Digestion, Absorption and Transport Objectives for Chapter 3 • List the organs and accessory organs of the digestive tract. • Discuss the main roles of each of the organs of the digestive tract. • Identify how other body systems assist the digestive tract. • Name a digestive disorder that can occur for each of the following: mouth, esophagus, stomach, and intestines. What Is Digestion? Digestion: a multi-step process of breaking down foods into absorbable components using mechanical and chemical means in the gastrointestinal (GI) tract • Gastrointestinal tract consists of: – Mouth – Esophagus – Stomach – Small and large intestines – Other organs What is Digestion? • Anatomy of the GI – mouth esophagus stomach small intestine large intestine • GI tract is about 23 feet long with extensive surface area for nutrient absorption. – Cells lining GI tract are replaced every 3–5 days. What Is Digestion? • Main roles of the GI tract are to: – Break down food into smallest components – Absorb nutrients – Prevent microorganism or other harmful compounds in food from entering tissues of the body • GI tract is highly efficient: 92-97% of nutrients from food are digested and absorbed. Digestion Is Mechanical and Chemical Mechanical digestion: chewing, grinding food to aid swallowing – Peristalsis: the forward, rhythmic muscular contraction that moves food through GI tract Chemical digestion: digestive juices and enzymes break down food into absorbable nutrients Digestion • The mouth – Saliva released: contains water, electrolytes, mucus and a few enzymes • Softens, lubricates, dissolves food particles – Bolus (food mass) moves into pharynx, is swallowed, and enters the esophagus. – Epiglottis closes off trachea during swallowing to prevent food from lodging in the windpipe. – involves mastication (chewing), The epiglottis prevents food from entering the trachea when you swallow. Digestion • The esophagus – Esophagus leads food into the stomach – Bolus is pushed down esophagus by peristalsis. • Lower Esophageal Sphincter (LES): at bottom of esophagus relaxes and allows food into stomach • LES then closes to prevent backflow of hydrochloric acid (HCl) from stomach – “Reflux” of stomach acid causes “heartburn” (irritation of esophagus lining). Peristalsis: Muscles around organs of GI tract constrict in wavelike manner to move food along. Digestion • The stomach – Stomach stores, mixes and prepares food for digestion – grinds the bolus to a semi-liquid mass called chyme. • Stomach produces powerful digestive secretions: – HCl: activates enzyme pepsin, enhances absorption of minerals, breaks down connective tissue of meat • Makes the stomach acidic with a pH of 1.5 – 1.7 • Mucus protects stomach lining from damage – Digestive enzymes, intrinsic factor (for vitamin B12 absorption), stomach hormone gastrin Digestion The Stomach (cont’d) • The pyloric sphincter regulates the flow of partially digested food into the small intestine. Allows about 1 tsp of chyme to enter the small intestine every 30 seconds • Gastrin: stimulates digestive activities and secretion of HCl, increases gastric motility and emptying • Liquids, carbohydrates, low-fiber and low-calorie foods exit stomach faster • High fiber, fat and protein foods exit slower, keep you feeling full longer Digestion • The small intestine – Most digestion and absorption occur in the small intestine – receives digestive juices from the gallbladder and the pancreas. – long, narrow, coiled, has three segments: • Duodenum (10 inches) • Jejunum (8 feet) • Ileum ((12 feet) – Interior surface area tremendously increased by villi, microvilli, circular folds Surface Area in the Small Intestine Digestion – Peristalsis moves chyme through intestine – Segmentation mixes chyme with chemical secretions – Pendular movement enhances nutrient absorption • Chyme moves at rate of 1 cm/minute • Total contact time 3–10 hours, depending on amount and type of food Digestion • The large intestine – Large intestine absorbs water and some nutrients – Ileocecal sphincter: prevents backflow of fecal matter into ileum • Most of nutrients in chyme have been absorbed when it reaches large intestine • Large intestine has three sections: cecum, colon, rectum – About 5 feet long, 2.5 inches in diameter – Absorbs water and electrolytes – No digestive enzymes; chemical digestion done by bacteria Digestion & Absorption • Intestinal matter passes through colon in 12-70 hours depending on age, health, diet, fiber intake – Bacteria in colon produce vitamin K and biotin and break down fiber and undigested carbohydrates • Stool stored in rectum Secretions of Digestion • Enzymes – protein molecules which facilitates a chemical reaction • Saliva – made by salivary glands • Gastric Juice – made by the stomach, very acidic, HCL • Pancreatic Juice/intestinal Enzymes – Contains bicarbonate to neutralize acidic gastric juices as it enters the small intestine • Bile – secreted by the liver, stored in the gall bladder, emulsify fat. Only acts on fat Accessory Organs Liver: largest gland in body • Produces bile needed for fat digestion • Metabolism of carbohydrates, fats and protein • Stores nutrients: vitamins A, D, B12, E, copper, iron, glycogen (glucose storage form) • Detoxifies alcohol Gallbladder: concentrates and stores bile – Released into GI tract when fat is ingested Accessory Organs Pancreas: – Produces hormones: insulin and glucagon, regulate blood glucose – Sodium bicarbonate neutralizes acidic chyme, protects enzymes from inactivation by acid – Digestive enzymes: • Amylase: digests carbohydrate • Lipase: digests fats • Trypsin, chymotrypsin, and carboxypeptidase: digest protein Other Body Systems • Nervous system stimulates your appetite. – Hormone ghrelin signals brain to eat when stomach is empty. • Circulatory system transports nutrients, oxygen, waste products through your blood. • Lymphatic system distributes fat and fatsoluble nutrients through your lymph. • Excretory system eliminates wastes from circulatory system via the urine. The Circulatory and Lymphatic Systems The Excretory System Common Digestive Disorders Disorders of the mouth and esophagus: • Gingivitis and periodontal disease – gum swelling, bleeding and oral pain • Swallowing problems: – Choking – Food becomes lodged in the trachea. – The larynx cannot make sounds. – The Heimlich maneuver may need to be used. Common Digestive Disorders • Esophageal problems – Heartburn (acid reflux) may be caused by weak LES (lower esophageal sphincter) • • • • • • Certain foods, smoking, drinking alcohol, being overweight or obese, tight-fitting clothes, reclining after eating Common Digestive Disorders Stomach Disorders: – Gastroenteritis – cause by bacteria or virus “stomach flu” – Peptic ulcers - a sore in the lining of the stomach (gastric ulcer) Gallbladder Disease: – Gallstones – cause by high cholesterol bile, may lead to obstruction of the bile duct Common Digestive Disorders Disorders of the Small Intestine: – Nutrient malabsorption disorders • Celiac disease: inability to digest gluten protein – Duodenal ulcers - a sore in the lining of the duodenum of the small intestine (duodenal ulcer). – Intestinal enzyme deficiencies – Short bowel syndrome Common Digestive Disorders Disorders of the Large Intestine: – Constipation may be due to insufficient fiber and water intake, inactivity, stress, illness. – Diarrhea is treated by fluid and electrolyte replacement. – Irritable bowel syndrome (IBS): alternating patterns of diarrhea, constipation, abdominal pain – Colon cancer often begins with polyps. • Curable when detected early and treated Videos • Digestion 1 • Digestion 2 – Enzymes