Digestion Chapter 23 Biology 2122 Introduction Alimentary canal and the accessory digestive organs General processes of digestion Ingestion Propulsion Mechanical and chemical digestion Absorption and defecation The Digestive Process – An Overview Digestive Processes Peristalsis and Segmentation Animation Functional concepts and Controls Initiated by both mechanical and chemical stimuli (23.4) •Sensors located in the G.I tract respond to stretching, osmolarity (solute concentration) and pH levels Extrinsic control (external stimulus); intrinsic (nerve plexuses in the walls of the digestive tract Digestive Cavities The peritoneum is the serous membrane digestive cavity 1. Visceral peritoneum 2. Parietal peritoneum 3. Peritoneal cavity Mesentary It is a double serous membrane Retroperitoneal organs Intraperitoneal organs Histology 1. Mucosa produces mucus, digestive enzymes, hormones absorption of nutrients Sublayers of the mucosa ▪ (a). Epithelium ▪ (b). Lamina propria ▪ (c). Muscularis mucosae 2. Submucosa Dense irregular CT Histology 3. Muscularis Externa or “muscularis” – promotes peristalsis 4. Serosa – “viseral peritoneum” – areolar CT – mesothelium Anatomy of the Digestive System 1. Mouth (buccal cavity) Stratified squamous epithelium (walls); slight keratin build up on tongue Defensins 2. Palate hard palate (anterior) and the soft palate (posterior) formed from skeletal muscle Uvula is attached to the soft palate Animation 3. Tongue -skeletal muscles – Formation of the Bolus – Intrinsic muscles allow the tongue to change shape – Extrinsic muscles allow the tongue to protrude, retract and sideways movement. – Contains both fungiform and circumvallate papillae • taste buds • 4. Salivary glands – Submandibular, sublingual glands – Largest - parotid gland • Mumps- inflammation of the parotid glands – Contains 99% water; 7 pH; electrolytes, muscin, lysozyme proteins – Controlled by facial VII and glossopharyngeal IX nerves Anatomy- Mouth Anatomy 5. Classification of teeth on page 893 – 6 mo. teeth appear; 24 mo. All 20 milk teeth emerge – Permanent and deciduous or baby teeth (6-12 yrs) – Wisdom teeth complete the full set (17-25 yrs) – Incisors (cutting of food); canines (tear); premolars or bicuspids and molars (grinding and crushing) – Structure • Crown is the enamel cover that covers the gingiva or gum • Root – most teeth have one root (except for the first two upper molars have 3); outer part covered by cementum (CT) which attaches to periodontal ligament which anchors tooth in the bony alveolus of jaw • Crown and root connected by neck • Dentin forms bulk of tooth and surrounds the pulp cavity which contains CT, BV, NF; collectively called the pulp. • Root canal is where pulp cavity extends into the root Anatomy- Pharynx and Esophagus 6. Pharynx Mucosa contains stratified squamous epithelium (with goblet cells) Double external layer 7. Esophagus is about 25 cm long (2.5 m) Passes through the diaphragm esophageal hiatus Meets the stomach at the cardiac oriface ▪ Control of food – cardiac sphincter ▪ Heartburn Animation Digestion Begins in the Mouth –Salivary Glands Parotid Sublingual Submandibular Saliva Saliva is produced by extrinsic and intrinsic salivary glands Saliva is a hypo-osmotic solution consisting of around 99% water Other than it’s role in digestion, it also provides a protective role (anti-microbial) – IgA antibody – Lysosyme- antibacterial effects – Defensins – Cyanide Saliva Friendly bacteria on the back of the tongue – ‘NO’ Secretion modes Intrinsic Extrinsic Salivary gland control 1000 to 1500 ml/day Parasympathetic NS control Chemoreceptors pass afferent impulses to the salivatory nuclei in the pons/medulla; efferent impulses returned via the facial (VII) and glossopharyngeal nerves (IX) Digestive Processes in the Mouth, Pharynx and Esophagus 1. Mechanical digestion begins with mastication 2. Deglutition -coordinated by 22 different muscles – Two phases • Buccal phase • Pharyngeal phase 3. From the oropharynx to the stomach takes 4-8 seconds and fluids only around (2) seconds 4. A bolus moves down the esophagus to the stomach The stomach contains the 4 tunics – Extra layer of smooth muscle (oblique) – Simple columnar epithelial cells – Rugae The Cardia, Fundus, Body and Pylorus Glands of the fundus and body contain the following secretory cells – mucosal neck cells – Parietal cells Stomach anatomy Glands of the Stomach Gland cells and secretions 1. Chief cells 2. Enteroendocrine Cells ▪ Functions in 23.1 3. Gastrin Animation Stomach forms a ‘mucosal barrier’ to protect itself Gastric Ulcers and H.Pylori - Animation Innervation – Blood Supply Automatic nervous system Sympathetic thoracic splanchnic nerves from the celiac plexus ▪ Reduces digestive activity Parasympathetic nerves (via Vagus X) Celiac trunk Provides arterial blood supply Liver, Stomach and Spleen Hepatic portal system veins drain into hepatic portal vein Stomach and Omentum • Omentum – mesenteries – 1. Greater and Lesser Omentums – 2. Greater and Lesser Curves Digestive processes in the Stomach 1. Only protein digestion occurs in the stomach 2. Controlled by Nervous controls Hormonal controls 3. Phases of Gastric Secretions (a). Cephalic Reflex (b). Gastric Digestive processes in the stomach 3. Phases of Gastric Secretions – (c). Intestinal • Excitatory • Inhibitory • Animation Neural and Hormonal mechanisms – Gastric Juice Stomach Emptying As more than 1 liter of food enters the stomach pressure begins to rise This causes a reflexive relaxation 1. Receptive relaxation 2. Adaptive The stress-relaxation response by the stomach Peristalsis begins at the cardiac sphincter and increases near the pylorus The Small intestine Begins at the pyloric sphincter (epigastric region) ends at the ileocecal valve – joins the large intestine 6-7 m long Three subdivisions 1. Duodenum -25 cm long 2. Jejunum - 2.5 meters long 3. Ileum - 3.6 m long; ends at the ileocecal valve The vagus nerve (parasympathetic) and thoracic splanchnic nerves (sympathetic) Arterial supply - superior mesenteric artery Microscopic Anatomy – Small Intestine Modifications for Absorption 1. Plicae circulares 2. Villi –include absorptive cells 3. Microvilli - “brush borders” ▪ Contain enzymes that complete digestion Epithelia of the mucosa Contains goblet cells; enteroendocrine cells cells (CCK and secretin) T cells Histology of the Small intestine Pits - intestinal crypts or crypts of Lieberkuhn Intestinal juice Paneth cells Submucosa Areolar CT ; Peyer’s patches Brunner’s glands Intestinal Juice 1-2 L/day; 7.4-7.8 pH; mostly water with mucus with low levels of enzymes Digestive Processes in the small intestine Most of the enzymes important for chemical digestion comes from the liver and pancreas Chyme slowly enters the duodenum - hypertonic Controlled peristaltic movements mix juices and foods Takes about 2 hrs for food to move from beginning to end Mobility patterns are coordinated by enteric neurons of the GI tract wall Ileocecal sphincter and Valve Largest gland in the body (1.4 kg) four lobes main function is to filter and process nutrients in the blood Gall bladder Bile leaves the liver through the common hepatic duct which fuses with the cystic duct which drains the gall bladder to form the bile duct The lesser omentum (dorsal mesentery) anchors the liver to the lesser curvature of the stomach Hepatic artery and vein; Hepatic artery and vein enter the liver through the porta hepatis The Liver Functional units – called liver lobules which is hexagonal containing plates of liver cells (hepatocytes) Liver Sinusoids Hepatic veins and arteries central vein Kupffer cells Bile flows through the bile canaliculi that run between hepatocytes Histology of the liver Bile and the gall bladder The gallbladder stores bile The excretion of bile Regulation of bile release CCK Bile contains bile salts, pigments, cholesterol, neutral fats, phospholipids and electrolytes Bile • Bile salts emulsify fats – Increases fat and cholesterol absorption • Bile is not excreted via feces – Enters enterohepatic circulation – Reconstituted into new bile • Bilirubin is the main bile pigment that is a waste product of the heme of hemoglobin Produces enzymes – Enzymes – digest all major macromolecules Pancreas contains – Acini secretory cells – Pancreatic islets (endocrine) Pancreatic Juice - water(most), enzymes and electrolytes • Proteases – Trypsinogen – Chymotrypsinogen • Amylases • Lipases • Nucleases The pancreas Regulation of Pancreatic Secretions –Parasympathet ic nervous system control –CCK is released when proteins and fats enter –Secretin Pancreas The large intestine Extends from the ileocecal valve to the anus and has a diameter of 7 cm Function Subdivisions are the cecum, appendix, colon, rectum and anal canal Colon is divided into the ascending colon, transverse colon, and descending colon Large intestine Transverse Descending Haustrum Ascending Teniae coli Sigmoid Cecum Appendix Rectum Large Intestine Muscularis contains three bands of smooth muscle (teniae coli) Haustra Large intestine Bacterial flora Synthesize some B vitamins and vitamin K (clotting factors) Mesenteries 2x peritoneum extends to the organs from the body wall. Function is to provide blood and nerve supply; lymph; holds organs in place and stores adipose tissue Mostly dorsal and attaches to posterior abdominal wall; few ventral mesenteries (omenta) Parts of large intestine and pancreas not suspended by mesentery (lie posterior to the peritoneum) “retroperitoneal Large intestine Digestive Processes and elimination Main function is elimination not absorption Muscles here are inactive most of the time and at times move sluggishly “haustral contractions” that occur every 30 minutes Mass peristalsis Stool contains undigestive foods, mucus, old epithelial cells, bacteria and small amounts of water 500 ml of food enter and only 150 ml exit as feces Defecation Reflex is activated by the stretching of the walls Parasympathetic reflex Animation Mucosa and defecation Columnar Cells with Goblet Chemical digestion-carbohydrates Chemical digestion of starch begins in the mouth Salivary amylase in saliva begins the process of starch digestion Works best in pH of 6.75 to 7.00 Oligosaccharides are larger than disaccharides but smaller than polysaccharides Amylase is inactivated by stomach acid Pancreatic amylase finishes off what salivary amylase cannot digest Absorption Facilitated diffusion (fructose); cotransport (glucose and galactose) Protein digestion Includes both enzyme and dietary forms Digested into amino acid monomers Begins in the stomach Pepsin cleaves Polypeptides between tyrosine and phenylalanine Absorption Coupled to active transport of sodium; Protein digestion lipids Almost all lipid digestion occurs in the small intestines Pancreas produces lipase enzymes Bile salts emulsify fats See next slide Absorption (next slide) Fat digestion and absorption Nucleic acids