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Lecture Outline The Digestive System Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Anatomy of the Digestive System o Alimentary canal (gastrointestinal tract) Digestion includes both physical and chemical processes that reduce food into soluble molecules Functions of the digestive system: o o • • • • Ingest food Break food down into small molecules Absorb nutrient molecules Eliminate nondigestible wastes Anatomy of the Digestive System o The Mouth (Oral Cavity) • Tongue is composed of skeletal muscle Papillae Frenulum attaches it to the floor of the mouth • Help it handle food Contain taste buds Roof separates it from the nasal cavities Hard palate Soft palate • Salivary glands Parotid Sublingual Submandibular Saliva Salivary amylase – begins the process of digesting starch Moistens food and prepares it for swallowing Antibacterial lysozyme and secretory antibodies 17.3: Mouth • The mouth: • Ingests food • Mechanically breaks up solid particles, mixing them with saliva (mastication) • Functions as an organ of speech and sensory reception • Is surrounded by lips, cheeks, tongue, palate • Includes oral cavity and vestibule Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Lip Hard palate Soft palate Uvula Palatine tonsils Tongue Lingual frenulum Vestibule Lip 5 Major Salivary Glands Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Parotid gland Tongue Masseter muscle Submandibular gland Mandible (cut) Sublingual gland Submandibular duct Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Serous cell Serous Mucous Duct cell cell Serous cell Duct Mucous cell 6 (a) Duct (b) (c) a: © The McGraw-Hill Companies, Inc./Al Telser, photographer; figure b: © Biophoto Associates/Photo Researchers, Inc.; figure c: © The McGraw-Hill Companies, Inc./Al Anatomy of the Digestive System o The Pharynx • Three parts • • • o Nasopharynx Oropharynx Laryngopharynx Palatine tonsils Lingual tonsils Pharyngeal tonsil (adenoids) Swallowing • • Voluntary phase Reflex action – once food or drink is pushed back to the oropharynx Palate • The palate forms the roof of the oral cavity and consists of a hard anterior part and a soft posterior part • The uvula extends from the soft palate • Palatine tonsils • Pharyngeal tonsils (adenoids) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Frontal sinus Sphenoidal sinus Nasal cavity Hard palate Vestibule Tongue Tooth Lip Pharyngeal tonsil Opening of auditory tube Soft palate Nasopharynx Oral cavity Uvula Palatine tonsil Oropharynx Lingual tonsil Hyoid bone Epiglottis Laryngopharynx Larynx Esophagus Trachea 8 Anatomy of the Digestive System o • The Wall of the Digestive Tract Mucosa (mucous membrane layer) • Layer of epithelium Lines the lumen Glandular epithelial cells secrete digestive enzymes Goblet cells secrete mucus Submucosa (submucosal layer) • Loose connective tissue Contains blood vessels, lymphatic vessels, and nerves Peyer’s patches are scattered throughout the submucosa Muscularis (smooth muscle layer) • Inner, circular layer Outer, longitudinal layer Serosa (serous membrane layer) Thin, outermost layer of squamous epithelium Secretes serous fluid Adventitia – outer layer of the esophagus Anatomy of the Digestive System o The Esophagus • • • • • Muscular tube Peristalsis pushes food along the alimentary canal Function is to transport food to the stomach Esophageal sphincter marks the entrance to the stomach Heartburn occurs when some of the stomach contents escapes into the esophagus Anatomy of the Digestive System o The Stomach • • Thick-walled, J-shaped organ Continuous with the esophagus and duodenum of the small intestine Rugae – deep folds in its wall Stores and liquefies food Starts the digestion of proteins Regions of the Stomach • • • • Cardiac Fundic Body Pyloric Anatomy of the Digestive System • Digestive Functions of the Stomach Acts on food both chemically and physically Muscular wall churns and mixes food with gastric juice Gastric glands produce gastric juice: Chief cells Secrete pepsinogen Pepsinogen becomes the protein-digesting enzyme pepsin Parietal cells Produce hydrochloric acid – kills bacteria and activates pepsin Produces intrinsic factor – binds to vitamin B12 and prevents it from being destroyed in the acidic environment Enteroendocrine cells produce gastrin Mucous cells secrete protective mucus Structure of the Wall Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Artery Vein Mesentery Serosa Circular fold Mucosa Microvilli Submucosa Goblet cell Nucleus Longitudinal muscle Circular muscle Epithelium Simple columnar epithelium Lacteal Villi Capillaries Mucosa Lacteal Lymph nodule Intestinal gland Mucous gland in submucosa Nerve plexuses Serosa Circular muscle Longitudinal muscle Muscular layer 16 Anatomy of the Digestive System • Peritoneum serous membrane Parietal peritoneum lines the abdominal wall Visceral peritoneum covers the organs Lesser omentum – mesentery that runs between the stomach and liver Greater omentum – mesentery that hangs down in front of the intestines Cushions and insulates the abdominal cavity Contains macrophages Can wall off portions of the alimentary wall that may be infected Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Liver Stomach Gallbladder Transverse colon underneath Greater omentum 18 Anatomy of the Digestive System o The Small Intestine • o Extends from the pyloric valve of the stomach to the ileocecal valve where it joins the large intestine Regions of the Small Intestine • Duodenum • • Glands secrete mucus Receives pancreatic secretions and bile Jejunum Ileum contains Peyer’s patches Anatomy of the Digestive System o Wall of the Small Intestine • • • Circular folds Villi Microvilli Anatomy of the Digestive System o Functions of the Small Intestine • Digestion of fats, proteins, and carbohydrates into soluble molecules Absorption of nutrients Movement of nondigested remains to the large intestine • • Segmentation-ring-like contraction Peristalsis –pushing movements Anatomy of the Digestive System o Regulation of Contraction and Secretion in the Digestive Tract • Hormones Gastrin - causes gastric contraction and secretion by gastric glands Secretin – causes bicarbonate release from pancreas Gastric inhibitory peptide – inhibits gastric action Cholecystokinin – causes enzyme release from pancreas Leptin – from adipocytes, causes full feeling Ghrelin – from stomach, triggers hunger Anatomy of the Digestive System o The Large Intestine • • • Absorbs water, salts, and some vitamins Stores indigestible material until it is eliminated Cecum Blind end Vermiform appendix • Colon Four portions • • Ascending colon Transverse colon Descending colon Sigmoid colon Haustra Taenia coli Rectum Anal canal Anatomy of the Digestive System • Feces 75% water 25% solids • Bacteria Fiber and other indigestible remains Diarrhea and Constipation Constipation Feces is dry and hard Chronic constipation is associated with hemorrhoids Major causes of diarrhea Infection of the lower intestinal tract Nervous stimulation Anatomy of the Digestive System • Other Disorders of the Large Intestine Polyps Small growths arising from the epithelial lining of the colon Can be benign or cancerous (colon cancer) Diverticulosis Presence of saclike pouches Diverticulitis – when inflammation occurs Cramps or steady pain Fever Loss of appetite, nausea, and vomiting Accessory Organs of Digestion o o o • Salivary glands Teeth Pancreas Endocrine function – pancreatic islets secrete insulin and glucagon Exocrine function acinar cells produce pancreatic juice • Sodium bicarbonate Digestive enzymes for all types of foods Amylase digests starch Three protein-digesting enzymes – inactive forms – activated by enterokinase Trypsin Chymotrypsin Carboxypeptidase Lipase digests fat Nucleases break down nucleic acids Accessory Organs of Digestion o The Liver • Liver Structure Two main lobes Each lobe is divided into many hepatic lobules Portal triads are located between the lobules Hepatic cells Hepatic sinusoids Kupffer cells – phagocytic macrophages bile duct A branch of the hepatic artery A branch of the hepatic portal vein Bile ducts merge to form the common hepatic duct Accessory Organs of Digestion • Liver Functions Detoxifies blood Stores iron and vitamins A, D, E, and K Makes plasma proteins Maintains blood glucose concentrations Produces urea after breaking down amino acids Forms and secretes bile Helps regulate the blood cholesterol level Accessory Organs of Digestion • Liver Disorders Jaundice Hemolytic jaundice Obstructive jaundice Hepatitis Cirrhosis – liver becomes fatty and then liver tissue is replaced by fibrous scar tissue Accessory Organs of Digestion o The Gallbladder • • Stores excess bile When needed, bile leaves the gallbladder via the cystic duct Function of bile salts • Emulsification of fats Enhance absorption of fatty acids, cholesterol, and fat soluble vitamins Chemical Digestion o o o • • • • • • • Digestive enzymes are hydrolytic enzymes Break down substances Introduce water at specific bonds Starch Salivary amylase Pancreatic amylase Disaccharases (brush border enzymes) complete digestion to monosaccharides in the small intestine Proteins Pepsin Three pancreatic proteinases Trypsin Chymotrypsin Carboxypeptidase • o • • Peptidases (brush border enzymes) complete the digestion of proteins into amino acids in the small intestine Fats Emulsified by bile Digested by pancreatic lipase Effects of Aging o Incidence of gastrointestinal disorders increases Periodontitis Esophageal hiatal hernia Heartburn Peristalsis slows Peptic ulcers may occur more frequently Diverticulosis and constipation The liver shrinks Gallbladder difficulties occur o o o o o o o o • • Gallstones Cancer Homeostasis o o Alimentary canal is also part of the endocrine system Nutrients absorbed by the alimentary canal are used for energy Nutrition o o o o Nutrient – substance the body uses to maintain health A balanced diet contains all the essential nutrients Nutrients enter the blood and is distributed to the tissues Essential molecules must be present in food because the body is unable to produce them Nutrition o Glucose is the body’s immediate energy source Fats are a long-term energy source Amino acids o o • • Used by the cells to construct proteins Nine essential amino acids Nutrition o Vitamins • • Vital to life Play essential roles in cellular metabolism Fat-soluble - vitamins A, D, E, and K Water-soluble • • B-complex vitamins and vitamin C Most are coenzymes Nutrition o Minerals • • Inorganic elements Macronutrients • Sodium Magnesium Phosphorus Chlorine Potassium Calcium Micronutrients Nutrition o Eating Disorders • Obesity • Body weight 20% or more above the ideal weight for a person’s height 28% of women and 10% of men in the U.S. are overweight Caused by a combination of factors Bulimia Nervosa Can coexist with either obesity or anorexia nervosa Bingeing then purging Alters blood composition Stomach acids can cause teeth to erode Nutrition • Anorexia Nervosa Morbid fear of gaining weight Individuals have a distorted self-image Individuals have all the symptoms of starvation Low blood pressure Irregular heartbeat Constipation Constant chilliness Bone density decreases Menstruation stops in females Internal organs do not function well Skin dries up