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Chapter 24 The Digestive System BIO 211 Lab Instructor Dr. Gollwitzer 1 • Today in class we will: – Discuss the gastrointestinal tract and identify its components – Identify the accessory organs associated with the digestive tract – The layers that make up the digestive tract wall and each layer’s characteristics • • • • Mucosa Submucosa Muscularis externa Serosa – Begin our discussion of the gastrointestinal tract components in more detail • Oral cavity • Pharynx • Esophagus 2 Digestive System • Gastrointestinal (GI) tract = continuous, muscular tube from mouth to anus – Oral cavity (mouth) – Pharynx – Esophagus – Stomach – Small intestine – Large intestine – Anus 3 Digestive System • Accessory digestive organs = any digestive organ attached to the GI tract – Teeth – Tongue – Glandular organs • Salivary glands • Pancreas • Liver – Gall Bladder 4 Figure 24-1 5 Histological Organization • 4 Major layers to wall – Mucosa – Submucosa – Muscularis externa – Serosa 6 Figure 24-3 7 Mucosa • Inner lining of digestive tract • A mucous membrane • Consists of – Epithelium - moistened by glandular secretions – Lamina propria = areolar CT “filler” 8 Mucosa: Digestive Epithelia • Depend on location, function, stresses • Simple or stratified • Columnar or squamous 9 Mucosa: Digestive Epithelia • Nonkeratinized stratified squamous epithelium – Where mechanical stress most severe – In oral cavity, pharynx, esophagus, rectum – Life span = 2-3 days • Simple columnar epithelium – Where absorption and secretion occur (with villi and goblet cells) – Stomach, small intestine, most of large intestine – Life span = 6 days 10 Mucosa: Lamina Propria • Layer of areolar (loose connective) tissue • Contains – Blood vessels, sensory nerve endings, lymphatic vessels, lymphoid tissue – Mucosal glands and glandular secretions – Muscularis mucosae/interna • Band of smooth muscle and elastic fibers • Smooth muscle arranged in 2 concentric layers – Inner, circular layer (around lumen) – Outer, longitudinal layer • Contractions alter shape of lumen and move epithelial folds 11 Mucosa: Glandular Structures • Have secretory function • Associated with simple columnar cells and/or mucous-secreting cells • Goblet cells (exocrine) mucus • Enteroendocrine cells – hormones (e.g., G cells gastrin) – Coordinate activities of digestive tract and accessory glands • e.g., chief cells, G cells, parietal cells 12 Submucosa • Layer of dense, irregular connective tissue • Around muscularis mucosae • Contains – Large blood vessels and lymphatic vessels – Exocrine glands buffers and enzymes into lumen – Submucosal plexus contains nerve fibers and neurons 13 Muscularis Externa • Dominated by smooth muscle cells – Inner, circular layer – Outer, longitudinal layer • Important role in mechanical processing and movement of materials along tract • Also contains – Lymphoid nodules (Peyer’s patches) • Masses of lymphoid tissue; have lymphocytes that protect small intestine from bacteria that are normal inhabitants of large intestine – Myenteric plexus/plexus of Auerbach • Network of neurons located between circular and longitudinal muscle layers • Movements coordinated by enteric nervous system (part of ANS) 14 Serosa • A serous membrane = lines sealed, internal subdivisions of ventral body cavity • Covers muscularis externa of most of digestive tract – except oral cavity, pharynx, esophagus, and rectum, which have adventitia (a dense collagen fibrous sheath) 15 Figure 24-3 16 Figure 24-3 17 Oral (Buccal) Cavity • Space within mouth • Lined by oral mucosa (nonkeratinized stratified squamous epithelium) • Vestibule = space between cheeks or lips and teeth – Labial frenulum = fold of mucosa; connects lip to gum • Cheeks = lateral walls of oral cavity – Mucosae supported by fat pads and buccinator muscles • Labia (lips) • Gingivae (gums) – Ridges that surround base of each tooth – On alveolar processes of maxillary bones and mandible 18 Oral (Buccal) Cavity • Palates – Hard palate – formed by maxillary bones (anterior) and palatine bones (posterior) – Soft palate – fleshy part posterior to hard palate • Formed from skeletal muscle • Posterior margin supports uvula = dangling process that helps prevent food from entering pharynx prematurely • Tongue – Muscular organ attached to floor of oral cavity – Dorsum (superior) surface covered with lingual papillae (location of taste buds) – Lingual frenulum – thin fold of mucous membrane that attaches tongue to floor of oral cavity 19 Figure 24-6 20 Pharynx • Throat area posterior to nasal and oral cavities – Shared by respiratory and digestive systems • Extends between internal nares and entrances to larynx and esophagus – Nasopharynx • Posterior portion or nasal cavity • Separated from oral cavity by soft palate • Contains – Pharyngeal tonsils and opening to auditory (eustachian) tube – Oropharynx • Posterior portion of oral cavity • Between soft palate and base of tongue • Fauces = opening between oral cavity and oropharynx – Laryngopharynx • Inferior part • Between hyoid bone and entrances to esophagus and larynx 21 Esophagus • Hollow, muscular tube • From posterior laryngopharynx to stomach • Descends through thoracic cavity posterior to trachea • Enters abdominopelvic cavity through esophageal hiatus in diaphragm 22 Esophageal Histology • Muscularis externa transitions from – Skeletal muscle fibers (superior third) to – Smooth muscle fibers (inferior third) • Adventitia – CT outside muscularis externa (no serosa) – Anchors esophagus against dorsal body wall 23 Esophageal Sphincters • Circular smooth muscles that control entrance/exit to esophagus • Upper esophageal sphincter – In superior 1 in. – Prevents air from entering • Lower esophageal sphincter – At inferior end – Prevents backflow from stomach 24 • Today in class we will: – Complete our more detailed discussion of the gastrointestinal tract components • • • • Stomach Small intestine Large intestine Anus – Begin our discussion of the 4 accessory digestive organs • Teeth • Tongue • Glandular organs – Salivary glands 25 Stomach • Muscular tube with extra layers of smooth muscle cells – Strengthen stomach wall – Assist in mixing/churning activities required to form chyme – Muscularis mucosae/interna – has extra outer, circular layer – Muscularis externa – has oblique layer 26 Figure 24-13 27 Stomach • Has expanded J shape – Lesser curvature = shorter, inner, medial surface – Greater curvature = longer, outer, lateral surface 28 Figure 24-12b 29 Stomach • Has 4 regions – Cardia • Smallest region where esophagus enters (at gastroesophageal/cardiac sphincter) – Fundus • Superior hump to left of cardia that contacts the diaphragm – Body (corpus) • Main (middle) region of the stomach between fundus and curve – Pylorus • Last part of stomach that enters the duodenum through pyloric sphincter 30 Stomach • Rugae – Folds of gastric mucosa – Temporary features – Let gastric lumen expand (almost disappear when stomach full) 31 Stomach • Gastric pits – Depressions that open onto gastric surface – Each communicates with several gastric glands – Mucous cells line neck • Gastric glands – In fundus and body of stomach – 2 types of secretory cells • Parietal cells • Chief cells 32 Figure 24-13b 33 Small Intestine • 3 Regions – Duodenum (10 in.) • First part; connects to pylorus • “Mixing bowl” – Receives chyme from stomach and secretions from pancreas and liver • Curves in a C that encloses head of the pancreas – Jejunum (8 feet) • Middle part • Site for most of chemical digestion and nutrient absorption – Ileum (12 feet) • Last part • Connects to large intestine via ileocecal valve 34 Small Intestine • Plicae circulares – inner folds in intestinal lining – Permanent feature -- do not disappear when small intestine fills • Wall – Mucosa • Intestinal epithelium – Simple columnar epithelium; covers villi (pl; singular = villus) • • • • Villus capillaries/villus capillary network Lacteals Intestinal glands (goblet cells, enteroendocrine cells) Muscularis mucosae/interna – Submucosa, muscularis externa, and serosa as described previously 35 Figure 24-16 36 Figure 24-17 37 Large Intestine (Bowel) • 3 Main sections – Cecum – Colon (4.5 ft) – Rectum (6 in.) 38 Large Intestine (Bowel) • Cecum – Pouch-like structure that connects to ileum (at ileocecal valve) – Vermiform appendix = small, worm-like appendage of lymphoid tissue attached to cecum 39 Large Intestine (Bowel) • Colon – Ascending colon – along right side; takes right turn at superior end = right colic/hepatic flexure – Transverse colon – crosses from R to L; takes right turn downward at left end = left colic/splenic flexure – Descending colon – along left side; curves medially at sigmoid flexure – Sigmoid colon – S-shaped; empties into rectum • Haustra – Pouches caused by longitudinal bands of muscularis externa (taeniae coli) – Permit expansion and elongation of colon 40 Large Intestine (Bowel) • Rectum – Anal canal = last portion – Contain small longitudinal folds (anal columns) – Anus/anal orifice = exit of anal canal – Contains 2 sphincters • Internal anal sphincter – smooth muscle, involuntary control • External anal sphincter – skeletal muscle, voluntary control 41 Figure 24-24a 42 Teeth • Located in alveoli (bony sockets) on alveolar processes of maxillary bones and mandible • Number – Primary (deciduous) • 5/side/jaw = 20 – Secondary • +3 molars/side/jaw = 32 • Replace primary teeth 43 Figure 24-9a, b 44 Tooth Type No./ Jaw Location Shape Function No. Roots Incisors 4 Center front Blade Clip/cut 1 Cuspids/ Canines 2 Lateral to incisors Conical w/sharp ridge, pointed tip Tear/ slash/ shear 1 Bicuspids/ Premolars 4 Posterior to Flattened cuspids crown, prominent ridges Crush/ mash/ grind 1 or 2 Molars (wisdom teeth) 6 Posterior to Large, bicuspids flattened crown, prominent ridges Crush/ grind 3 or more 45 Teeth • Parts – Crown – above gum line – Neck – boundary between crown and root – Root – below gum line; sits in alveolus 46 Teeth • Layers/Regions – Outer • Enamel – Thin, white layer that covers crown – Hardest biologically manufactured substance • Cementum – Thin layer that covers root; protects and helps anchor tooth – Inner • Dentin – Makes up bulk of tooth – Mineralized matrix (CaPO4 crystals) similar to bone, except acellular • Pulp cavity – Central region – Receives blood vessels and nerves from root canal • Root canal – Narrow tunnel at root/base of tooth – Blood vessels and nerves enter through apical foramen 47 Figure 24-8a, b 48 Salivary Glands • Outside oral cavity, but secrete into oral cavity • 3 pairs – Parotid glands • Extend from mastoid process of temporal bone across outer surface of masseter muscle • Parotid (Stenson’s) duct – from parotid through buccinator to oral cavity – Sublingual glands • Under the floor of the mouth • Many small sublingual (Rivinus’) ducts open along side of lingual frenulum – Submandibular glands • Along inner surfaces of mandible • Submandibular (Wharton’s) ducts – open into mouth on either side of lingual frenulum immediately posterior to teeth 49 Figure 24-7a, b 50 • Today in class we will: – Complete our discussion of the 4 accessory digestive organs • Glandular organs – Pancreas – Liver » Histology » Bile duct system • Gall bladder – Trace the path of food through the digestive system 51 Pancreas • Lies posterior to stomach, extends laterally from duodenum toward spleen • Covered by thin, CT capsule • 3 regions – Head – burrowed in loop of duodenum – Tail – tapered end against spleen – Body – slender middle region • Ducts – deliver digestive enzymes and buffers to duodenum – Main pancreatic duct (of Wirsung) – large, main duct major duodenal papilla with common bile duct duodenal ampulla (chamber) – Accessory pancreatic duct (of Santorini) – may branch from pancreatic duct minor duodenal papilla duodenal ampulla 52 Fig. 24-18, p. 888 53 Gallbladder • Hollow, pear-shaped, muscular sac • Located in recess on posterior surface of liver’s right lobe • 3 regions – Fundus – bottom of pouch – Body – main region – Neck – narrow end where cystic duct exits 54 Figure 24-19 55 Liver • Largest visceral organ • Covered by tough, fibrous capsule • Divided into 4 lobes – Right lobe – largest, in right hypochondriac region – Left lobe – narrow part extending into left hypochondriac region – Caudate lobe – on inferior side; superior, near IVC – Quadrate lobe – inferior to caudate, near gallbladder • Falciform ligament – on anterior surface between R and L lobes 56 Liver Histology • Hepatocytes = liver cells; simple cuboidal cells • Each liver lobe divided into lobules • Liver lobule = basic functional unit of liver – Has hexagonal shape (6 corners) – Hepatic triad at each corner contains • Branch of hepatic portal vein • Branch of hepatic artery • Branch of bile duct – Separated by interlobular septa – Each has a central vein – Hepatocytes • Form 1-cell wide plates arranged like spokes around a wheel around central vein – Plates are separated by sinusoids = modified blood vessels for large solutes can pass out of/into blood stream 57 Liver Histology • Branches of hepatic portal vein (from intestine to liver) and hepatic artery (to liver from systemic circulation) sinusoids – Hepatocytes absorb solutes and secrete materials (plasma proteins) into sinusoids – Blood leaves sinusoids and enters central vein of lobule – Central veins hepatic veins IVC heart • Kupffer cells – Phagocytic cells (lymphatic cells) – Functions • Engulf pathogens, cell debris and damaged blood vessels • Store iron, lipids, heavy metals absorbed by digestive tract 58 Figure 24-20 59 Bile Duct System • Hepatocytes bile bile canaliculi bile ductules R and L hepatic ducts common hepatic duct • Common hepatic duct + cystic duct (to/from gallbladder) common bile duct • Common bile duct meets pancreatic duct at duodenal ampulla duodenal papilla • Hepatopancreatic sphincter - encircles – Common bile duct, pancreatic duct, and duodenal papilla 60 Figure 24-21a, b 61