Digestive System ST120 Concorde Career College, San Antonio Digestive System Objectives: Define the term digestion. Describe the functions of the digestive system. Digestive System Objectives: List and identify the structures of the digestive system and describe the function of each. List and identify the accessory structures of the digestive system and describe the function of each. Digestive System Objectives: Describe the importance of adequate nutrition. Describe the mechanism by which the digestive system helps to maintain homeostasis. Digestive System Objectives: Describe common diseases, disorders, and conditions of the digestive system including signs and symptoms, diagnosis, and available treatment options. Demonstrate knowledge of medical terminology related to the digestive system verbally and in the written form. Digestive System Digestion Mechanical, chemical, and enzymatic process by which ingested food is converted into material suitable for use at the cellular level. Digestive System Functions of the Digestive System Digestion Absorption Note: The digestive tract is also referred to as the alimentary tract or canal. Wall of the Digestive Tract From outermost to innermost Serosa (visceral peritoneum) Muscularis (2 layers) Submucosa Mucosa Peritoneum Parietal - lines the abdominal cavity Visceral - covers the organs Mesentery Fanlike peritoneal fold that is attached posteriorly and attaches to the small intestine Contains blood vessels, nerves, and lymphatic structures Mesocolon Fanlike peritoneal fold that is attached posteriorly and attaches to the large intestine Contains blood vessels, nerves, and lymphatic structures Diseased Mesocolon Greater Omentum Flap-like peritoneal structure containing fat that extends from the greater curvature of the stomach to the pelvis Torsion of the Greater Omentum Lesser Omentum Extends between the lesser curvature of the stomach and the liver Digestive Organs Organs of the digestive tract (pathway) Accessory organs Main Structures of the Digestive Tract Mouth Pharynx Esophagus Stomach Small Intestine Large Intestine Oral Cavity Functions: Ingestion Prepare ingested items for digestion Begin digestion of starch Oral Cavity Teeth Deciduous Permanent Structure Mastication & Deglutition Mastication Salivary glands Muscles Deglutition Muscles Salivary Duct Stone Pharynx and Esophagus Convey ingested items to the stomach Deglutition Note movement of food bolus Impacted Esophageal Food Bolus Stomach Divisions Curvatures Sphincters Muscles Rugae Gastric Juices Chyme Rugae Gastrectomy Specimen Stomach Interior Goblet Cells - Produce mucus Parietal Cells - Produce hydrochloric acid Chief Cells - Produce pepsin Small Intestine Duodenum Jejunum Ileum Villi Large Intestine Cecum Ileocecal valve Vermiform appendix Ascending colon Transverse colon Descending colon Sigmoid colon Rectum Anus Colectomy Specimen Colectomy Specimen (Opened) Rectum and Anus Rectum Valves of Houston Anus Anal columns Anal sinuses Anal valves Internal sphincter External sphincter Accessory Structures Liver Gallbladder Pancreas Liver Largest glandular organ in the body RUQ Two main lobes (right and left) Two small inferior lobes on the right Gallbladder Located on the inferior surface of the liver Stores bile Biliary Tree Biliary Tree Pancreas Endocrine gland Exocrine gland Extends from the duodenum (head) to the spleen (tail) Digestion Breakdown of foods into usable substances Endoscopic Procedures Esophagogastroduodenoscopy: visualization of the esophagus, stomach, and duodenum Colonoscopy: visualization of the inner surface of the entire colon from the rectum to the cecum. Sigmoidoscopy: visualization of the sigmoid colon Capsule endoscopy: a tiny video camera in a capsule that the pt. swallows. For 8 hrs it passes through the small intestine and transmits images of the walls of the small intestine. Colonoscopy Intestinal Disorders Diverticulosis: the condition of having diverticula Enteritis: inflammation of the small intestine caused by eating or drinking substances contaminated with viral and bacterial pathogens small pouch or sac occurring in the lining or wall of a tubular organ such as the esophagus or colon Gastroenteritis Irritable bowel syndrome: (IBS) unknown cause with symptoms that include cramping, abdominal pain, bloating, constipation, and/or diarrhea. Diverticular Disease Some Procedures Gastrectmy Cholecystectomy Whipple pancreatectomy Diverticulectomy Ileectomy Jejunectomy Duodenectomy Colectomy Sigmoidectomy Proctectomy