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THE DIGESTIVE SYSTEM BASICS Digestion Breakdown of ingested food Absorption of nutrients into the blood Metabolism Production of cellular energy (ATP) Constructive and degradative cellular activities A.DIGESTIVE ORGANS Two main groups Alimentary canal – continuous coiled hollow, muscular tube (aka gastrointestinal [GI] tract) open at both ends Performs all digestive functions Ingest, digest, absorb, defecate Accessory digestive organs Assist process of digestion If it’s where food goes through, it’s the GI tract If it’s attached to GI tract, it’s an accessory organ Figure 14.1 ALIMENTARY (GI) ORGANS Organ Function 1. Mouth Physical: break food into smaller particles; Chemical: breakdown starches with amylase 2. Pharynx Passageway from mouth to esophagus; contractions 3. Esophagus AKA gullet, long passageway linking pharynx & stomach; contractions 4. Stomach Physical: break food into smaller fragments; Chemical: breakdown of proteins with gastric juice; contractions 5. Small intestine Chemical digestion of food, absorption of nutrients; contractions 6. Large intestine Absorption of water ; contractions 7. Anus End of GI tract, expulsion of waste 1. MOUTH (ORAL CAVITY) Mechanical breakdown Food is physically broken down by mastication (chewing) Chemical digestion Food is mixed with saliva which breaking of starch into maltose by enzyme salivary amylase Initiation of deglutition (swallowing ) by the tongue Allowing for the sense of taste 5 tastes: Sweet Sour Salty Bitter Umami (savory/tasty) ANATOMY OF MOUTH Lips (labia) Cheeks Hard palate – forms the anterior roof Soft palate – forms the posterior roof Uvula – fleshy projection of the soft palate; no function Vestibule – space between lips and teeth and gums Figure 14.2a Oral cavity – behind the teeth Tongue – attached at hyoid and styloid, and by lingual frenulum Tonsils Palatine tonsils Lingual tonsil Part of lymphatic (immune) system Figure 14.2a 2. PHARYNX Serves as a passageway for air and food Food movement via alternating contractions of the muscle layers (peristalsis) PHARYNX ANATOMY Nasopharynx – not part of the digestive system; up to the nose Oropharynx – posterior to oral cavity; back of throat Laryngopharynx – below the oropharynx and connected to the esophagus 3. ESOPHAGUS Runs from pharynx to stomach through the diaphragm Conducts food by peristalsis (slow rhythmic squeezing) Passageway for food only (respiratory system branches off after the pharynx) Timeline: 5-8 seconds! 4. STOMACH Acts as a storage tank for food Can hold 4 L (1 gal) of food!! Site of physical food breakdown Chemical breakdown of protein begins Lined with columnar epithelium with … Mucus neck cells– mucus Chief cells – pepsinogen (digest protein) Parietal cells – HCl (hydrochloric acid, pH~1.5) Enteroendocrine cells – gastrin Gastric cells – gastrin juice Delivers intestine chyme (processed food) to the small PEPSI & PEPSIN DO NOT COPY Caleb Bradham of North Carolina was a pharmacist. His most popular beverage was something he called "Brad's drink" made of carbonated water, sugar, vanilla, rare oils, pepsin and kola nuts. He later on renamed his beverage Pepsi Cola and it advertised it as “Exhilarating, invigorating, aids digestion.” STOMACH ANATOMY Located on the left side of the abdominal cavity Food enters at the cardioesophageal sphincter – circular muscle that acts as “gatekeeper” Food empties into the small intestine at the pyloric sphincter Timeline: 2-6 hours Contains rugae – internal folds of the mucosa Layers of peritoneum attached to the stomach Lesser omentum – attaches the liver to the lesser curvature Greater omentum – attaches the greater curvature to the posterior body wall Contains fat to insulate, cushion, and protect abdominal organs (see Dr. Oz on Oprah) OPRAH AND OMENTUM Figure 14.4a STRUCTURE OF THE STOMACH MUCOSA Figure 14.4b–c 5. SMALL INTESTINE body’s major digestive organ – averages 7m (>23 feet) long! Site of nutrient absorption into the blood Timeline: 3-5 hours Muscular tube extending from the pyloric sphincter to the ileocecal valve Suspended from the posterior abdominal wall by the mesentery Double-layer of peritoneum Divided up into three sections: Duodenum Attached to the stomach Curves around the head of the pancreas Jejunum Attaches anteriorly to the duodenum Ileum Extends from jejunum to large intestine Many chemicals involved in digestion in small intestine Enzymes from intestinal cells Enzymes from pancreas Bile from gall bladder Absorption is done through many villi Fingerlike structures formed by the mucosa Give the small intestine more surface area Microvilli on absorptive cells of villi add for super absorption Small projections of the plasma membrane Found on absorptive cells Absorption into bloodstream carried out by Absorptive cells Blood capillaries Lacteals (specialized lymphatic capillaries) Figure 14.7b 6. LARGE INTESTINE Larger in diameter, but shorter than the small intestine – 1.5 m long Frames the internal abdomen Absorption of water Eliminates indigestible food from the body as feces Does NOT participate in digestion of food Goblet cells produce mucus to act as a lubricant Divided • • up into Colon Ascending – up Transverse – across Descending – down S-shaped sigmoidal Rectum Anal canal Cecum – saclike projection, hangs from first part Appendix – twisted section that often traps bacteria & gets infected (appendicitis) • Timeline: 4-72 hours! 7. ANUS Ending of anal canal Contains two sphincters which work to control passage of fecal matter Internal involuntary sphincter Signals us that it’s time to expel feces External voluntary sphincter Control opening of sphincter until ready •ACCESSORY DIGESTIVE ORGANS 1. 2. 3. 4. 5. Salivary glands Teeth Pancreas Liver Gall bladder 1. SALIVARY GLANDS Saliva-producing glands Parotid glands – located anterior to ears Submandibular glands - under mandible Sublingual glands – under tongue Produce saliva Mixture of mucus and serous fluids Helps to form a food bolus (ball of masticated food) Contains salivary amylase to begin starch digestion Dissolves chemicals so they can be tasted 2. TEETH role is to masticate (chew) food Humans have two sets of teeth Deciduous (baby or milk) teeth 20 teeth fully formed by age two Permanent teeth Replace deciduous teeth beginning ages of 6 to 12 full set is 32 teeth, some people do not have wisdom teeth 3. PANCREAS Produces a wide spectrum of digestive enzymes that break down all categories of food Enzymes secreted into duodenum Alkaline fluid introduced with enzymes neutralizes acidic chyme Endocrine products of pancreas: Insulin Glucagon 4. LIVER Largest gland in the body Located on the right side of the body under the diaphragm Consists of four lobes suspended from the diaphragm and abdominal wall by the falciform ligament Connected to the gall bladder via the common hepatic duct Produces bile – highly bitter green liquid containing: Bile salts Bile pigment (mostly green bilirubin from the breakdown of hemoglobin) Cholesterol Phospholipids Electrolytes 5. GALL BLADDER Sac found in hollow fossa of liver Stores bile from the liver by way of the cystic duct Bile is introduced into the duodenum in the presence of fatty food Gallstones can cause blockages B. SIX PROCESSES OF DIGESTIVE SYSTEM 1. Ingestion – getting food into the mouth 2. Mechanical Digestion – physically breaking food down 3. Propulsion – moving foods from one region of the digestive system to another 4. Chemical Digestion – chemically breaking down food 5. Absorption – getting nutrients/water into blood stream 6. Defecation – expelling wastes Figure 14.11 1. Ingestion • Voluntary process of getting food into mouth 2. Mechanical Digestion Mixing of food in the mouth by the tongue Churning of food in the stomach Segmentation in the small intestine Movement of food back & forth serving to mix it with digestive juices 3. Propulsion Food is processed by more than one digestive organ so must be propelled from one to another. Done via peristalsis • o Peristalsis – involuntary action where alternating waves of contraction & relaxation of smooth muscles squeeze food along GI tract PERISTALSIS Food must first be well mixed Rippling peristalsis occurs in lower stomach pylorus meters out chyme into the small intestine (30 ml at a time) stomach empties in four to six hours Figure 14.15 4. Chemical Digestion Enzymes break down food molecules into their building blocks Each major food group uses different enzymes Carbohydrates simple sugars Proteins amino acids Fats fatty acids and alcohols 5. Absorption End products of digestion absorbed in blood or lymph Food must enter mucosal cells, then into blood or lymph capillaries 6. Defecation Elimination of indigestible substances as feces CHEMICALS OF DIGESTION Chemical Type Produced Function Amylase Enzyme Salivary glands, pancreas Breakdown starch into maltose Bile Compound Liver Cholecystokinin (CCK) hormone Small intestine Stimulate pancreas to release Gastrin Hormone stomach Stimulates production of gastric juice Glucagon Enzyme Pancreas Converts glycogen to glucose HCl Acid Stomach Activate pepsinogen Insulin Hormone Pancreas Directs cells to uptake sugar; converts excess glucose to glycogen Lipase Enzyme Pancreas Breakdown lipids/fats Pepsin Enzyme Pepsinogen Breakdown proteins Pepsinogen Enzyme Stomach Precursor of pepsin Rennin Enzyme Stomach Breakdown milk protein Secretin Hormone Small intestine Stimulate pancreas & liver to release Trypsin Enzyme Pancreas Breakdown fats secretions; gallbladder to release bile secretions Breakdown protein C. CONTROL OF DIGESTIVE ACTIVITY Mostly controlled by reflexes Chemical and mechanical receptors are located in organ walls that trigger reflexes Stimuli include: Stretch of the organ pH of the contents Presence of breakdown products Reflexes include: Activation or inhibition of glandular secretions Smooth muscle activity D. ACTIVITIES BY GI ORGANS Mouth-Esophagus (Deglutition = Swallowing) Buccal phase Voluntary; occurs in mouth; food formed into bolus Bolus forced into pharynx by tongue Pharyngeal-esophageal phase Involuntary transport of bolus All passageways blocked Tongue blocks off mouth Soft palate (uvula) blocks nasopharynx Epiglottis blocks larynx Cardioesophageal sphincter opened when bolus presses against it DEGLUTITION (SWALLOWING) Figure 14.14 Stomach Gastric juice regulated by neural and hormonal factors Presence of food and/or falling pH (due to HCl) causes release of gastrin Gastrin causes stomach glands to produce protein-digesting enzymes pepsin & rennin HCl activates pepsinogen to become pepsin for protein digestion HCl provides hostile environment for microorganisms (except Helicobacter pylori) Only absorption occurring stomach is alcohol and aspirin Small intestine Enzymes from brush border break double sugars (lactose) into simple sugars (galactose & glucose) Complete some protein digestion Pancreatic enzymes play the major digestive function Help complete digestion of starch (pancreatic amylase) Carry out about half of all protein digestion (trypsin, etc.) Responsible for fat digestion (lipase) Digest nucleic acids (nucleases) Alkaline content neutralizes acidic chyme Release of pancreatic juice stimulated by: Vagus nerve Local hormones Secretin: causes liver to produce more bile; pancreas to release more alkaline juice Cholecystokinin (CCK): stimulates gall bladder to release more bile; pancreas to release more enzymes Figure 14.16 LARGE INTESTINE No digestive enzymes are produced Resident bacteria digest remaining nutrients (Escherichia coli) Produce some vitamin K and B Release gases Water and vitamins K and B are absorbed Remaining materials are eliminated via feces Sluggish peristalsis Mass movements Slow, powerful movements Occur three to four times per day Presence of feces in the rectum causes a defecation reflex Internal anal sphincter is relaxed Defecation occurs with relaxation of the voluntary (external) anal sphincter E. NUTRITION Nutrient – substance used by the body for growth, maintenance, and repair Categories of nutrients Carbohydrates – most from plants (except lactose) Lipids – fats (meat, nuts, oils) Proteins – meats, milk, legumes Vitamins – act with enzymes Mineral – essentials in body (Ca2+) Water F. METABOLISM Chemical reactions necessary to maintain life Catabolism – substances broken down to simpler substances; energy released Anabolism – larger molecules built from smaller ones; energy used Fat metabolism (9 cals/g) Handled mostly by liver Use some fats to make ATP Release breakdown products of fatty acids to the blood Body cells remove fat and cholesterol to build membranes and steroid hormones Carbohydrate metabolism (4 cals/g) Carbohydrates are broken down into simple sugars or monosaccharides Monosaccharide – one sugar molecule. Only three are found in our diet that make it into blood Fructose (fruit), galactose (milk), glucose (ubiquitous) Disaccharide – two sugar molecules Sucrose (table sugar) = glucose + fructose lactose (milk) = galactose + glucose maltose (malt) = glucose + glucose Polysaccharide – many sugar molecules Starch (breads), cellulose (plant walls – fiber) Protein metabolism (4 cals/g) Proteins conserved by body cells as they are used for most cellular structures Ingested proteins broken down to amino acids Cells remove amino acids to build proteins Synthesized proteins are actively transported across cell membranes Amino acids used to make ATP only when proteins are overabundant or there is a shortage of other sources Cholesterol metabolism Functions of cholesterol Serves as a structural basis of steroid hormones (testosterone & estrogen) & vitamin D Is a major building block of plasma membranes Most cholesterol is produced in liver and is not from diet Cholesterol & fatty acids can’t freely circulate in bloodstream Are transported by lipoproteins (lipid-protein complexes) Low-density lipoproteins (LDLs) transport to body cells High-density lipoproteins (HDLs) transport from body cells to liver (“good”, since it gets stored in liver) G. ROLE OF LIVER IN METABOLISM Several roles in digestion Detoxifies drugs & alcohol Degrades hormones Produce cholesterol, blood proteins (albumin and clotting proteins) Plays a central role in metabolism Glucose = useable sugar Glycogen = stored sugar Glycogenesis: making glycogen Glucose molecules converted to glycogen when in excess Glycogen molecules stored in liver Glycogenolysis: breaking glycogen Glycogen converted into glucose when not enough, released from liver Gluconeogenesis: making new glucose Glucose is produced from fats and proteins in emergencies Figure 14.21 Glucose ($) blood Glycogen (€) liver Fats/protein (£) Insulin Converts glucose to glycogen Helps cells absorb glucose Glucagon Converts glycogen back to glucose H. HOMEOSTATIC IMBALANCES (DISEASES) Hyperglycemia = diabetes mellitus High (hyper) sugar in blood Literally from Latin “something sweet is being siphoned from body” High levels of glucose stimulate release of hormone insulin (produced by pancreas) to assist all cells in absorbing glucose level decreases As glucose level decreases, insulin no longer released Normal fasting glucose level is 70-100 mg/dL Diabetes glucose level is > 126 mg/dL Excess sugar is not being absorbed by cells for one of two reasons: Type I Diabetes: insulin is not produced (genetic) Type II Diabetes: insulin receptors unresponsive (adult-onset) Glucose flushed from body in urine Body still needs glucose, so pulls it from fats &/or protein Saudi Arabia United Arab Emirates Oman Hypoglycemia Low (hypo) sugar in blood High levels of glucose stimulate excess insulin to be released from pancreas Too much glucose absorbed by cells fasting glucose level < 70 mg/dL in blood May lead to diabetes in future Peptic ulcer Craterlike erosion in mucosa of any GI tract organs that gets exposed to gastric juice Esophagus – esophageal ulcer Stomach – gastric ulcer Duodenum – duodenal ulcer (most common) Definitive cause still unknown May be triggered by: Excess HCl and pepsin due to stress, diet Acid-resistant bacteria Helicobacter pylori (70-90% people with ulcers have it) Overuse of OTC (over-the-counter) pain killers like aspirin, naproxen, ibuprofen (acetaminophen ok) Diarrhea Watery stools as a result of any condition that rushes food residue through large intestine before it has chance to absorb water Most commonly result of bacteria (food poisoning), viruses (cold/flu), food intolerances, or reaction to medications Constipation Hardened stools as a result of any condition that prolongs food residue’s time in large intestine, leading to excess water being absorbed Most commonly result of lack of fiber (poor diet), poor bowel habits (holding it too often), laxative abuse, not enough water Appendicitis Inflammation of the appendix due to a blockage Usually blocked by stool, but a foreign body or cancer can prevent proper draining As result, bacteria in large intestine multiply in appendix, causing swelling If appendix ruptures (pops open), bacteria in peritoneum (abdominal cavity) cause peritonitis which can be fatal Symptoms Pain in lower right abdomen Loss of appetite Nausea/vomiting Abdominal swelling Fever of 99º F to 102º F Jaundice Not a disease but a condition signaling complications in liver and/or gallbladder as a result of bile salts and bilirubin pigments entering bloodstream Blockage of hepatic or bile ducts prevents bile from entering small intestine. May be from Gallstones Hepatitis (inflammation of liver) Cirrhosis (scarring of liver) Diverticulosis Diet devoid of fiber will force colon to contract more forcefully to move stool Too much force causes pouch-like diverticula to herniate or pop outward. Condition is called diverticulosis, which may lead to diverticulitis Diverticulitis Inflammation of diverticula May be fatal if diverticulum ruptures Hemorrhoids When too much force is needed to expel feces, veins in anus bulge causing hemorrhoids Can be internal (rectum) or external (anus) May have to be surgically removed if inflammation causes defecation to be painful or impossible internal external FIN