia , lookup

Gastric bypass surgery wikipedia , lookup

Vocal folds wikipedia , lookup

Transcript
LAB 15
Practical Histology
Digestive system
 Tubular Digestive System


Components
1. Pharynx
2. Esophagus
3. Stomach
4. Small intestine
5. Large intestine
Basic Histological Organization
1. Layers
a. Mucosa (mucous membrane). Innermost layer facing the lumen.
1) Epithelium. Either a stratified squamous moist or a simple columnar
epithelium.
2) Lamina propria. Loose connective tissue; usually possesses digestive
glands.
3) Muscularis mucosae of smooth muscle is usually present.
b. Submucosa. Denser connective tissue than the lamina propria. The
submucosa possesses Meissner’s nerve plexus that supplies innervation to
the muscularis mucosae and to digestive glands in the mucosa and
submucosa. The submucosa possesses glands in the esophagus and
duodenum.
c. Muscularis externa of smooth muscle is usually arranged into inner
circular and outer longitudinal layers. Auerbach’s nerve plexus is located
between the two muscle layers and provides innervation to this smooth
muscle.
d. Serosa (serous membrane) is present if the organ protrudes into the
peritoneal cavity, or an adventitia (only the connective tissue portion of the
serosa) is present if the organ is retroperitoneal.
 Esophagus
1. Epithelium. Stratified squamous nonkeratinized epithelium.
2. Lamina propria possesses esophageal cardiac glands that are mucus-secreting
and are particularly prominent near the junction of the esophagus with the
stomach.
3. Submucosa has mucus-secreting, esophageal glands.
4. Muscularis externa is composed of striated muscle in the upper portion of the
esophagus, skeletal, and smooth muscle in the middle portion, and smooth
muscle in the lower portion.
5. Adventitia. Composed of loose connective tissue.
 Stomach
1. Structures present throughout the stomach
a. Surface epithelium
1) Simple columnar epithelium facing the lumen is modified so that all
cells secrete mucus, forming a sheet gland that protects the stomach
from its acidic environment.
2) Gastric pit. A channel formed by the invagination of the surface
epithelium into the underlying lamina propria; connects the sheet gland
with the gastric glands. The length of the gastric pit varies with each
stomach region.
46
LAB 15
Practical Histology
Digestive system
b. Gastric glands
1) Simple, branched tubular glands begin at a gastric pit and extend
through the lamina propria to the muscularis mucosae.
2) The region of the gland that attaches to the gastric pit is called the neck
region; the base region of the gland is located adjacent to the
muscularis mucosae.
3) Secretory cells in these glands vary in each region of the stomach.
c. Muscularis externa. Subdivisions of this layer frequently interdigitate,
making it difficult to distinguish one layer from another.
1) Internal oblique layer
2) Middle circular layer that is modified in the pyloric region to form the
pyloric sphincter.
3) Outer longitudinal layer is separated from the inner circular layer by
Auerbach’s plexus, nerve fibers from the autonomic nervous system
that supply muscularis externa.
d. Serosa: thin layer composed of blood vessels, adipose cells and nerves.
 Small intestine
1. Subdivided into duodenum, jejunum, and ileum.
2. Common features of the small intestine
a. Mucosal epithelium is composed of:
1) Absorptive cells, forming a simple columnar epithelium with
microvilli, absorb digested food.
2) Goblet cells (unicellular glands) are interspersed among absorptive
cells and secrete mucus. These cells increase in number from
duodenum to rectum.
1) Intestinal glands (crypts of Lieberkuhn) are simple tubular glands that
begin at the bases of the villi in the mucosa and extend through the lamina
propria to the muscularis mucosae.
b. Muscularis externa of inner circular and outer longitudinal layers with an
intervening Auerbach’s nerve plexus.
c. Serosa covers all of small intestine except for the beginning of the
duodenum, which is retroperitoneal and possesses an adventitia.
3. Variations specific to the intestinal subdivisions
a. Brunner’s glands in the submucosa are present only in the duodenum.
These compound tubular glands open into the bases of the intestinal glands
and secrete an alkaline mucus to neutralize the acidity of the stomach contents.
b. Peyer’s patches are clusters of 10–200 lymphoid nodules located primarily
in the lamina propria of the ileum.
 Large intestine (colon)
1. Mucosal epithelium:
a. Absorptive cells form a simple columnar epithelium with microvilli.
b. Goblet cells increase in number toward the rectum and provide lubrication.
c. A reduced number of enteroendocrine cells is present.
2. Intestinal glands (crypts of Lieberkuhn) are very straight in the large intestine.
3. No villi or plicae circulares are present in the large intestine.
4. Muscularis externa
a. Inner circular layer is intact.
b. Outer longitudinal layer
47
LAB 15
Practical Histology
Digestive system
5. The appendix resembles the large intestine except that the outer longitudinal
smooth muscle layer is intact. Additionally, abundant lymphoid tissue is
present in the lamina propria to protect against invading microorganisms.
6. Rectum is a 12-cm-long tube continuing from the sigmoid colon. The mucosa
of the rectum is similar to that of the majority of the large intestine. The
rectum narrows abruptly to become the anal canal.
7. Anal canal. The terminal portion of the intestinal tract is about 4 cm long.
48