Chapter 21a The Digestive System About this Chapter • • • • • • Digestion function and processes Anatomy of the digestive system Motility Secretion Regulation of GI function Digestion and absorption About this Chapter • • • • The cephalic phase The gastric phase The intestinal phase Immune functions of the GI tract Activities of the Digestive System • Ingestion • Digestion • Mechanical • Chemical / Secretion • Motility • Peristaltic • Segmentation • Absorption • Immunity • Elimination Note: 1. Which of these activities occur at each region of the GI tract. 2. Explain how these activities occur, control (hormones or neural), enzymes and structural mechanisms, no need to name the transporters. Digestive Function and Processes • The volume of fluid entering the GI tract must equal the volume leaving 9 liters per day Fluid input into digestive system Ingestion 2.0 L food and drink Secretion 1.5 L saliva (salivary glands) 0.5 L bile (liver) 2.0 L gastric secretions Fluid removed from digestive system Absorption 7.5 L from small intestine 1.5 L pancreatic secretions 1.5 L intestinal secretions 1.4 L from large intestine Excretion 0.1 L in feces 9.0 L Total input into lumen 9.0 L removed from lumen Figure 21-1 Four Basic Processes of the Digestive System Food SECRETION DIGESTION ABSORPTION MOTILITY Lumen of digestive tract Wall Interstitial fluid Blood Figure 21-2 Digestive System Anatomy • Trace through digestive system, not specific regions in addition to major parts. Also note accessory structures. • Most simply: • Oral cavity pharynx esophagus stomach small intestine large intestine rectum • Accessory • Salivary glands • Pancreas • Liver and gall bladder ANATOMY SUMMARY THE DIGESTIVE SYSTEM Oral cavity Salivary glands Esophagus Gallbladder Pancreas Small intestine Rectum Liver Stomach Large intestine (a) Figure 21-3a Digestive System Anatomy • Stomach • Fundus body antrum (pylorus) • Pyloric valve • Small intestine • Duodenum jejunum ileum • Accessory organs: pancreas and liver • Large intestine: colon (ascending, transverse, descending and sigmoid colons) and rectum • Anus Digestive System Anatomy • A closer look at the structure of the stomach and small intestine STRUCTURE OF THE STOMACH AND INTESTINE Esophagus Fundus ANATOMY SUMMARY Diaphragm THE DIGESTIVE SYSTEM Body Antrum Oral cavity Salivary glands Esophagus Pylorus Rugae: Surface folding increases area Mesentery Mucosa Submucosa (b) The stomach Gallbladder Pancreas Small intestine Rectum (a) Liver Stomach Large intestine Plica Circular muscle Longitudinal muscle Submucosal Villi glands (d) Structure of the small intestine Serosa Figure 21-3a–b, d Digestive System Anatomy • Layers: same throughout, but modified for different functions • Mucosa • Created from • Epithelial cells • Lamina propria • Muscularis mucosae • Modifications increase surface area • Rugae / Plica and villi / crypts • Submucosa • Muscularis externa • Serosa Digestive System Anatomy SECTIONAL VIEW OF THE STOMACH Opening to gastric gland Epithelium Mucosa Lymph vessel Lamina propria Muscularis mucosae Submucosa Oblique muscle Muscularis externa Artery and vein Circular muscle Longitudinal muscle Serosa Myenteric plexus (c) Figure 21-3c Digestive System Anatomy SECTIONAL VIEW OF THE SMALL INTESTINE Villi Crypt Mucosa Lymph vessel Submucosal plexus Muscularis mucosae Submucosa Muscularis externa Circular muscle Myenteric plexus Longitudinal muscle Serosa Submucosal artery and vein Peyer’s patch (e) Figure 21-3e Digestive System Anatomy PLAY Interactive Physiology® Animation: Digestive System: Anatomy Review: Overall Function of the GI System Motility • Tonic contractions • Sustained • Occur in smooth muscle sphincters and stomach • Keep bolus from moving backwards • Phasic contractions • Last a few seconds • Peristalsis moves bolus forward • Segmentation mixes Contractions in the GI Tract • Peristalsis promotes forward movement Figure 21-5a Motility • Segemental contractions promote mixing PLAY Interactive Physiology® Animation: Digestive System: Motility Figure 21-5b Secretion • 9 liters / day 7 of which from secretions • Parietal cells secrete hydrochloric acid into the lumen of the stomach. Other sources include: duodenum / pancreas / salivary glands Interstitial fluid H2O H+ Capillary Lumen of stomach H+ + OH– ATP CA K+ K+ HCO3– HCO3– CO2 Cl– Cl– Cl– Cl– Parietal cell CA = Carbonic anhydrase Figure 21-6 Secretion • Anatomy of the exocrine and endocrine pancreas acini and islets Duct cells secrete NaHCO3 Pancreatic islet cells Acinar cells Pancreatic acini Figure 21-7 Secretion • Bicarbonate secretion in the pancreas and duodenum Pancreatic duct cell or duodenal cell Interstitial fluid H2O + CO2 CO2 Capillary Lumen of pancreas or intestine CA HCO3– HCO3– + H+ Na+ Cl– Na+ Cl– CFTR channel ATP K+ Na+ 2 Cl– K+ K+ H2O, Na+ Figure 21-8 Secretion • Cl– secretion by intestinal and colonic crypt cells Lumen Interstitial fluid 2 Cl– enters lumen through CFTR channel. K+ K+ 1 2 Cl– Na+ 2 Cl– Cl– 1 Na+, K+ and Cl– enter by cotransport. 3 Na+ is reabsorbed. CFTR channel Na+ ATP 3 K+ 4 Na+, H2O 4 Negative Cl– in lumen attracts Na+ by paracellular pathway. Water follows. Na+, H2O Figure 21-9 Secretion • Digestive enzymes secreted into mouth, stomach and intestine • Mucous cells in stomach and goblet cells in intestine • Saliva is an exocrine secretion • Liver secretes bile PLAY Interactive Physiology® Animation: Digestive System: Secretion