D’YOUVILLE COLLEGE BIOLOGY 108/508 - HUMAN ANATOMY & PHYSIOLOGY II LECTURE # 7 DIGESTIVE SYSTEM III INTESTINES 4. Abdominal Gastrointestinal Tract (continued): Small Intestine: • approximately 20 feet: duodenum (10”), jejunum (8’), and ileum (12’) • Wall Features: strategies to increase surface area: (figs. 23 – 22 & 23 – 23) • Plicae Circulares: spiral folding of mucosa and submucosa • Villi: finger-like folds of mucosa with core of connective tissue (including microcirculation and lymphatics) and surface layer of absorbing cells and goblet cells (mucus production) • Microvilli: microscopic folding of apical membrane of absorbing cells • Glands: • Submucous (Brunner’s) glands: (in submucosa) secrete alkaline mucus (neutralizing acidity of chyme) • Intestinal Glands (Crypts of Lieberkuhn): watery product (like interstitial fluid) • Apical Borders of Absorbing Cells: enzymes (disaccharidases, dipeptidases, lipases) facilitate digestion and absorption Physiology of Small Intestine: a. Digestion and Absorption (fig. 23 – 32): • Carbohydrates: disaccharides split to monosaccharides (glucose, fructose, galactose) that are absorbed into blood capillaries • Proteins: dipeptides split to constituent amino acids that are absorbed by active transport into blood capillaries (fig. 23 – 33) • Fats: triglycerides + bile salts (micelles) split to fatty acids and glycerol, absorbed into mucosal cells; triglycerides reconstituted and combined with protein to form chylomicrons (extremely low density lipoproteins) which must be absorbed by lacteals (fig. 23 – 34); bile salts sent back to liver (enterohepatic cycle) • Electrolytes: actively transported to blood capillaries • Note: most absorption (via blood capillaries) is carried directly to the liver by the hepatic portal vein • chylomicrons (too large to enter blood capillaries) are carried by lacteals to larger lymphatics to great veins of thorax b. Motility (fig. 23 – 3): • mixing via segmentation contractions and pendular movements • propulsion via peristalsis • emptying within 3 - 10 hours; relaxation of ileocecal valve Bio 108/508 lec. 7 - p. 2 Large Intestine: a. Parts (fig. 23 – 29): • Cecum: blind-ended pouch inferior to ileocecal junction; site for vermiform appendix (lymphoid organ) • Ascending Colon: from cecum to hepatic flexure (right side) • Transverse Colon: from hepatic flexure below greater curvature of stomach to splenic flexure; supported by transverse mesocolon • Descending Colon: from splenic flexure to sigmoid colon (left side) • Sigmoid Colon: turns medially across brim of pelvis to join rectum at back of pelvic cavity; supported by sigmoid mesocolon • Rectum: straight, terminal passageway of large bowel; ends at anal canal (short chamber between involuntary internal anal sphincter and voluntary external anal sphincter) b. Wall Features: • Mucosa: no villi; abundance of goblet cells and mucous glands • Muscularis: circular muscle well developed, powerful; longitudinal muscle discontinuous, disposed as three strips (taeniae coli); features puckering (haustrations) c. Functions: • Absorption: residual water absorption; water removal produces solid stool (feces) of indigestible material held together by thick mucus • Bacterial Flora: metabolic conversions of carbohydrate residues (fermentation), protein residues (putrefaction) • bacteria produce gas, stool color (bile pigment conversion), stool odor (skatole, indole, hydrogen sulfide, ammonia) • Elimination of Waste: 3 or 4 times daily, powerful peristaltic contractions (mass movements) of circular muscle propel contents to rectum • arrival of feces in rectum initiates rectal reflex, powerful constriction of rectum resulting in expulsion of feces (defecation) (fig. 23 – 31) • reflex may also be voluntarily initiated (Valsalva’s maneuver); elevation of anal canal (levator ani) and relaxation of anal sphincters facilitates excretion of stool