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Chapter 16 The Digestive System Organs of the Digestive System • Two main divisions: 1) Alimentary canal (digestive tract) – continuous coiled hollow tube 2) Accessory digestive organs – salivary glands, gallbladder, liver, pancreas Organs of the Alimentary Canal 1) Mouth 2) Pharynx 3) Esophagus 4) Stomach 5) Small intestine 6) Large intestine 7) Rectum/Anus  Food passes through these organs Accessory Digestive Organs 1) Salivary glands 2) Teeth 3) Pancreas 4) Liver 5) Gall bladder  Food does not pass through these organs, they contribute secretions which aid digestion (except teeth) Organs of the Digestive System Functions of the Digestive System 1) Ingestion – taking in food 2) Mechanical Processing – physical breakdown of food into smaller particles Examples: a. Chewing by teeth and movement of food by tongue b. Churning of food in the stomach c. Segmentation in the small intestine Functions of the Digestive System 3) Digestion – breakdown of food particles into chemical components  Using different enzymes: a. Carbohydrates are broken to simple sugars b. Proteins are broken to amino acids c. Fats are broken to fatty acids and alcohols (glycerol) 4) Secretion – release of fluids including water, acids, enzymes, & buffers into the digestive tract Functions of the Digestive System 5) Absorption – moving nutrients and fluid into the blood and lymph from the digestive tract 6) Elimination – getting rid of undigested and unabsorbed waste molecules through defecation Functions of the Digestive System 7) Metabolism – performs catabolic reactions to provide reactants for anabolic reactions and to make ATP Processes of the Digestive System  Propulsion – moving foods from one region of the digestive system to another  Peristalsis – alternating waves of muscle contraction Peristalsis  Segmentation – moving materials back and forth to aid in mixing Figure 14.12 Segmentation A little peristalsis video… Figure 14.12 Segmentation Processes of the Digestive System Layers of Alimentary Canal Organs Digestive tract has four layers of tissue: 1) Mucosa  Innermost layer  Consists of: a) Moist epithelium that is folded to increase surface area b) Small smooth muscle layer to move the folds Layers of Alimentary Canal Organs 2) Submucosa  Just beneath the mucosa  Consists of soft connective tissue with blood vessels, nerve endings, and lymphatics Layers of Alimentary Canal Organs 3) Muscularis externa – two layers of smooth muscle  Inner circular layer  Outer longitudinal layer  Network of nerves between to coordinate their actions Layers of Alimentary Canal Organs 4) Serosa, a.k.a. visceral peritoneum  Outermost layer that is in contact with the body cavities (parietal peritoneum)  Layer of serous fluid-producing cells to reduce friction between organs  Mesenteries – epithelial and connective tissue that: a) Suspend & stabilize portions of the digestive system b) Allow passageway for blood vessels & nerves Mesenteries Layers of Alimentary Canal Organs Mouth (Oral Cavity) Anatomy  Formed by the lips, cheeks, hard & soft palates, uvula, and tongue Mouth (Oral Cavity) Anatomy  Tongue  Functions: 1) Manipulates food to prepare it for swallowing 2) Covered with sensory receptors (touch, temperature, taste) 3) Initiates swallowing Mouth (Oral Cavity) Anatomy  Tonsils – composed of lymph tissue  Function: help resist infections Figure 14.2a Functions of the Mouth 1) Mechanical breakdown  Food is physically broken down by chewing (mastication) Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Teeth  The role is to masticate (chew) food  Humans have two sets of teeth – deciduous and permanent  A full set is 32 teeth, but some people do not have wisdom teeth Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Classification of Teeth  Incisors – for clipping and cutting (ex. carrot)  Canines – for tearing and slashing (ex. first bite of meat)  Premolars/Molars – for crushing, mashing, and grinding (ex. harder foods like nuts) Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Classification of Teeth Figure 14.9 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Functions of the Mouth 2) Chemical digestion  Food is mixed with saliva  Break down of starch into simple sugars by salivary amylase Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Salivary Glands  Produce saliva  Saliva:  Mixture of mucus and serous fluids moisten & lubricate food  Contains salivary amylase to begin starch digestion  Dissolves chemicals that stimulate the taste buds  Reduces oral bacteria Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Pharynx Anatomy  The “throat”  Three major divisions Functions of the Pharynx  Serves as a common passageway for air and food  Propels food into the esophagus by swallowing/peristalsis Esophagus  Runs from pharynx to stomach through the diaphragm  Conducts food by peristalsis  Passageway for food only (respiratory system branches off after the pharynx) What is a hiatal hernia? Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Activities of the Pharynx and Esophagus  These organs have no digestive function (mechanical or chemical)  Serve as passageways to the stomach Deglutition (Swallowing) **Before swallowing can occur, food must have the right texture and consistency.** 1) Oral phase  Voluntary  Occurs in the mouth  Food is formed into a bolus  The bolus is forced into the pharynx by the tongue Deglutition (Swallowing) 2) Pharyngeal phase  Involuntary “swallowing reflex” initiated when the bolus hits sensory receptors in the pharynx  All passages except to the stomach are blocked: a) Tongue blocks off the mouth b) Soft palate (uvula) blocks the nasopharynx c) Epiglottis blocks the trachea What causes choking? Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Deglutition (Swallowing) 3) Esophageal phase  Involuntary  Peristalsis moves the bolus toward the stomach  The sphincter (muscular ring) between the esophagus and the stomach opens when the bolus presses against it Deglutition (Swallowing) Figure 14.13 Deglutition (Swallowing) Figure 14.13 Swallow Study Click Here Stomach Anatomy  Located on the left side of the abdominal cavity  Food enters at the cardioesophageal sphincter  Four regions of the stomach  Food empties into the small intestine at the pyloric sphincter Stomach Anatomy Figure 14.4a Stomach Anatomy  Rugae – internal folds of the mucosa and submucosa that allow it to expand  An empty stomach holds ~50 mL, but a full stomach can expand to hold up to 4 L!  Has three layers of muscle (longitudinal, circular, and OBLIQUE) that allow the stomach to churn and mix the food Rugae Specialized Cells of the Stomach  Goblet cells – produce alkaline mucus  Gastric pits lead to gastric glands which produce gastric juice made by:  Mucus neck cells – produce sticky acidic mucus  Chief cells – produce protein-digesting enzymes (pepsinogens)  Parietal cells – produce hydrochloric acid  Endocrine cells – produce hormone gastrin which regulates stomach activity Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Structure of the Stomach Mucosa Endocrine cell Figure 14.4b, c Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Stomach Functions  Storage tank for food  Mechanical breakdown of tougher foods  Chemical breakdown of protein begins  Delivers chyme (food + gastric juice) to the small intestine  Absorbs ONLY pain medications and alcohol Food Breakdown in the Stomach  Sight, smell, taste, or thought of food stimulates the production of gastric juice  Production of gastric juice is regulated by neural and hormonal factors  Gastrin is released when food arrives in the stomach and causes stomach glands to secrete pepsinogens and HCl  Food is mixed with secretions to produce chyme Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Acid Environment in the Stomach The body needs HCl to:  Activate pepsinogen to pepsin for protein digestion  Provide a hostile environment for microorganisms Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Stomach Protection: Mucosal Barrier Stomach protects itself from this acid environment by creating a barrier that: 1) Contains bicarbonate-rich mucus 2) Has tight junctions between mucosal cells 3) Has deep gastric gland cells are impermeable to HCl 4) Sheds and renews damaged cells every 3-6 days Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Chemical Digestion in the Stomach  Enzymes:  Pepsin – digests proteins  Rennin – digests milk protein (children only…why?) Propulsion in the Stomach • Food must first be well mixed before it moves to the small intestine…why? • The pylorus meters out chyme into the small intestine (3 mL at a time) • The stomach empties in four to six hours (carbs are quicker, fats take longer) Figure 14.14 Propulsion in the Stomach Figure 14.14 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings A little film about digestion… Click Here Vomiting Causes: • Extreme stretching of stomach or intestine • Presence of irritants – bacterial toxins, excessive alcohol, spicy foods, certain drugs Excessive vomiting can result in: • Dehydration • Electrolyte imbalance • Acid-base balance (lose HCl, blood becomes alkaline) Figure 14.14 Small Intestine Anatomy:  Muscular tube extending from the pyloric sphincter to the ileocecal valve (where it connects to the large intestine)  20 feet in actual length if relaxed, but only 6 feet as a result of muscle tone Functions:  Body’s major digestive organ  Site of nutrient absorption into the blood and lymph Divisions of the Small Intestine 1) Duodenum  First and shortest portion  Receives chyme and secretions from liver (bile) and the pancreas (pancreatic juice) 2) Jejunum  Most chemical digestion and nutrient absorption occurs here  Question: Drastic weight loss surgery involves a removal of this section…why? 3) Ileum  Longest part, connects to large intestine Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Entering the Small Intestine • Intestinal juice has a slightly alkaline pH…why? • Production stimulated by stretching of small intestine or irritation by chyme • Composed of water and mucus • Does not contain enzymes • Enzymes are secreted by other organs (we will learn about that later) Chemical Digestion in the Small Intestine Enzymes complete the digestion of all organic molecules: Brush border enzymes (attached to membrane of microvilli) Pancreatic enzymes **Bile from liver enters via gallbladder **Bile is not an enzyme (not a protein), but it helps to break up the fats. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Chemical Digestion in the Small Intestine Figure 14.6 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Absorption in the Small Intestine The small intestine absorbs: 1) Water along the entire length 2) The end products of digestion  Most substances are absorbed by active transport (protein carriers) through cell membranes  Some move by facilitated diffusion or endocytosis  Lipids are absorbed by diffusion  Substances are transported to the liver by the blood or lymph (fats) Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Modifications for Absorption: Circular Folds  a.k.a. plicae circulares  Deep folds (1 cm) of the mucosa and submucosa  Do not disappear when filled with food  Cause the chyme to “spiral” through, mixing it and slowing it down  The submucosa has Peyer’s patches – collections of lymphatic tissue that keep bacteria from large intestine out of the blood Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Modifications for Absorption: Circular Folds Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Peyer’s Patches Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Modifications for Absorption: Villi  Fingerlike structures formed by the mucosa (1 mm)  Give the small intestine more surface area  Contain blood vessels and lymph vessels, and smooth muscle which causes them to pulsate  Contain lacteals – modified lymph capillaries (transport lipids) Modifications for Absorption: Villi Modifications for Absorption: Villi Modifications for Absorption: Lacteals Modifications for Absorption: Microvilli  Small projections of the plasma membrane (look like a hair brush)  Surface contains enzymes that complete digestion of proteins and carbohydrates  Found on absorptive cells Modifications for Absorption: Microvilli Propulsion in the Small Intestine  Peristalsis is the major means of moving food only after absorption is completed  Segmental movements – most common movement  Mix chyme with digestive juices (“massage”)  Helps to slightly propel chyme  Movement takes 2 hours from duodenum to end of the ileum Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings A little film of a toothpick being removed from the small intestine… Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Pancreas  Located behind the stomach  Secretes pancreatic juice (into the duodenum) that contains:  Enzymes that break down ALL four types of organic molecules  Alkaline fluid to neutralize acidic chyme and activate enzymes Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Regulation of Pancreatic Secretion Secretion is mostly regulated by intestinal hormones that act on the pancreas:  Secretin – released in the presence of HCl in the intestine, prompting the release of bicarbonate-rich pancreatic juice  Cholecystokinin – released in response to the presence of proteins and fats, prompting the release of enzyme-rich pancreatic juice Figure 14.15 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Regulation of Pancreatic Secretion Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Liver  Largest gland in the body, filled with blood vessels…why?  Located on the right side of the body under the diaphragm  Only organ that can completely regenerate itself Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Liver Functions:  Makes bile  Manufactures blood proteins  Stores nutrients including carbohydrates, lipids, and vitamins  Removes toxic substances from the blood (or converts them to a non-toxic form) Bile  Yellowish-green alkaline liquid containing:  Bile salts  Bile pigment (mostly bilirubin from the breakdown of hemoglobin)  Cholesterol  Emulsifies fats – breaks fats down into smaller droplets so enzymes (lipases) are more effective Gall Bladder  Thin-walled, green, muscular sac found in the hollow space behind the liver  Stores and concentrates (10x) bile that comes from the liver  Bile is secreted into the duodenum in the presence of fatty food  Gallstones (crystallized cholesterol) can cause blockages Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Large Intestine Characteristics:  Larger in diameter, but shorter than the small intestine  Frames the internal abdomen  Muscular walls are formed into pocketlike sacs called haustra Functions:  Absorbs water  Eliminates indigestible material as feces Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Large Intestine Figure 14.8 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 14.28 Digestion and Absorption in the Large Intestine  No digestive enzymes are produced  Resident bacteria digest remaining nutrients 1) Produce some vitamin K (needed to make proteins for blood clotting) and vitamin B 2) Release gases as a result of breaking down indigestible carbohydrates (ex. cellulose)  Water, some vitamins, and electrolytes are absorbed** **This is not its main job contrary to popular belief – propulsion of feces is! Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Propulsion in the Large Intestine  Sluggish peristalsis or haustral contractions occur about every 30 minutes (stimulated by distension of haustra from food residue)  “Mass movements” are slow and powerful contractions that occur 3-4 times per day (usu. during or right after eating)  Bulk (fiber) increases strength of contractions which softens the feces  Presence of feces in the rectum causes a defecation reflex A little film of the large intestine… Control of Digestive Activity  Mostly controlled by reflexes via the parasympathetic division of the autonomic nervous system  Chemical and mechanical receptors are located in organ walls that trigger reflexes Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Control of Digestive Activity  Stimuli include:  Stretch of the digestive organ  pH of the contents  Presence of breakdown products  Reflexes include:  Activation or inhibition of secretions  Activation or inhibition of smooth muscle activity Effects of Aging on the Digestive System  Rate of epithelial cell replacement declines  Smooth muscle tone decreases  Effects of cumulative damage appear (ex. loss of teeth, cirrhosis of liver)  Cancer rates increase  Decline in smell and taste sensitivity What potential problems could these changes lead to? Integration with Other Systems  Nervous system  Endocrine system  Cardiovascular system  Lymphatic system  Muscular system How do these systems relate to the digestive system?