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Biology 2122 Notes: Chapter 23 Large Intestine/Digestion and Absorption Topic Gross Anatomy of the Large Intestine Notes a). There are three structures not seen in any other part of the GI tract anatomy. The longitudinal muscle layer transitions into smooth muscle called teniae coli and the contractions in this muscularis area causes the wall to bulge out and this is called haustra. The epiploic appendages are fat-filled pouches of the visceral peritoneum that hang from the outer surface of the intestine. b). Make sure you know each of the following: cecum, vermiform appendix, parts of the colon (ascending, transverse, etc.), sigmoid colon, mesocolon, etc. Microscopic anatomy c).The sigmoid colon joins the rectum. The rectal valves are transverse folds which separate feces from being passed along with gas. The final part, the anal canal, is the last segment. It is approximately 3 cm long and contains two important sphincters. The involuntary internal anal sphincter is made of smooth muscle and the external sphincter is made of skeletal muscle. a). Differences in the wall of the large intestine are: Mucosa is simple columnar epithelium except in the anal canal (stratified squamous) No villi, no digestive secreting cells, no absorption takes place. Thick mucus, a great deal of globlet cells. Allows for smooth passage of feces and protects against bacteria. b). Teniae coli and haustra are not present in the rectum and anal canal. c). Flora: Those bacteria that survive the upper GI tract are now called bacterial flora. About 700 species. Their roles are to: Metabolize proteins Ferment some indigestible carbohydrates Release irritating acids and gases such as dimethyl sulfide Synthesis of B and K vitamins Some viruses and protozoans d). How does the large intestine keep from being infected all the time? The epithelial cells release chemicals that recruit immune cells into the mucosa and pry open the epithelial cells and send extensions to the lumen to sample the bacteria or pathogens. Migrate to the MALT area Digestive Processes and present antigens to the T cells. a). Food materials stay for approximately 12 – 24 hours. Most water is reclaimed but some are absorbed by fecal material. Remember absorption is not the main function of the large intestine. b).Contractions are very slow and long. Haustral contractions are most seen. They last for about 30 minutes. Mainly in transverse and descending colon. Mass movements are long and powerful. They occur 34 times a day. Occur after eating. c). Diverticulosis is a condition which occurs in the sigmoid colon. It occurs when the diet lacks bulk and the volume is low. This causes more powerful contractions applying very great pressure to the walls causing small hernias. A more serious condition called divertculitis occur when the diverticula (small herniations) become inflamed and may rupture. d). Defecation: When feces reaches the rectum via mass movements, a defecation reflex occurs: Page 927 Parasympathetic reflex causes the rectum and sigmoid to contract and the internal sphincter to relax. Messages are relayed to the brain and then the external sphincter is voluntarily relaxed. The following mass movement causes defecation.