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Learning Objectives Introduction to Medical Careers Digestive System Chapter 16 • Define at least 10 terms relating to the digestive system • Describe the four functions of the digestive system • Identify different structures of the digestive system and their functions • Identify the location and function of three accessory organs of the digestive system • Describe at least five disorders of the digestive system Vocabulary: Chapter 16 • • • • • • Bile Bolus Chyme Deglutition Emesis Endoscopy • • • • • • • • Enema Flatulence Ingestion Jaundice Mastication Peristalsis Sphincter Villus FACTS approx. 30 feet long unsterile- open at both ends also called the ‘gastrointestinal system’ Functions • Transportation of food & waste • Physical & chemical breakdown of food – physical=chewing, chemical=saliva • Absorption of digestive food – Nutrients your body wants • Final elimination of waste • Maintain proper balance of water Organs Mouth • Teeth – bite and chew food (mastication) • Tongue – tastes, chews & swallows food • Saliva – enzymes breakdown food 1 Esophagus peristalsis- wave like contraction by which food is moved Small Intestine • 23 feet long • Longer in length and smaller in diameter • 3 parts – Duodenum, Jejunum & Ileum • Continued secretion of enzymes to breakdown food • Most absorption occurs here tube like structure,transports food from mouth to stomach via this Stomach • Sac like muscular organ • Squeezes & churns food to continue physical breakdown • Protein digestion begins • Some items absorbed into blood (alcohol, glucose, drugs) • 1-4 hours to empty into small intestine Duodenum, Jejunum & Ileum • Lined with villi • Fully breaks down food to nutrients to send into bloodstream • Transports the mixture to large intestine – carbs, fats, proteins • Villi – increase absorption area Large Intestine • 3 parts – ascending colon – transverse colon – descending colon • Absorbs into blood – Water – Vitamins – Electrolytes 2 Food Journey (Anywhere from 3 hours to 3 days) • Starts in mouth • Through esophagus to stomach • Stomach to Small Intestine (Duodenum to Jejunum to Ileum) • Large Intestine (Ascending colon to Transverse to Descending) • Out Table 16-1 Digestive System Accessory Organs of the Digestive System • Three accessory organs that aid in the process of food breakdown – Pancreas • Exocrine and endocrine functions – Produces pancreatic juice which helps break down food – Insulin & Glucagon: help regulate carbohydrate metabolism Accessory Organs of the Digestive System • Three accessory organs that aid in the process of food breakdown – Liver • Produces bile to assist in digestion of fat • Converts glucose to a storage form • Stores the fat-soluble vitamins (A, D, E, and K) – Gallbladder • Stores bile until it is needed in the small intestine Assessment Techniques • Radiography • Uses barium to allow structures to show esophagus, stomach, and small intestine • Endoscopy – Flexible tube inserted into body cavities • Gastric analysis – A nasogastric tube is used to remove stomach contents • Fecal analysis – Examination of stool specimen for presence of microorganisms or blood • Palpation and auscultation – Feeling the abdomen and listening for bowel sounds 3 Figure 16-3 Endoscopy Disorders of the Digestive System • Alactasia – Also called “lactose intolerance.” Not enough of the enzyme lactase is produced. The unabsorbed lactose ferments in the intestines leading to gas, cramps, and diarrhea. • Appendicitis – Inflammation of the appendix • Cholecystitis – Inflammation of the gallbladder Disorders of the Digestive System (Continued) • Cirrhosis – A chronic degenerative condition of the liver accompanied by the formation of scar tissue • Colon cancer – An abnormal growth in the large intestine • Constipation – The inability to defecate • Crohn’s disease – Inflammation and ulceration, usually affecting the ileum or colon, or both Disorders of the Digestive System (Continued) • Gastritis – Inflammation of the stomach lining • Gastroesophageal reflux disease – Frequent heartburn or chest pain, bitter taste in the mouth, difficulty swallowing, frequent hoarseness or coughing • Halitosis – Or bad breath, is caused by anaerobic bacteria Disorders of the Digestive System (Continued) • Diarrhea – The passage of frequent and watery stools • Diverticulitis – The weakening of the colon wall, leading to formation of a pouch, causing infection or abscesses if fecal material trapped • Food poisoning – Illnesses transmitted by food Disorders of the Digestive System (Continued) • Heartburn – A painful burning sensation in the esophagus caused by the backflow of acidic chyme from the stomach • Hemorrhoid – A painful dilated vein in the lower rectum or anus • Hepatitis – A viral infection of the liver 4 Disorders of the Digestive System (Continued) • Mumps – A highly contagious viral infection of the parotid glands • Pancreatitis – A mild acute or chronic condition resulting from gallbladder stone blockage, disease, injury, or alcoholism • Peritonitis Disorders of the Digestive System (Continued) • Phenylketonuria – Inherited disease that can lead to mental retardation if untreated • Pyloric stenosis – A birth defect in which a constricted pyloric sphincter does not allow food to pass easily into the small intestine – An inflammation of the abdominal cavity caused by bacteria Disorders of the Digestive System (Continued) • Tay-Sachs – A recessive genetic disorder in which fat cells accumulate in the body and cause damage to normal cells • Ulcer – An open sore on the lining of the digestive tract 5