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The Digestive System The Stages of Food Processing 1. Ingestion – the intake of food 2. Digestion – the mechanical and chemical breakdown of food into a form usable by the body Anabolic reactions – constructing molecules from smaller units Catabolic reaction – the breaking down of molecules into smaller units 3. Absorption – the uptake of nutrient molecules into the epithelial cells of the digestive tract and then into the blood and/or lymph 4. Elimination – consolidating the indigestible residue into feces and eliminating from the body Two Types of Digestion Mechanical Digestion - The physical breakdown of food into smaller molecules - Cutting and grinding action of teeth - Churning action of the stomach and small intestine - Exposes more food surface area to the action of enzymes Chemical Digestion - A series of hydrolysis reactions that breaks dietary macromolecules into their monomers - Results in: Polysaccharides into monosaccharides Proteins into amino acids Fats into monoglycerides and fatty acids Nucleic acids into nucleotides General Anatomy of the Digestive System The digestive system has two anatomical subdivisions: 1. the digestive tract – Alimentary Canal - 30 foot long muscular tube extending from mouth to anus - mouth, pharynx, esophagus, stomach, small intestine, and large intestine 2. Accessory organs - teeth, tongue, salivary glands, liver, gallbladder, pancreas The Mouth Oral Cavity: - Saliva: mucin, buffers, antibacterial agents - Digestion of carbohydrates initiated with salivary amylase - Bolus – mass of food Salivary Glands: Parotid Glands: largest salivary gland, secretes clear, watery fluid with salivary amylase Secretes into the Stenson’s Duct Submandibular Gland: floor of the mouth, ducts (Wharton’s ducts) open near the lingual frenulum, secretes serous and mucous fluids Sublingual Gland: inferior to tongue, produce thick, stringy mucus, secretes into Rhivinus’s duct Pharynx: - the throat, leads to the esophagus - glottis and epiglottis The Esophagus - A straight muscular tube 25-30 cm long - Extends from pharynx to cardiac orifice of stomach passing through the esophageal hiatus In the diaphragm - Lower esophageal sphincter Prevents stomach contents from regurgitating into the esophagus Protects esophageal mucosa from stomach acid Heartburn – burning sensation produces by acid reflux into the esophagus - Nonkeratinized stratified squamous epithelium The Stomach - Capacity of approximately 1 liter Gross Anatomy of the Stomach - Cardia – near esophageal sphincter - Fundus – temporary storage - Body – main part of stomach - Pyloric Antrum – funnel shaped that narrows into pyloric canal - Greater Curvature - Lesser Curvature - Greater Omentum - Lesser Omentum Gastric Secretions: - Mucous Membrane – inner lining with many gastric glands - 3 cell types: 1. Mucous cell: secretes mucous which prevents pepsin from digesting the stomach 2. Chief cells: secrete digestive enzymes Pepsinogen is the inactive form of Pepsin HCL converts pepsinogen to pepsin Pepsin also breaks down more pepsinogen to pepsin 3. Parietal cells: secrete HCl and intrinsic factor Intrinsic is required for vitamin B12 absorption Gastric Secretions: 1. Cephalic Phase (30% - 50%) - Before food reaches the stomach - sight, smell, and thought of food triggers gastric juice secretion through the vagus nerve (cranial nerve X) 2. Gastric Phase (40% - 50%) - food in stomach distends the stomach wall - Gastrin released gastric juice released - Gastrin is a peptide hormone that increases gastric juice secretions - pH approaches 1.5 gastrin secretions stops - HCl is released 3. Intestinal Phase (5%) - begins when food leaves the stomach - Intestinal gastrin released increases gastric juice secretion Fats and proteins in intestine stimulate cholecystokinin decreases gastric motility Fats also increases intestinal somatostatin inhibits gastric juice Alkaline Tide: 1. Stomach secretes HCl 2. Gets H+ from blood 3. Bicarbonate released into blood 4. Blood concentration of bicarbonate increases after meal 5 Urine excretes excess bicarbonate Enterogastric Reflex: Entero = small intestine Gastric = stomach - Food in duodenum stretches wall stimulating sensory receptors - Reflex: - decreased peristalsis in stomach - intestinal filling slows - This regulates the rate at which chime leaves the stomach Small Intestine - Major organ of digestion and absorption - 20 feet in length (5.5 – 6.0- meters) - 3 regions: - Duodenum – shortest section (25 cm) - Jejunum – 2/5 of intestine - Ileum - Mesentery – folds of the peritoneum that supports and acts as a conduit for blood vessels and lymph vessels - Greater Omentum – a drape over the stomach and small intestine 3 Main Functions of the Small Intestine: 1. Completes digestion – gets secretions from pancreas and liver 2. Absorbs digestive products 3. Transports remaining residue to large intestine Structure of the Small Intestine: - Intestinal Villi – most numerous in duodenum and proximal jejunum - each villus: - layer of simple columnar epithelium - lacteal – a lymph capillary - a blood capillary - Microvilli – brush border Goblet cells and Brunner’s glands secrete mucous Peyer’s Patches – lymph vessels found in abundance in the ileum Why? Cell lining is replaces every 3-6 days through mitosis – Cellular Turnover Feces is 25% dead intestinal cells Plicae Circulares – circular folds of the mucosa - helps increase surface area Intestinal Enzymes: Embedded in the membranes of the microvilli, they breakdown food molecules prior to absorption - Peptidases - Sucrases, Maltase, Lactase - Intestinal Lipase - Enterokinase – converts trypsinogen into trypsin Large Intestine - 1.5 meters long - Reabsorption of water - 12 – 24 hours to travel length - Rich flora of mostly harmless bacteria (E. coli) - Ileocecal valve prevents movement back into the small intestine - Terminal portion is the rectum – waste exits the anal sphincter through voluntary control Parts of the Large Intestine: 1. Cecum – beginning, pouchlike structure, hangs inferior to the ileocecal valve - the appendix – no digestive function 2. Colon – ascending, transverse, descending, sigmoid colon 3. Rectum 4. Anal Canal - Walls of the large intestine lack villi and plicae circularis - Teniae Coli – 3 distinct bands of muscle fibers which exert tension and create a series of pouches – HAUSTRA - No digestive function - Has Goblet Cells – mucous secretion - Absorption is limited to water and electrolytes - Intestinal Flora – breakdown some cellulose and help produce vitamins such as K, B12, thiamine, and riboflavin - Feces – water, electrolytes, mucus, and bacteria. Bile gives its color The Pancreas Has both endocrine and exocrine functions Exocrine: - Pancreatic acinar cells form clusters called acini which produce pancreatic juice - Pancreatic duct – extends the length of pancreas into duodenum - Hepatopancreatic ampulla (ampulla of Vater) – pancreatic and bile ducts - Hepatopancreatic sphincter (sphincter of Oddi) – band of smooth muscle that surrounds the ampulla Endocrine: - Islets of Langerhans - Account for approximately 1% of pancreatic cells - Secrete Insulin and Glucagon in response to changes in blood glucose levels Pancreatic Juice: - Enzymes that digest carbs, fats, proteins, and nucleic acids - Pancreatic amylase – almost identical to salivary amylase - Pancreatic Lipase - Trypsin - Chymotrypsin - Carboxypeptidase - Nucleases - A peptide hormone – SECRETIN- stimulates pancreas to secrete bicarbonate when acid chime enters stomach. Secretin is released from duodenal mucous membrane - Cholecystokinin stimulates pancreas to release pancreatic juice * No single enzyme can split all possible Amino Acid combinations The Liver - Largest internal organ 4 lobes Liver cells - Hepatocytes Falciform Ligament – separates right and left lobes Lobes are separated into Hepatic Lobules – the functional unit of the liver