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Ch 23: The Digestive System Section 1: Overview of the Digestive System (pp. 852-854) Digestive System Overview Two groups of organs: 1) Alimentary canal - also known as gastrointestinal or GI tract - digests & absorbs food Major organs: - mouth, pharynx, esophagus, stomach, small intestine, & large intestine Digestive System Overview Two groups of organs: 2) Accessory digestive organs - teeth, tongue, & gallbladder Major digestive glands: - salivary glands, liver, & pancreas Digestive Processes Digestion - the physical grinding & chemical breakdown of food ALL digestive systems must accomplish the following: 1) Ingestion - placing food into digestive tract 2) Mechanical breakdown - food physically broken down into smaller pieces - allows digestive enzymes to work more efficiently Digestion 3) Chemical breakdown - particles exposed to digestive enzymes - breaks large molecules into smaller subunits 4) Absorption - subunits transported out of digestive system…into cells 5) Elimination - indigestible material expelled from body Histology of Alimentary Canal Four basic layers of tissue: 1) Mucosa - inner lining of canal - secretes mucus, digestive enzymes, & hormones - absorbs nutrients - protects against infectious diseases Histology of Alimentary Canal Four basic layers of tissue: 2) Submucosa - dense connective tissue under mucosal layer - rich in blood supply, lymph tissue, & nerves - elastic fibers allow stomach to regain normal shape after large meal Histology of Alimentary Canal Four basic layers of tissue: 3) Muscularis externa - responsible for peristalsis (rhythmic muscular contractions that move food through the canal) Composed of two layers: a) Inner circular layer opens/closes canal b) Outer longitudinal layer lengthens/shortens canal Histology of Alimentary Canal Four basic layers of tissue: 4) Serosa - protective, outermost layer - known as the visceral peritoneum Ch 23: The Digestive System Section 2: Functional Anatomy of the Digestive System (pp. 858-895) Mouth Mechanical & chemical breakdown of food: - begins in the mouth - mouth lined with thick stratified squamous epithelium to withstand considerable friction - breakdown of food carried out mostly by the teeth Teeth Function of teeth: - to break food down into smaller fragments - vastly improves rate & efficiency of chemical breakdown of food in stomach Teeth Tooth “Timeline”: 1) Deciduous teeth (“baby teeth”) - begin appearing at 6 months; complete by age 2 - 20 total - between age 6-12, roots are reabsorbed; teeth fall out 2) Permanent teeth - 32 total - All except wisdom teeth appear by end of adolescence - Wisdom teeth appear by age 25 (sometimes never) Mouth Teeth 1) Incisors - front of mouth; snip off pieces of food 2) Canines - pointed; useful for tearing 3) Premolars & Molars - back of mouth; flattened surfaces used to grind food into a paste Tongue Functions of the tongue: - reposition & mix food during chewing - initiates swallowing response - provides ability to manipulate sounds to form words - provides sense of taste Tongue Features of the tongue: 1) Filiform papillae - cone-shaped; provide friction for manipulating foods - smallest & most numerous - contain keratin; gives them a whitish appearance 2) Fungiform papillae - scattered across surface of tongue - contain blood vessels; gives them a reddish appearance Tongue Features of the tongue: 3) Circumvalate papillae - form V-shaped row on back of tongue 4) Foliate papillae - located on the sides of the tongue; near the back Super Tasters **Fungiform, Circumvalate, & Foliate papillae together form the taste buds** Note: Foliate taste buds only function during infancy & early childhood Saliva Salivary Glands - provide first stage of chemical digestion - pour out saliva in response smell, feel, & taste - can even be activated by the THOUGHT of food Cancerous salivary gland Saliva Saliva - mixture of mucus & water - contains Amylase (digestive enzyme that begins breaking down starches into sugars) - kills bacteria & lubricates food - taste is a direct result of food dissolving in saliva Swallowing After chewing… - tongue (a muscle) presses food backward into pharynx Pharynx - muscular cavity connecting mouth w/ esophagus & larynx - separates food/liquids from air that is being inhaled Swallowing Epiglottis - flap of cartilage that closes off the larynx when you swallow…prevents food from going into lungs Esophagus Once past the epiglottis… - Food travels into the esophagus - Esophagus is collapsed when empty Stomach Stomach - Expandable bag…capable of holding 2-4 liters of food/liquid - Located on left side of abdominal cavity - Food enters at cardioesophageal sphincter & exits at pyloric sphincter (both act as “clamps” on either end of stomach) Rugae - Internal folds of stomach…allow for expansion Gastric pits - Line inner wall…release HCl & various other enzymes Stomach Stomach Stomach Stomach Functions: 1) Stores food gradually releasing it into small intestine 2) Continues mechanical breakdown of food - 3 groups of muscles “churn” food 3) Major chemical breakdown of food begins *Food gradually converted into thick, acidic liquid called chyme Takes 2-6 hrs to empty stomach depending on size of meal… Stomach Stomach functions: - “Churning” action mixes food w/ digestive enzymes - Peristalsis occurs in lower stomach Stomach Stomach functions: - Pyloric sphincter releases food 20-30mL at a time Stomach Protection: - lined with a layer of bicarbonate-rich mucus - bicarbonate is a base…helps to neutralize acid - damaged epithelial cells are replaced quickly Stomach Vomiting: - body’s attempt to rid itself of substances that are unsettling to the stomach Most commonly caused by: - extreme stretching (due to over-eating) of the stomach &/or small intestine - bacterial toxins - excessive alcohol - spicy foods - certain drugs Small Intestine Small intestine - Body’s major digestive organ - Longest part of digestive tract…approximately 20ft 2 Major Functions 1) Use enzymes from liver & pancreas to break food particles into small molecules 2) Absorb molecules into the bloodstream Small Intestine 3 Major Segments of Small Intestine 1) Duodenum - Directly attached to stomach 2) Jejunum 3) Ileum - Directly attaches to large intestine Inflamed Small Intestine Small Intestine Duodenum - Mixes chyme from stomach with liver & pancreatic enzymes Small Intestine Remember: *In addition to being the major site for digestion, the small intestine is the main location for food absorption. Key structures: 1) Numerous folds - increase the total surface area by over 600 times that of a smooth tube that is same length 2) Villi - Minute, fingerlike projections that line entire folded surface…further increase SA of intestinal wall Small Intestine Key structures: 3) Microvilli - Further divisions of villi…even more increased SA *Together, these 3 structures give the intestinal wall the surface area of a tennis court! **Without these structures, absorption would be VERY inefficient! Small Intestine Small Intestine Key structures: 4) Circular folds - permanent folds; about 1cm deep - forces chyme to slowly spiral as it moves through canal Liver Liver - Perhaps the most versatile organ - Largest gland in the body Functions 1) Storing fats & carbohydrates for energy 2) Regulating blood glucose levels 3) Synthesizing blood proteins 4) Storing iron & some vitamins 5) Detoxifying harmful substances we ingest Liver Bile - Complex mixture of bile salts, water, & cholesterol - Acts as a detergent or emulsifying agent that causes fat particles to be dissolved into microscopic particles that can be broken down by other enzymes - Stored in gall bladder & released into small intestine through tube called the bile duct Normal Liver Cirrhosis of the Liver Fatty Liver Pancreas Pancreas - Small organ sitting between stomach & small intestine - Produces a “soup” of enzymes that can break down the 3 major types of nutrients: Carbohydrates Lipids Proteins - Insulin is produced here Large Intestine Large Intestine - Wider diameter, but only half as long as small intestine - Does not participate in digestion - Absorbs majority of water in food - Eliminates indigestible food in form of feces - Not essential for life Composed of 2 Main Sections: Colon Rectum Large Intestine Divisions of the Colon: 1) Cecum - Connection between sm. & lg. intestine - Appendix (collection of lymph tissue) attached here 2) Ascending 3) Transverse 4) Descending 5) S-shaped sigmoid **Goblet cells…part of lining of lg. intestine…produces mucous that acts as a lubricant Large Intestine Large Intestine Bacterial Flora: - various bacteria colonize the large intestine - ferment & break down indigestible carbohydrates - help to synthesize Vitamins B and K Ch 23: The Digestive System Section 3: Physiology of Chemical Digestion/Absorption (pp. 895-901) Digestive System - Control Digestion is controlled by: 1) the parasympathetic nervous system 2) hormones Stimuli include: 1) stretch of the organ 2) pH of the stomach contents 3) presence of broken down food particles Overview of Digestion Digestive Structures & Secretions Site Source Secretion Results Mouth Salivary glands Amylase Breaks down starch into disaccharides Mucus, water Lubricates, dissolves food Stomach Cells lining stomach Liver Pancreas Small Intestine Intestine Overview of Digestion Digestive Structures & Secretions Site Source Mouth Salivary glands Stomach Cells lining stomach Liver Pancreas Small Intestine Intestine Secretion Results Amylase Breaks down starch into disaccharides Mucus, water Lubricates, dissolves food Hydrochloric acid Kills bacteria, dissolves minerals Pepsin Breaks down proteins into peptides Mucus Protects stomach lining Overview of Digestion Digestive Structures & Secretions Site Source Mouth Salivary glands Stomach Cells lining stomach Liver Pancreas Small Intestine Intestine Secretion Results Amylase Breaks down starch into disaccharides Mucus, water Lubricates, dissolves food Hydrochloric acid Kills bacteria, dissolves minerals Pepsin Breaks down proteins into peptides Mucus Protects stomach lining Bile Emulsifies lipids Sodium bicarbonate Neutralizes acidic chyme from stomach Amylase Breaks down starch into disaccharides Protease Breaks down proteins into peptides Lipase Breaks down lipids Peptidase Breaks down peptides into amino acids Disaccharidase Converts disaccharides into monosaccharides Overview of Digestion Ch 23: The Digestive System Section 3: Homeostatic Imbalances Homeostatic Imbalances 1) Dental cavities: - gradual demineralization of tooth enamel - caused by dental plaque (sugar, bacteria, & other debris) that sticks to teeth - bacteria secrete acid that dissolves calcium in teeth Homeostatic Imbalances 2) Gingivitis: - caused when plaque begins to calcify & harden - calcified plaque separates teeth from gums - bacteria enter separation site & infect gums Homeostatic Imbalances 3) Periodontitis: - autoimmune disorder that destroys ligament holding tooth in socket - accounts for 80-90% of tooth loss in adults Homeostatic Imbalances 4) Gastritis: - inflammation that is caused by anything that interferes with the mucus layer on the inside of the alimentary canal 5) Gastric ulcers: - erosion of the stomach wall - usually caused by bacterial infection or hypersecretion of digestive enzymes Homeostatic Imbalances 6) Heartburn: - burning sensation caused when digestive chemicals escape the stomach & move up into the esophagus - usually the result of eating or drinking too much - causes frequent problems in people who have a weak cardioesophageal sphincter Homeostatic Imbalances 7) Gall stones: - crystals that develop in the gallbladder - often the result of too much cholesterol or too little bile - stones can possibly be dissolved by using ultrasound - often requires surgical removal Homeostatic Imbalances 8) Hepatitis: - inflammation of the liver caused by viral infection 9) Cirrhosis: - chronic inflammation of the liver often caused by excessive alcohol consumption - liver transplant is the only effective treatment for patients with severe cirrhosis Homeostatic Imbalances 10)Bruxism: - grinding or clenching of teeth; especially when sleeping - can wear down or crack teeth over time - usually a sign of stress 11)Dysphagia: - difficulty in swallowing - usually due to obstruction or physical trauma to esophagus