The DIGESTIVE System
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Digestion
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The breaking down of food by both
mechanical and chemical means
Mechanical Digestion - various movements of
the alimentary canal that aid in chemical
digestion
– Grinding of teeth to soften food
– Churning of food by smooth muscles to mix with
digestive enzymes
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Chemical Digestion - series of catabolic
reactions that break down large molecules
into smaller molecules
Saliva would be considered
A.) mechanical digestion
B.) chemical digestion
Absorption
The passage of digested food from
the alimentary canal into the
cardiovascular and lymphatic
systems for distribution to body
cells
Defecation (Excretion)
The elimination of indigestible
substances from the alimentary
canal
Ingestion
Taking food into the body
(EATING)
Movement (Propulsion)
Passage of food along the
alimentary canal
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Types of Digestion
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Chemical digestion is the chemical
breakdown of larger nutrient molecules
to smaller ones which can be absorbed
and used by the body.
Mechanical digestion is the physical
breakdown of food into smaller pieces.
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Gastrointestinal Tract
(Alimentary Canal)
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A continuous tube running through the
ventral body cavity extending from the
mouth to the anus
Organs of the Alimentary Canal
– mouth
– stomach
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- pharynx
- S. intestine
Accessory Organs
– teeth
– salivary glands
– gallbladder
- tongue
- liver
- pancreas
- esophagus
- L. intestine
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Structures of the
Digestive System
Mouth
(Oral or Buccal Cavity)
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Cheeks
Lips (Labia)
– Vestibule
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Hard Palate
Soft Palate
– Uvula
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Tongue
– Papillae
– Lingual Frenulum
Oral Cavity
Pharynx
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Also called the throat.
Serves as a passageway for food and
air.
Also helps in the formation of words.
Esophagus
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Muscular tube located posterior to the
trachea
About 10 inches long
Does not participate in digestive
processes - simply a transport corridor
Food is pushed through the esophagus
by peristaltic action
Forces food down into the stomach
– Esophageal hiatus - opening in the
diaphragm for the esophagus
Food moves down the esophagus
by way of
A.) gravity
B.) peristalsis
C.) halstral churning
Lining of the
Esophagus
Stomach
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J-shaped enlargement of the digestive
tract located just below the diaphragm
Superior portion - continuation of the
esophagus
Inferior portion empties into the
duodenum
Position and size of the stomach varies
from individual to individual
Histology of the Stomach
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Composed of the same four tissue types as
the other structures of the alimentary canal
When the stomach is empty the mucosa lie in
large folds called rugae
mucosa contains millions of tiny openings
called gastric pits that open into gastric
glands
– Secretes digestive enzymes and a fluid called
gastric juice (2-3 liter per day)
Histology of the Stomach
Small Intestine
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The next part of the alimentary canal.
Divided into three sections – the
duodenum, jejunum, and ileum.
In the duodenum, chemical digestion is
completed.
The majority of nutrients are absorbed
in the jejunum and ileum.
Large Intestine
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The last part of the alimentary canal.
Responsible for the absorption of water,
compaction of feces, and the production
of Vitamin K.
Accessory Organs
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The accessory organs include the liver,
gallbladder, pancreas, and salivary
glands which will be discussed in more
detail later on in this unit.
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Salivary Glands
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Paired accessory structures that lie
outside the oral cavity
Secrete their contents (saliva) into ducts
that empty into the mouth
Parotid Glands - underneath the ears
Submandibular Glands - under the
mandible
Sublingual Glands - under the tongue
Salivary Glands
Saliva
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Fluid secreted by the salivary glands
99.5% water
.5% solutes
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chlorides
- bicarbonates
potassium
- phosphates
uric acid
- globulin
serum albumin
- sodium
- urea
-mucin
Salivary amylase - digestive enzyme
– begins carbohydrate digestion in the mouth
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Lysozyme - destroys bacteria in the mouth
Digestion in the Mouth
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Mechanical Digestion
– Chewing (Mastication)
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Tongue manipulates the food
Teeth grind up the food and mix it with saliva
The result of mechanical digestion is a
soft flexible mass of food called a bolus
Chemical Digestion
– Salivary amylase initiates the breakdown
of carbohydrates
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Teeth
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Accessory structures of the digestive system
Deciduous teeth (baby teeth) - 20
Permanent teeth - 32
Incisors (8) - 4 on top, 4 on bottom
– chisel shaped - front of mouth
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Canines (4) - 2 on top, 2 on bottom
– sharp pointed tearing teeth
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Premolars (8) - 4 on top, 4 on bottom
Molars (12) - 6 on top, 6 on bottom
– broad, flat, crushing teeth
Teeth
Portions of the Tooth
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Crown - exposed portion of the tooth
above the gum line
Neck - constricted junction line in the
tooth between the crown and the root
Root - one to three projections of the
tooth that are embedded in the sockets
of the alveolar processes of the
mandible and maxillae
Tooth Structures
Dental caries
Composition of Teeth
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Enamel - outermost portion of the
tooth, protects the tooth from wear and
tear
– the hardest substance in the body
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Dentin - calcified connective tissue that
gives the tooth its basic shape and
rigidity
Pulp Cavity - large cavity enclosed by
the dentin that is filled with pulp
Cementum - a bone-like substance that
covers the dentin of the root
Periodontal Ligament
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An area of dense fibrous connective
tissue attached to the socket walls and
the cemental surface of the roots of the
teeth
Anchors teeth in position
Serves as a shock absorber when
chewing
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Swallowing (Deglutition)
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Moving food from the mouth to the
stomach
Voluntary Stage - bolus is moved
through the mouth into the oropharynx
Pharyngeal Stage - involuntary passage
of the bolus through the pharynx and
into the esophagus
Esophageal Stage - involuntary passage
of the bolus through the esophagus and
into the stomach
Swallowing
Deglutition
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Features of the Stomach
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Cardiac Region – where the stomach is
connected to the esophagus.
Fundus – the rounded, superior area of
the stomach that acts as a temporary
storage for food.
Body – the large, central portion of the
stomach below the fundus.
The term for chewing is
A.) segmentation
B.) haustral churning
C.) maceration
D.) mastication
The top of the stomach is the
A.) fundus
B.)cardiac region
C.) pylorus
fundus
Body of stomach
Features of the Stomach
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Pylorus – the narrow, inferior region of
the stomach.
Rugae – the folds in the stomach that
allow for stretching of the stomach with
the intake of food.
Pyloric Sphincter – the one-way valve
located between the stomach and the
duodenum.
Structures of the Stomach
pylorus
Pyloric spincter
Stomach Structures
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Secretory Cells of the
Gastric Glands
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Chief Cells
– Digestive enzymes
– Pepsinogen activated by HCl and converted to
– Pepsin
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Parietal Cells
– HCl
– Intrinsic Factor (absorption of Vitamin B12)
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Goblet Cells
– Secrete mucus to protect the stomach mucosa
from the acidic environment
Which cell secrete HCL
A.) chief cells
B.) parital cells
C.) goblet cells
Gastric Gland
Gastric
Gland
Mechanical Digestion in the
Stomach
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Several minutes after food enters, the
stomach generates mixing waves that
churns the food inside - maceration
Food mixes with gastric juices and is
converted into a thin liquid called
chyme
Chemical Digestion in the
Stomach
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Cephalic Phase - reflexes initiated by sensory
receptors in the head
– sight
- smell
– thought of food
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- taste
Gastric Phase - sensory receptors in the
alimentary canal and stomach initiate
nervous and hormonal chemical digestive
processes
Intestinal Phase - secretion of stomach
enzymes that removes nutrients from food
Absorption in the Stomach
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Does not participate in the absorption of food
molecules into the blood
However, can absorb some substances
through the stomach wall
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Water
Weak glucose concentrations
Electrolytes
Certain drugs (aspirin)
Alcohol
Which of the folllowing would
NOT be absorbed by the stomach?
A.) water
B.) sugar
C.) protein
D.) drugs
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Pancreas
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Oblong gland that lies posterior to the
greater curvature of the stomach
Connected by ducts to the duodenum
Composed of clusters of glandular
epithelial cells
Two main types of Pancreatic Cells:
– Pancreatic Islets-Islets of Langerhans (1%)
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Hormones: insulin, glucagon, somatostatin
– Acini Cells (99%)
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Digestive pancreatic enzymes
Pancreas
pancreas
Pancreatic Juice
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Alkaline mixture of fluid and digestive
enzymes from the acini cells
Pancreatic digestive enzymes:
– Pancreatic amylase - carbohydrate
digestion
– Pancreatic lipase - fat digestion
– Chymotrypsin-Trypsin-Carboxypeptidase
- protein digestion
– Nucleases - nucleic acid digestion
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Regulated by the intestinal hormones
secretin and cholecystokinin
Which enzyme helps with the
absorption of carbohyrates?
A.) tripsin
B.) amylase
C.) lipase
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Liver
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Located just under the diaphragm on the
right side of the body
Largest organ of the abdominal-pelvic cavity
Weighs about 1.4 kgs (3 lbs)
Called the chemical factory of the body
Completely covered by the peritoneum and a
dense layer of connective tissue beneath the
peritoneum
Anatomy of the Liver
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Right Lobe - largest lobe of the liver
– Located on the lateral-right side of the body
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Caudate Lobe - posterior portion of right lobe
Quadrate Lobe - inferior portion of right lobe
Left Lobe - smaller, medial lobe of the liver
Falciform Ligament - separates the right and
left lobes of the liver and anchors it to the
diaphragm and anterior abdominal wall
R lobe of liver
L lobe liver
Liver and Pancreas
Lobules of the Liver
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Smaller functional units of the liver
Hepatocytes in the lobules produce and
secrete a yellowish, brownish, or olive
green liquid called bile (1 quart daily)
– Composed of bile salts and pigments,
lecithin, and several ions
– pH of 7.6 - 8.6
– Excretory product and digestive secretion
– Assists in the breakdown of fat molecules
(emulsification)
– Principle bile pigment is bilirubin
The breakdown of fat is called?
A.) peristalsis
B.) maceration
C.) emulsification
D.) segmentation
Functions of the Liver
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Metabolism of carbohydrates, fats, and
proteins
Removal of drugs and hormones
Excretion of bile
Synthesis of bile salts
Storage of vitamins, minerals, and food
molecules
Phagocytosis of old worn out red and
white blood cells
Activation of Vitamin D
Which is NOT a function of the
liver
A.) activation of vit D
B.) absorption of CHO, fats, & proteins
C.) makes bile
D.) formation of blood
The Gallbladder
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A pear shaped sac about 7 - 10 cm long
Located on the inferior surface of the
liver
Stores and concentrates bile until it is
needed by the small intestine for the
emulsification of fat
Gallbladder
gallbladder
Bile Pathway
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The Small Intestine
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Duodenum - the beginning of the small
intestine where it attaches to the
stomach
– First 6 inches
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Jejunum - the portion of the small
intestine right after the duodenum
– Normally about 8 ft. long
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Ileum - the final portion of the small
intestine
– About 12 ft. long
– Ileocecal valve
jejunum
ileum
The Small Intestine
Wall of Duodenum
Villi in Duodenum
Chemical Digestion of the
Small Intestine
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Complex series of chemical events that
results in the breakdown of
carbohydrates, fats, and proteins
Result of the collective effort of
pancreatic juice, bile, and intestinal
juice which contain digestive enzymes
Results in absorption - passage of
digested nutrients into the blood or
lymph
Mechanisms to Increase
Absorption by the Small
Intestines
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Folds in the intestinal walls of the
mucosa layer of tissue
(Plicae Circulares)
Villi arrangement of tissue of mucosa
layer
– Lacteals - blood capillaries and lymphatic
vessels associated with each villi
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Microvilli arrangement of epithelial
cells of the mucosa
Plicae Circulares
Villi of Small Intestine
Villi with Lacteal
Lining of Ileum
Absorption in the
Small Intestine
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90% of absorption takes place within
the small intestine
– Remaining 10% occurs in the stomach and
large intestine
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Absorption of nutrients occurs through
the villi by means of:
– diffusion
– osmosis
- facilitated diffusion
- active transport
Small Intestine Absorption
Nutrient Absorption
Additional Components of
the Small Intestine
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Intestinal Juice - slightly alkaline secretion
(pH 7.6) secreted by intestinal glands
– rapidly absorbed by the villi and provides a
mechanism for absorption of substances in chyme
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Peyer’s Patches - lymphatic glands of the
small intestine
Brunner’s Glands - mucus secreting glands of
the small intestine
Mechanical Digestion of the
Small Intestine
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Segmentation - localized contraction of
muscles of the small intestine in areas
containing food
– Rate of about 12 - 16 contractions/minute
– Sloshing of chyme back and forth within the
intestinal lumen
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Peristalsis - rhythmical contraction of muscles
of the small intestines that propels chyme
through the intestinal tract
What is the order of the small
intestines?
A.) jejunum, duodenum, ileum
B.) ileum, duodenum, jejunum
C.) duodenum, jejunum, ileum
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The Large Intestine
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About 1.5 m (5 ft) in length
Cecum - beginning of the large intestine
– Vermiform appendix
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Colon - large tube-like portion of large
intestine
– Ascending colon
– Descending colon
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Rectum
Anal Canal
Anus
- Transverse colon
- Sigmoid colon
cecum
Ascending colon
Transverse colon
Descending colon
Large Intestine Structures
Functions of the
Large Intestine
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Completion of absorption
Reabsorption of water
Manufacture of certain vitamins
Formation of feces
Expulsion of feces from the body
Which is not a function of the large
intestine
A.) major absorption
B.) water absorption
C.) formation of vitamins
Histology of the Large
Intestine
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Walls of the large intestine contain no
villi or permanent circular folds in the
mucosa layer
Epithelial tissue layer contain
numerous goblet cells (secretes mucus)
Lubricates the colonic contents as it
passes through the large intestine
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Haustra - series of characteristic pouch
like structures that run the entire length
of the colon
Teniae Coli - bands of smooth muscle
that are arranged longitudinally along
the length of the colon
Anal Columns - parallel ridges of
mucosa in the anal canal which reduces
friction with feces during defecation
Large Intestine Histology
Large Intestine Histology
Mechanical Digestion in the
Large Intestine
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Haustral Churning - the relaxation and
contraction of the individual segments
of the colon
Peristalsis - rhythmical contraction of
the colon that moves the contents along
through the length of the colon
Mass Peristalsis - a strong peristaltic
wave that begins about the middle of
the transverse colon and drives the
colonic contents into the rectum
Chemical Digestion in the
Large Intestine
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Last stage of digestion
Due to bacterial action in the large intestine
Bacteria ferment any remaining
carbohydrates and release hydrogen, carbon
dioxide, and methane gas
Also converts any remaining proteins into
amino acids
Absorbs any remaining water and electrolytes
Feces Formation in the
Large Intestine
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By the time chyme has remained in the
large intestine for 3 - 10 hours it has
become a solid or semi-solid and is
known as feces
Consists of water, inorganic salts,
sloughed off epithelial cells, products
from bacterial decomposition, and
indigestible parts of food
Defecation
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The emptying of the rectum
Diarrhea - frequent defecation of liquid
feces
Constipation - infrequent or difficult
defecation
Parietal peritoneum
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Digestive System Diseases
and Homeostatic Imbalances
Appendicitis
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Inflammation of the vermiform
appendix
Can be caused by an obstruction of the
lumen of the appendix by fecal
material, a foreign body, stenosis,
kinking of the organ, or carcinoma
Cirrhosis of the Liver
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Distorted or scarred liver tissue due to
chronic inflammation
Commonly caused by hepatitis,
chemical exposure, parasites, and
alcoholism
Symptoms include: jaundice, bleeding,
edema, and increased sensitivity to
drugs and chemicals
Tumors of the Digestive
System
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Can occur in all areas of the digestive system
Can be malignant or benign
Colorectal Cancer
– 3rd most common cause of cancer for both males
and females
– Overall mortality rate is over 60%
– Factors contributing to colorectal cancer include
genetic predisposition, diet high in fat, protein,
insufficient dietary fiber, and low calcium and
selenium in the diet
Gall Stones
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Crystallization of bile in the gallbladder
Can block the bile duct causing intense
pain
Usually treated with gall stone
dissolving drugs, lithotripsy, or surgery
Hepatitis
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Inflammation of the liver
Can be caused by viruses, drugs, and
certain chemicals including steroids and
alcohol
Many different types of Hepatitis
including:
– Hepatitis A (Infectious Hepatitis)
– Hepatitis B (Serum Hepatitis)
Hepatitis A
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Infectious hepatitis
Caused by Hepatitis A virus
Spread by fecal contamination of food,
clothing, toys, eating utensils, etc.
Generally a mild disease of children and
young adults
Characterized by anorexia, malaise, jaundice,
nausea, diarrhea, fever, and chills
Hepatitis B
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Serum hepatitis
Caused by the Hepatitis B virus
Transmitted by sexual contact,
contaminated syringes, transfusion
equipment, saliva, tears, and puncture
wounds in the skin
Can produce cirrhosis and possibly
cancer of the liver
Obesity
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Clinically classified as obese if:
– > 30% of projected body weight as determined
height and frame size
– doesn’t factor in Body Composition
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Currently over 50% of U.S. population is
clinically classified as obese
14% of all male cancers linked to obesity
20% of all female cancers linked to obesity
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U.S. surgeon general has said Obesity is
the second most serious threat to the
health of Americans
A serious risk factor for:
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Heart Disease
- Diabetes
Hypertension
- Cancers
Respiratory Disorders
Endocrine Disorders
Gastrointestinal Disorders
Urinary and Reproductive System
Disorders
Peptic Ulcers
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Crater like lesions that develop in the
gastrointestinal tract
Gastric Ulcers ---> Stomach
Duodenal Ulcers ---> Duodenum
Commonly caused by hypersecretion of
gastric juices and acids
Contributing factors include: stress, cigarette
smoking, certain foods, some medications,
and bacterial infections
Cleft lip and palate