DIGESTIVE SYSTEM BY: AMAN KALRA, GAGIN MERWAR, GURJOT AULAKH, SAHIBA BAJWA THE MUSCULAR APPARATUS OF THE DIGESTIVE SYSTEM • Also called • Alimentary canal • Digestive Canal • Gastrointestinal “GI” tract • Digestion starts at the mouth pharynx esophagus stomach small intestine large intestine DIGESTIVE TRACT OPERATION TERMS • Deglutition – swallowing • Peristalsis- involuntary muscle contractions within the rest of the tract, takes over after we swallow * We only have control over what we swallow PHARYNX • Belongs to both the respiratory system and the digestive system • Passage for air, food and drink • Liquid and chewed (masticated) food enters the pharynx form the oral cavity and muscular action sends it to the esophagus ESOPHAGUS • About a foot long • In order to get through the diaphragm to reach the stomach, the esophagus passes through an opening called the esophageal hiatus, located in the diaphragm • The esophageal hiatus is formally part of the diaphragm not the esophagus. STOMACH • Is the center of the system in the functional and physical sense • 4 main areas include: • • • • Fundus Cardia Body antrum STOMACH CONT. • Two main jobs: – Temporary storage place for food – Secreting acid and enzymes to help break down proteins, fats, and carbohydrates • Work done in the stomach are both mechanical changes (liquefaction of food) and chemical changes ( producing food for the body’s cells) • After 3-4 hours, the food is now a liquid substance called “chyme” which begins to enter the small intestine SMALL INTESTINE • Absorption of nutrients: – 90% in small intestine – 10% in large intestine PARTS OF THE SMALL INTESTINE SMALL INTESTINE CONT. • Duodenum • first 10 inches of the small intestine [Latin: duodeni “twelve each” • Adjective: duodenal • Example: duodenal ulcer SMALL INTESTINE CONT. • Jejunum • Part of the small intestine that comes right after the duodenum • 8 feet long • Latin: Jejunus “fasting” • Segment where most of the nutrients are emptied into the bloodstream SMALL INTESTINE CONT. • Ileum • Final segment of the small intestine • 12 feet long THE LARGE INTESTINE • Compacts waste material for elimination • Colon: a word used as a synonym for the large intestine LARGE INTESTINE CONT. • Colon has 4 parts • • • • Ascending colon Transverse colon Descending colon Sigmoid colon OTHER ORGANS OF DIGESTION • For the digestive tract to complete its work many chemicals are needed. • Some are supplied from stomach but most from salivary glands, the pancreas, liver, and gallbladder. SALIVARY GLANDS Digestion in mouth is aided by salivary glands Produce Saliva Saliva is more than 99% water Essential enzymes: that break down complex carbohydrates • Ex: amylase breaks down starch into maltose • • • • SALIVARY GLAND CONT. • Has antibodies that kill bacteria • Located in oral cavity • 3 parts: - Paratoid - Sublingual, - Submandibular salivary glands PANCREAS • Releases hormones and sends out enzymes for digestion • Acts as endocrine and exocrine gland • Exocrine : glands secretions are internal, secretions are not expelled through duct • Endocrine: expel through duct PANCREAS CONT. • Provides insulin to the blood stream ( endocrine function) • Secretes fluid containing enzymes into small intestine ( exocrine function) LIVER • • • • Absorbs nutrients from small and large intestine Storage for vitamins and iron Extracts and stores nutrients for later use The liver keeps the body metabolism balanced and promotes good health by releasing fat soluble vitamins, such as A and D, when the body needs them. LIVER CONT. • Produces bile • > helps in breaking down the lipids (fats) so it is easier for them to mix with other liquids. • After bile completes work it goes back to the liver where it gets recycled and used again • Detoxifies the blood by removing unwanted material GALLBLADDER • Located under the liver • Referred to as cholecystis or cholecyst • Stores, condenses and delivers the bile to the small intestine ROOT OR SUFFIX 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) cholecyst/o Colon/o Duoden/o Enter/o Esophag/o Gastr/o hepat/o Ile/o Jejun/o Pancreat/o Phag/o Sial/o Scope Scopy gallbladder colon duodenum small intestine esophagus stomach liver ileum jejunum pancreas eating; swallowing salivary glands device for visual examination visual examination Alimentary Canal (Latin: food): the digestive tract, the gastrointestinal Antibody: antibodies contained in saliva that act as antibacterial agents. Antrum (Latin: cave): the part of the stomach nearest the entrance to the duodenum. Cardia: the area of the stomach between the fundis and it main body. Cholecystis; Cholecyst: gallbladder Chyme (Greek: juice): liquefied food entering the duodenum. • Colon: the large intestine (divisible into ascending, transverse, descending and sigmoid colons) Deglutition: swallowing Duodenal: adjective form of duodenum used to name some digestive system disorders. Duodenum: segment of the small intestine connecting with the stomach. Fundus (Latin: bottom) : part of the stomach Gastric: adjectival form of stomach Hepatoid: resembling the liver Ileum: longest segment of the small intestine; leads to large intestine. Esophagus: the part of the digestive tract between the pharynx and stomach. Intestine (latin: gut): the small intestine is divisible into 3 zones: duodenum, jejunum and ileum The large intestine comprises the cecum, colon, rectum and anus. Jejunum: eight foot long segment of the small intestine between the duodenum and the ileum. Pancreatic: adjective for pancreas Salivary glands: the parotid, sublingual, and submandibular salivary gland. They are glands with ducts, that produce saliva. Stomach: Digestive organ composed of four parts: 1) Fundus 2) Cardia 3) The body 4) Antrum COMMON ABBREVIATIONS: DM: Diabetes mellitus GB: gallbladder GBS: gallbladder x-ray series GERD: gastroesophageal reflux disorder GI: gastrointestinal NGT: nasogastric tube S&D: stomach & duodenum UGI: upper gastrointestinal DIGESTIVE SYSTEM DISORDERS DISORDERS OF THE MUSCULAR APPARATUS Enterology is the medical specialty concerned with the intestinal tract. Enterologists discover and treat many ailments of the digestive system. Among those ailments are : Enteralgia/enterodyniaabdominal pain Enterectomy-excision of part of the intestine Enteritis-inflammation of the intestine Entergastritis- inflammation of the intestine and stomach Enterohepatitis- inflammation of the intestine and liver DISORDERS OF THE MUSCULAR APPARATUS Enteropathy- any intestinal disease Enteropexy-surgical fixation of part of the intestine Enterorrahagia- bleeding in the intestinal tract Enterorrhaphy- suturing of the intestine Enterospasm-painful peristalsis (contraction of smooth muscles to propel contents through the intestinal/digestive tract) Enterostenosis – narrowing within the intestinal tract The term that encompasses all of them is enteropathy An enteroscope is the instrument used for the purpose of entroscopy which is diagnosis of disorders of the digestive system DISORDERS OF THE SALIVARY GLANDS, PANCREAS AND LIVER Salivary glands are affected by the same conditions as other parts of the body For terminology related to the salivary glands the root word is sial/o is used but since the salivaries are glands the root for gland aden/o is sometimes added to the terms Ex. Sialoadenotomy And these glands have duct work as well so in some cases the root word for duct angi/o is also added like in Sialoangiitis. DISORDERS OF THE SALIVARY GLANDS Sialoadenitis-inflammation of the salivary gland Sialoadenectomy-excision of a salivary gland Sialoadenotomy-incision of a salivary gland Sialoangiitis-inflammation of the salivary duct Sialorrhea-excessive production of saliva Sialostenosis-narrowing of a THE GENERAL TERM FOR REFERRING TO DISEASES OF THE PANCREAS IS PANCREOPATHY When the pancreas fails to produce insulin in the required amounts, a condition known as diabetes occurs. There are many subcategories for this condition, the best known of which is diabetes mellitus- a chronic metabolic disease characterized by the body’s decreased ability to utilize carbohydrates and its enhanced ability to utilize proteins and lipids pancreatalgia- pain in the general area of the pancreas pancreaitis- inflammation of the pancreas pancreopathy-any disease of the pancreas pancreatotomy-incision into the pancreas THE ROOT WORD HEPAT/O REFERS TO THE LIVER AND DENOTES ANY LIVER ABNORMALITIES hepatitis- inflammation of the liver hepatocele- protrusion of a part of the liver through an adjacent structure hepatopathy-any disease of the liver hepatopexy-fixation of the liver hepatorrhaphy-suturing of the liver hepatorrhexis- rupture of the liver hepatoscopy-examination of the liver CHOLECYST/O DENOTES ABNORMAL GALL BLADDER CONDITIONS, SUCH AS cholecystectomyexcision of the gall bladder cholecystitisinflammation of the gall bladder cholecystopathy-any disease of the gall bladder cholecystotomyincision into the gall bladder COL/O – REFERRING TO THE COLON, ALSO CALLED THE LARGE INTESTINE, FROM THE GREEK WORD KOLON colectomy- excision of all or part of the colon colitis- inflammation of the colon colonoscope- device used in colonoscopy colonoscopy- visual inspection of the colon wih a colonoscope colopexy- surgical fixation of the colon colorrhagia-abnormal discharge from the colon colostomy- surgical establishment of an opening into the colon colostomy-incision into the colon DUODEN/O – REFERRING TO THE DUODENUM, WHICH COMES FROM THE LATIN WORD DUODENI (“TWELVE”) duodenectomy- excision of the duodenum duodenitis- inflammation of the duodenum duodenorraphy- suturing of the duodenum duodenoscopy- visual inspection of the duodenum with the aid of an endoscope duodenostomy- surgical establishment of an opening in the duodenum duodenotomy- incision of the duodenum esophagology- study of the structure and diseases of the esophagus gastrectomy- excision of part of the stomach gastritis- inflammation of the stomach gastrocele- hernia of the stomach gastrocolitis- inflammation of the stomach and the colon gastroduodenitis- inflammation of the stomach and the duodenum gastroenteritis-inflammation of the stomach and intestine ileopexy- surgical fixation of the ileum jejunectomy- excision of all or part of the jejunum jejunitis- inflammation of the jejunum jejunoplasty- surgical repair of the jejunum jejunotomy-incision into the jejunum COMMON DIGESTIVE SYSTEM DISORDERS • Colon and Rectal Cancer • Stomach Cancer also called gastric cancer DIARRHEA • Diarrhea is watery stool, or an increased frequency in stool, or both as compared to the normal amount of stool passed by the individual. Diarrhea can be shortterm or it can be related to a bacterial or viral infection, or it can be long-term which is usually related to a functional disorder or intestinal disease DIVERTICULAR DISEASE • This disease occurs in small pouches that bulge out in the colon. It is an inflammation or infection in the pouches. GAS IN THE DIGESTIVE TRACT • You get gas in your digestive tract by swallowing air or during the breakdown process of certain foods by the bacteria that is present in the colon HEARTBURN • Heartburn is what most of us get from time to time. Chronic heartburn is a digestive disorder called gastroesophageal reflux disease (GERD). GERD is caused by gastric acid that flows from the stomach and into the esophagus HEPATITIS • This is an inflammation of the liver that can result in liver cell damage. There are two types of hepatitis – acute and chronic and six main types of the hepatitis virus IRRITABLE BOWEL SYNDROME • Irritable bowel syndrome – more commonly referred to as IBS – is an intestinal disorder that causes cramping, gassiness, bloating and changes in the bowel habits of the individual with the disorder. LACTOSE INTOLERANCE • People with lactose intolerance lack an enzyme that is called lactase. This enzyme is needed by the body to digest lactose. Lactose is a sugar found in milk products. Adults and children are affected by this intolerance. Digestive diseases or injuries to the small intestine cause this intolerance. Individuals can experience different symptoms but the common ones are: cramping, bloating, gas, diarrhea, and nausea. The symptoms will worsen when larger portions of milk products are consumed. STOMACH AND DUODENAL ULCERS • Ulcers are open sores or lesions. They are found in the skin or mucous membranes of areas of the body. A stomach ulcer is called a gastric ulcer and an ulcer in the duodenum is called a duodenal ulcer. Lifestyle, stress and diet used to be thought to cause ulcers. These factors may have a role in ulcer formation; however they are not the main cause of them. Scientists now know that ulcers are caused by hydrochloric acid and pepsin that are contained in our stomach and duodenal parts of our digestive system and that these acids contribute to ulcer formation The End