Anatomy: Digestive System 1. 1. 1. 2. 3. Structure and Function 1. Organization- 2 parts 1. 1. Alimentary canal (GI tract) - 9m tube w/ lumen 1. 1. mouth, pharynx, esophagus, stomach, sm. and lg. intestine 2. 2. Accessory organs - teeth, tongue, salivary glands, liver, gallbladder, pancreas 2. Digestive Processes - 7 1. 1. ingestion 2. 2. propulsion - swallowing and peristalsis 3. 3. secretion - enzymes, adjust pH, liquifies food 4. 4. mechanical digestion - chewing (mastication), mixing w/ tongue, stomach, SI 5. 5. chemical digestion 6. 6. absorption- from lumen into blood or lymph 7. 7. defecation 3. Structure of Wall of GI Tract - 4 layers 1. 1. Mucosa- mucous mem. lining lumen, protects, secretes, and absorbs, 3 layers 1. 1. epithelium - str. squamous or columnar w/ goblet cells 2. 2. lamina propria - areolar CT w/ blood and lymphatic vessels (1) (1) MALT - lymph tissue that protects GI tract 3. 3. muscularis mucosae- smooth muscle, folds that increase surface area 2. 2. Submucosa - areolar CT w/ blood and lymph vessels and nerves and glands, 3. 4. 2. 2. 1. 3. Muscularis - 2-3 layers of smooth or skeletal muscle, mechanical digestion and propulsion 1. 1. sphincters - circular layers of smooth muscle that form valves 4. Serosa - serous mem. lining outside of organs 1. 1. parietal peritoneum - lines walls of abdominalpelvic cavity, folds attach and anchor internal organs 2. 2. visceral peritoneum - lines digestive organs (1) (1) mesentery - attaches SI to rear wall (2) (2) greater omentum - fold from stomach that covers SI like an apron Digestive Organs 1. Mouth (oral ar buccal cavity)- mechanical and chemical digestion 1. 1. lips and cheeks form ext. walls, vestibule - space btwn teeth and lips 2. 2. palate - forms roof of mouth, divided into hard and soft regions 1. 1. uvula - fingerlike projection that closes opening to nasal 3. 4. 5. 2. 3. 4. 6. 2. 1. 2. 3. 3. 1. 2. 3. 4. 1. cavity during swallowing 3. tongue - forms floor of mouth, composed of skeletal muscles, moves food during mastication and swallowing, covered w/ papillae for friction and taste 4. teeth 1. 1. 2 sets - 20 deciduous (baby), 32 permanent (adolescence onward) 2. 2. 3 types (1) (1) incisors - chisel edge for cutting (2) (2) canines - pointed for tearing (3) (3) premolars and molars - flat for grinding and crushing 3. 3. tooth structure (1) (1) crown - visible part above gingivae (gums) (2) (2) root - region embedded in bone (3) (3) dentin - bulk of tooth, bone-like substance (4) (4) enamel - hard, nonliving material covering crown (5) (5) pulp cavity - inside tooth, contains blood vessels, nerves and CT (6) (6) cementum - bonelike substance covers root and binds to periodontal ligament 5. saliva 1. 1. composed of 99% water, lysozyme (enzyme destroys bacteria), salivary amylase (enzyme breaks down starch), proteins, antibodies, and ions 2. 2. lubricates mouth, moistens food, begins chemical dig. 3. 3. produced by 3 pairs of glands (1) (1) parotid glands - in front of ears (2) (2) submandibular glands - inner surface of jaw in floor of mouth (3) (3) sublingual glands - in front of submandibular glands 6. digestion in mouth Pharynx 1. 3 regions 2. transports food from oral cavity to esophagus 3. process of swallowing Esophagus 1. 25cm muscular tube behind trachea, transports food to stomach 2. esophageal hiatus - opening in diaphragm 3. sphincters at both ends control direction of food 1. 1. upper esophageal 2. 2. lower esophageal (cardiac sphincter) (1) (1) heartburn Stomach 1. structure 25cm long, holds 2 l 1. 2. 3. 2. 3. 5. 5. 1. 2. 3. 4. 1. 2. 3. (1) (2) (3) (4) rugae - deep folds in inner lining, disappear when full greater and lesser curvatures 4 regions (1) cardia - receives food from esophagus (2) fundus - temporary storage (3) body - main part (4) pylorus - narrow inferior region (1) (1) pyloric sphincter - controls food into SI 2. stomach wall - 4 basic layers, mucosa is specialized 1. 1. gastric pits - connect to gastric glands which secrete gastric juice (1) (1) zygmogenic (chief) cells - digestive enzymes (2) (2) parietal cells - HCL (3) (3) mucous cells - mucus 2. 2. 3 muscle layers - aid mechanical dig. and mixing 3. functions of stomach 1. 1. mechanical dig. - more than any other organ 2. 2. chemical dig. - enzyme pepsin, splits protein, needs acidic environ. 3. 3. absorption - limited 4. 4. propulsion - food converted to paste called chyme, passes thru pyloric sphincter 5. 5. intrinsic factor - secreted by parietal cells, aids B12 absorption in SI Small Intestine 1. 6m x 2.5cm 2. 3 regions 1. 1. duodenum - receives chyme, immovable 2. 2. jejunum - mobile 3. 3. ilium - longest region, ends in ileocecal valve 3. SI wall-adaptations to mucosa and submucosa 1. 1. intestinal villi - tiny projections of mucosa 2. 2. microvilli - cell mem. modification, increases absorption surface 3. 3. intestinal glands - at base of villi, secrete water and mucus w/ neutral pH 4. 4. Peyers patches - in submucosa, protect from infections 5. 5. Brunners glands - submuc. secrete alkaline mucus into duodenum 4. functions of SI 1. 1. chemical dig. - mix chyme w/ enzymes from pancreas and bile from gall bladder, also produces intestinal enzymes 2. 2. absorption - main site of nutrient absorption, facilitated or active transport into epithelium, diffusion into blood and lymph 3. 3. propulsion - mixing back and forth for increased absorption 6. 6. 1. 2. 3. 4. 3. 3. 1. 2. (1) (1) diarrhea Large Intestine 1. 1.5m x 7cm 2. 4 regions 1. 1. cecum - receives food from ileum, short pouchlike, (1) (1) vermiform appendix 2. 2. colon - longest region, ascending, transverse, descending, and sigmoid colons 3. 3. rectum - located in pelvic cavity 4. 4. anal canal - opens into anus, 2 sphincters 3. wall of Lg I. 1. 1. 4 basic layers, lack villi 2. 2. plicae circulares - permanent folds in mucosa and submucosa of sm. and lg. intestines, moves chyme in spiral flow 3. 3. anal columns - parallel folds in anal canal, reduce friction 4. functions 1. 1. feces formation - absorption of water and electrolytes, hardening of chyme into feces 2. 2. defecation - feces stored in rectum until its full, nerve receptors initiate def. reflex >>increased peristalsis and relaxation of internal sphincter and urge Accessory Organs 1. Pancreas 1. 1. structure 1. 1. acini 2. 2. pancreatic juice 3. 3. pancreatic duct 2. 2. functions 1. 1. p. amylase 2. 2. trypsin, chymotrypsin, carboxypeptidase 3. 3. p. lipase 4. 4. nuclease 3. 3. regulation 1. 1. control center 2. 2. secretin 3. 3. cholecystokinin 2. Liver 1. 1. structure 1. 1. lobes and lobules 2. 2. hepatocytes 3. 3. sinusoids 4. 4. Kupffer cells 5. 5. bile 6. 6. hepatic duct, cystic duct, common bile duct 2. 2. functions 1. 1. bile 2. 3. 4. (1) (2) 2. 3. (1) 4. (1) emulsification (2) Vitamins A, D, E, K blood glucose fat metabolism (1) lipoproteins (1) (1) HDLs, LDLs, VLDLs (2) (2) atherosclerosis protein metabolism 3. 3. 1. 2. 3. 5. 5. toxic materials 6. 6. red blood cells Gallbladder 1. location 2. function 1. 1. store and concentrate bile 3. sphincter of Oddi