Anatomy and Physiology II Student Outline – Digestive System The Digestive System 1. Introduction A. B. C. D. 2. Gastrointestinal (GI) Tract or Alimentary canal Associated Structures Digestive Processes i. Chemical Digestion ii. Mechanical Digestion Tissue Structure i. Mucosa ii. Submucosa iii. Muscalaris Externa iv. Serosa. Mouth A. Buccal Cavity B. Oral Cavity Proper i. Fauces C. Mastication (“Chewing”) D. Lips and Cheeks • Orbicularis Oris • Trigeminal Nerve • Well Vascularized Page 1 Anatomy and Physiology II Student Outline – Digestive System i. Labial Frenulum ii. Lingual Frenulum iii. Vermilion or Red Free Margin iv. Tissue of Cheeks a. Mucous Membrane: Stratified Squamous Epithelium E. Teeth and Gums i. Dentition a. Incisors b. Canines c. Premolars d. Molars • Wisdom Teeth ii. Deciduous Teeth iii. Permanent teeth Incisors Canines Premolars Molars Deciduous Teeth 4 2 4 0 Page 2 Permanent Teeth 4 2 4 6 Anatomy and Physiology II Student Outline – Digestive System F. iv. Periodontal Ligaments v. Tooth Anatomy a. Root b. Crown c. Neck d. Apical Foramen f. Root Cavity vi. Chewing (Mastication) vii. Gums or Gingivae • Firm Connective Tissue • Mucous Membrane • Stratified Squamous Epithelium • Mucous Membrane Tongue i. Function ii. Anatomy of Oral Part a. Body • b. iii. Taste Buds Pharyngeal Part Skeletal Muscle and Fine Motor Control a. Extrinsic Muscles b. Intrinsic Muscles Page 3 g. h. i. j. Enamel Dentine Cement Pulp Anatomy and Physiology II Student Outline – Digestive System G. Palate i. Hard Palate ii. Soft Palate a. H. Uvula Salivary Glands i. Saliva a. Composition • ii. iii. Mucin b. Salivary Amylase c. Bicarbonate Glands a. Parotid Glands b. Submandibular Glands c. Sublingual glands Control of Salivary Secretion a. Autonomic Nervous System • Parasympathetic Stimulation * • Watery Secretion Sympathetic stimulation * Thick Mucus Page 4 Anatomy and Physiology II Student Outline – Digestive System 3. 4. Pharynx (Same as in Respiratory System) A. Nasopharynx B. Oropharynx C. Laryngopharynx Esophagus A. B. 5. Sphincters i. Superior Esophageal Sphincter ii. Lower Esophageal Sphincter Histology i. Mucosa iii. Muscularis Externa ii. Submucosa iv. Adventitia Swallowing or Deglutition • Bolus A. Voluntary Oral Phase B. Pharyngeal Phase. C. • Peristalsis • Epiglottis Involuntary Esophageal Phase i. Peristalsis Page 5 Anatomy and Physiology II Student Outline – Digestive System 6. Abdominal Cavity and Peritoneum A. Abdominal Cavity i. Abdominal Viscera ii. Peritoneum a. Parietal peritoneum b. Visceral peritoneum c. Peritoneal cavity d. Serous fluid e. Mesenteries • B. Abdominopelvic Cavity i. 7. Intraperitoneal and Retroperitoneal Organs Pelvic Viscera Stomach A. B. Anatomy i. Greater Curvature iii. Lower Esophageal Orifice ii. Lesser Curvature iv. Pyloric Orifice Regions i. Cardiac Region iv. Pyloric Region ii. Cardiac Orifice v. Pyloric Canal iii. Body vi. Fundis Page 6 Anatomy and Physiology II Student Outline – Digestive System C. Histology i. D. Muscularis Externa a. Longitudinal Layer b. Circular Layer c. Oblique ii. Rugae iii. Gastric Pits Functions of Stomach • E. F. Chyme Digestive Movements i. Peristaltic Mixing Waves (Stomach Churning) ii. Pyloric Pump Regulation and Secretion of Gastric Juices (Pull out handout on Digestive Regulation) i. Means of Control: a. Neural Control b. ii. Hormonal Control • Secretin • Cholecystokinin Phases a. Cephalic Phase b. Gastric Phase (and feedback mechanisms) c. Intestinal phase (and feedback mechanisms) Page 7 Anatomy and Physiology II Student Outline – Digestive System 8. Small Intestine A. B. C. Anatomy i. Duodenum ii. Jejunum iii. Ileum Small Intestine: Adaptations to Increase Absorptive Surface Area i. Plicae circulares ii. Villi • Intestinal Glands (Crypts of Lieberkühn) • Lacteal • Microvilli Aggregated Lymph Nodules Cell Types in the Small Intestine i. Columnar Absorptive Cells ii. Undifferentiated Cells iii. Mucous Goblet Cells iv. Enteroendocrine Cells D. Digestive movements of the small intestine i. Segmenting Contractions ii. Peristaltic Contractions Page 8 Anatomy and Physiology II Student Outline – Digestive System E. Digestive Enzymes in the Small Intestine i. Enterokinase ii. Disaccharidases a. iii. Lactase and Lactose Intolerance Aminopeptidases (Pull out hand out on Protein Catabolism) This handout consists of TWO sections. The section on protein catabolism you are responsible for. The section on Amino Acids and protein structure, is for review, if you like. iv. F. Lipase Absorption from the Small Intestine i. Carbohydrates ii. Proteins iii. Lipids – (Pull out your handout on Lipid Digestion(ESSAY ALERT ! )) Page 9 Anatomy and Physiology II Student Outline – Digestive System 9. Pancreas as a Digestive Organ A. B. Gross Anatomy i. Head ii. Body iii. Tail Microscopic Anatomy • Acini • Main Pancreatic Duct (Duct of Wirsung) • Hepatopancreatic Ampulla (Ampulla of Vater) • Accessory Pancreatic Duct (Duct of Santorini) Page 10 Anatomy and Physiology II Student Outline – Digestive System C. 10. Select Pancreatic Enzymes i. Pancreatic Lipase ii. Pancreatic Amylase iii. Pancreatic Proteolytic Enzymes The Liver as a Digestive Organ A. Anatomy i. Falciform Ligament ii. Right lobe iii. B. a. Quadrate Lobe b. Caudate Lobe Left Lobe Vessels of the Liver i. Hepatic Artery ii. Hepatic Portal Vein iii. Hepatic Vein iv. Bile Canaliculi • Right and Left Hepatic Ducts • Cystic Duct • Common Bile Duct Page 11 Anatomy and Physiology II Student Outline – Digestive System C. D. Microscopic anatomy i. Lobules ii. Hepatic Cells (Hepatocytes) iii. Portal Area iv. Sinusoids Functions of the Liver i. Metabolic Functions ii. Storage Functions iii. Bile Secretion a. 11. Gallbladder and Biliary System A. 12. Enterohepatic Circulation. Biliary System Large Intestine A. B. C. Gross Anatomy i. Cecum iv. Descending Colon ii. Ascending Colon v. Sigmoid Colon iii. Transverse Colon External Anatomy i. Taeniae Coli ii. Haustra Microscopic Anatomy of the Large Intestine Page 12 Anatomy and Physiology II Student Outline – Digestive System D. E. F. Functions of the Large Intestine i. Bacterial Activity ii. Composition of Feces iii. Movements of the Large intestine a. Houstral Contractions b. Gastrocolic Reflex and Mass Movements c. Gastrocolic Reflex Defecation Reflex d. Duodenocolic Reflex Rectum i. Anal Canal ii. Internal Anal Sphincter iii. External Anal Sphincter iv. Plicae Transversales v. Anal Columns vi. Hemorrhoidal Plexus Defecation Reflex Page 13