ANATOMY OF DIGESTIVE SYSTEM BMS 231: 2015/2016 DR SOBIA IKRAM DR AQEELA BANO DR SADIA FARHAN Table of Contents 1. Objectives for this lesson 2. Function of the Digestive system and the organs involved and Anatomyof the Layers and Membranes of the gut. 3. Gross Anatomy and functions of the Oral cavity, Esophagus 4. Gross Anatomy and functions of the Stomach , Small Intestine and Large Intestine. 5. External Anatomy and Functions of the Liver, Gall Bladder and Pancreas Objectives When you finish this lesson, you should be able to • Describe the Functions of the Digestive system and the process of Digestion Involved. • Name the Layers and Membranes of the gut . • Identify the Location, External Anatomy and Function of the Oral cavity, Esophagus, Stomach, Small Intestine, Large Intestine. • Identify the Location, External Anatomy and Function of the Liver, Gall Bladder and Pancreas. • Understand the Interaction and Importance of all the organs working together in the Digestive system. DIGESTIVE SYSTEM Digestive system is responsible for breaking down of food into small absorbable nutrients to get energy for all body functioning. It consist of 1. MUSCULAR HOLLOW TUBE (THE DIGESTIVE TRACT) 2. ACESSORY ORGANS. Functions Of Digestive system • ingestion • mechanical digestion • chemical and enzymatic digestion • secretion • absorption • compaction • excretion and elimination Functions Of Digestive system Peritoneum - serous membrane lining the abdominal cavity is called peritoneum. Mesenteries - double sheets of peritoneum are called Mesentery 1. Greater omentum 2. Lesser omentum 3. Mesentery proper 4. Mesocolon Oral Cavity • Also called buccal cavity • Hard and soft palates - forms roof of mouth • Tongue - skeletal muscle • Salivary glands - three pairs • Teeth Three pairs of Salivary Glands 1. Parotid gland 2. Submandibular gland below the mandible 3. Sublingual gland -below the tongue ESOPHAGUS Esophagus is a tube like structure. It is usually 25 cm in adults but variations are present. It has three parts anatomically 1. Cervical 2. Thoracic 3. Abdominal ESOPHAGUS Esophagus has two sphincters 1. Upper – present at the level of pharynx. 2. Lower - present at the level where esophagus enters the stomach. These sphincters are important as they prevent the reflux of food in backward direction. ESOPHAGUS Gross Anatomy of the Stomach Lesser curvature Greater curvature Cardia Fundus Body Antrum Pylorus Rugae GROSS ANATOMY OF STOMACH CORONAL SECTION OF STOMACH GROSS ANATOMY OF STOMACH There are two sphincters of the stomach 1. First at the junction of esophagus with stomach at the level of cardia called cardiac sphincter or lower esophageal sphincter. 2. Second at the junction of stomach with duodenum at the level of pylorus called pyloric sphincter. Gross anatomy of small intestine Small intestine is the longest part of digestive system. 1. Duodenum :(short, 12 inches) fixed shape & position. 2. Jejunum :(2.5 m long) Most of digestion happens in the jejunum. 3. Ileum :(longest part of small intestine 3.5 m) Regions of Large Intestine Caecum is the pocket like part at the proximal end of the large intestine with appendix. Colon Ascending colon on right side of the abdomen. Transverse colon horizontal portion of the large intestine. Descending colon On left side of the abdomen. Sigmoid colon S shaped bend near terminal end of the large intestine. Fig 25-1 Rectum Rectum Terminal end of large intestine ending at the anus - it has internal involuntary sphincter and external voluntary sphincters. Liver Largest organ that is present on the under surface of diaphragm on right side of abdomen. It has four lobes 1. Right and left main lobes. 2. Caudate and quadrate lobes on the inferior surface. FUNCTIONS OF LIVER Metabolic Functions 1. Synthesis of Bile 2. Breakdown of Fats 3. Other functions – storage of vitamin A,D,B12,.. Excretion of waste products from bloodstream into bile Vascular – storage of blood ANATOMY OF GALL BLADDER 1. 2. 3. 4. Pear-shaped sac. 30-50 ml capacity for bile storage. Located on the inferior surface of the liver. Gives off cystic duct that join with common hepatic duct to make common bile duct, it put the bile secretions into duodenum. ANATOMY OF PANCREAS 1. Gland with both exocrine and endocrine functions. 2. 15-25 cm long approximately. 3. Location: retro-peritoneum, 2nd lumbar vertebral level 4. Parts of pancreas: head, neck, body , tail and uncinate process. ANATOMY OF PANCREAS SECRETIONS OF PANCREAS Alpha cells produce glucagon. Beta cells produce insulin. Delta cells produce somatostatin