The Digestive System Chapter 24 The Digestive System The digestive system – Takes in food – Breaks it down into nutrient molecules – Absorbs the nutrient molecules into the bloodstream – Rids the body o indigestible remains The Digestive System The organs of the digestive system can be separated into two main groups; those of the alimentary canal and the accessory organs The Digestive System The alimentary canal or gastrointestinal (GI) tract is the continuous muscular digestive tube that winds through the body The Digestive System The organs of the alimentary canal are – Mouth, pharynx, esophagus, stomach, small intestine and large intestine – Food in this canal is technically out of the body The accessory digestive organs are – Teeth, tongue, gallbladder, salivary glands, liver and pancreas – The accessory organs produce saliva, bile and digestive enzymes that contribute to the breakdown of foodstuffs Digestive Processes The digestive tract can be viewed as a process by which food becomes less complex at each step of processing and nutrients become available to the body Ingestion Ingestion – Simply the process of taking food into the digestive tract, usually via the mouth Propulsion Propulsion is the process that moves food through the alimentary canal It includes swallowing (voluntary process) and peristalsis (involuntary process) Propulsion Peristalsis involves alternate waves of contraction and relaxation of muscles in the organ walls Its main effect is to squeeze food from one organ to the next Some mixing occurs as well Mechanical Digestion Mechanical digestion physically prepares food for chemical digestion by enzymes Mechanical Digestion Mechanical processes include chewing, mixing of food with saliva by the tongue, churning of food by the stomach, and segmentation Segmentation mixes food with digestive juices and increases the rate of absorption by moving food over the intestinal wall Chemical Digestion Chemical digestion is a series of catabolic steps in which complex food molecules are broken down to their chemical building blocks Chemical digestion is accomplished by enzymes secreted by various glands into the lumen of the alimentary canal The enzymatic breakdown of foodstuffs begins in the mouth and is essentially complete in the small intestine Absorption Absorption is the passage of digested end products (plus vitamins, mineral and water) from the lumen of the GI tract into the blood or lymph For absorption to occur these substances must first enter the mucosal cells by active or passive transport processes The small intestine is the main absorption site Defecation Defecation is the elimination of indigestible substances from the body via the anus Basic Functional Concepts Most organ systems respond to changes in the internal environment either by attempting to restore some plasma variable or by changing their own function The digestive system creates an optimal environment for its functioning in the lumen of the GI tract Essentially all digestive tract regulatory mechanisms act to control luminal conditions so that digestion and absorption can occur there as effectively as possible Basic Functional Concepts Digestive activity is provoked by a range of mechanical and chemical stimuli – Receptors are located in the walls of the tract organs – These receptors respond to several stimuli – The most important being the stretching of the organ by food in the lumen, osmolarity (solute concentration) and pH of the contents and the presence of substrates and end products of digestion Basic Functional Concepts When appropriately stimulated, these receptors initiate reflexes that – Activate or inhibit glands that secrete digestive juices into the lumen or hormones into the blood – Mix lumen contents along the length of the tract by stimulating the smooth muscle of the GI tract walls Basic Functional Concepts Controls of digestive activity are both extrinsic and intrinsic – Another novel trait of the digestive tract is that many of its controlling systems are intrinsic - a product of in-house nerve plexuses or local hormone-producing cells – The walls of the alimentary canal contain nerve plexuses – These plexuses extend essentially the entire length of the GI tract and influence each other both in the same and in different organs Digestive Processes Two kinds of reflex activity occur Short reflexes are mediated entirely by the local enteric plexuses in response to GI tract stimuli Long reflexes are initiated by stimuli arising from within or outside of the GI tract and involve CNS centers and ANS Digestive Processes The stomach and small intestine also contain hormone-producing cells that, when stimulated by chemicals, nerve fibers, or local stretch, release their products to the extracellular space These hormones circulate in the blood and are distributed to their target cells within the same or different tract organs, which they prod into secretory or contractile activity Digestive System Organs Most of the digestive organs reside in the abdominal-pelvic cavity All ventral body cavities contain serous membranes The peritoneum of the abdominal cavity is the most extensive serous membrane of the body Digestive System Organs The visceral peritoneum covers the external surface of most digestive organs and is continuous with the parietal peritoneum that lines the walls of the abdomino-pelvic cavity Between the two layers is the peritoneal cavity, a slitlike potential space containing fluid secreted by the serous membranes Digestive System Organs The serous fluid lubricates the mobile digestive organs, allowing them to glide easily across one another as they carry out their digestive activities Digestive System Organs A mesentery is a double layer of peritoneum - a sheet of two serous membranes fused back to back - that extends to the digestive organ from the body wall Digestive System Organs Mesenteries provide routes for blood vessels, lymphatics and nerves to reach the digestive viscera Digestive System Organs Mesenteries also suspend the visceral organs in place as well as serving as a site for fat storage Digestive Processes Not all alimentary canal organs are suspended with the peritoneal cavity by a mesentery Some parts of the small intestine originate the cavity but then adhere to the dorsal abdominal wall (Figure 24.5b) above Digestive Processes Organs that adhere to the dorsal abdominal wall lose their mesentery and lie posterior to the peritoneum These organs, which also include most of the pancreas and parts of the large intestine are called retroperitoneal organs Digestive Processes Digestive organs like the stomach that keep their mesentery and remain in the peritoneal cavity are called interperitoneal or peritoneal organs It is not known why some digestive organs end up in the retroperitoneal position Blood Supply The splanchnic circulation includes those arteries that branch off the abdominal aorta to serve the digestive organs and the hepatic portal circulation The hepatic, splenic and left gastric branches of the celiac trunk serve the spleen, liver, and stomach The mesenteric arteries (superior and inferior) serve the small and large intestine Blood Supply The arterial supply to the abdominal organs is approximately one quarter of the cardiac output The hepatic portal circulation collects nutrient-rich venous blood draining from the digestive viscera and delivers it to the liver The liver collects the absorbed nutrients for metabolic processing or for storage before releasing them back to the bloodstream for general cellular use Histology of the Alimentary Canal From the esophagus to the anal canal, the walls of every organ of the alimentary canal are made up of the same four basic layers or tunics – – – – Mucosa Submucosa Muscularis externa Serosa Each tunic contains a predominant tissue type that plays a specific role in food breakdown Histology of the Alimentary Canal From internal to external the four layers of the alimentary canal are – Mucosa – Submucosa – Muscularis Externa – Serosa Histology: Mucosa The mucosa is the moist epithelial membrane that lines the length of the lumen of the alimentary canal Major functions are – Secretion of mucus, digestive enzymes and hormones – Absorption – Protection Histology: Mucosa The mucosa is the moist epithelial membrane that lines the length of the lumen of the alimentary canal Major functions are – Secretion of mucus, digestive enzymes and hormones – Absorption – Protection Histology: Mucosa More complex than most other mucosae the typical digestive mucosa consists of three sublayers – A surface epithelium – A lamina propria – A deep muscularis mucosae Histology: Mucosa The epithelium of the mucosa is a simple columnar epithelium that is rich in mucus secreting goblet cells Histology: Mucosa The slippery mucus it produces protects certain digestive organs from digesting themselves by enzymes working within their cavities and eases food passage In the stomach and small intestine the mucosa contain both enzyme-secreting and hormone-secreting cells Thus, in such sites, the mucosa is a diffuse kind of endocrine organ as well as part of the digestive organ Histology: Mucosa The lamina propria which underlies the epithelium is loose areolar connective Note lymph nodule Histology: Mucosa Its capillaries nourish the epithelium and absorb digested nutrients Its isolated lymph nodules are part of the mucosa associated lymphatic tissue (MALT) which collectively act as a defense against bacteria and other pathogens Large collections of lymph nodules occur at strategic locations such as within the pharynx (tonsils) and appendix Histology: Mucosa The muscularis mucosae is a scant layer of smooth muscle cells that produces local movements of the mucosa Histology: Mucosa The twitching of this muscle layer dislodges food particles that have adhered to the mucosa In the small intestine, it throws the mucosa into a series of small folds that immensely increase its surface area Histology: Submucosa The submocosa is a moderately dense connective tissue containing blood and lymphatic vessels, lymph nodules, and nerve fibers Its rich supply of elastic fibers enables the stomach to regain its normal shape after storing a large meal Histology: Submucosa The submocosa is a moderately dense connective tissue containing blood and lymphatic vessels, lymph nodules, and nerve fibers Its rich supply of elastic fibers enables the stomach to regain its normal shape after storing a large meal Histology: Muscularis Externa The muscularis externa is responsible for segmentation and peristalsis It mixes and propels foodstuffs along the digestive tract This thick muscular layer has an inner circular and an outer longitudinal layer Histology: Muscularis Externa In several places along the GI tract, the circular layer thickens to form sphincters Sphincters act as valves to prevent backflow and control food passage from one organ to the next Histology: Serosa The serosa is the protective outermost layer of interperitoneal organ This visceral peritoneum is formed of areolar connective tissue covered with mesothelium, a single layer of squamous epithelial cells Histology: Serosa In the esophagus, which is located in the thoracic instead of the abdominopelvic cavity, the serosa is replaced by an adventitia The adventitia is an ordinary fibrous connective tissue that binds the esophagus to surrounding structures Retroperitoneal organs have both a serosa (on the side facing the peritoneal cavity) and an adventitia (on the side abutting the dorsal body wall) Enteric Nervous System The alimentary canal has its own inhouse nerve supply Enteric neurons communicate widely with each other to regulate digestive system activity Intrinsic Nerve Plexes Enteric Nervous System These enteric neurons constitute the bulk of the two major intrinsic nerve plexuses found within the walls of the alimentary canal – Submucosal nerve plexus – Myenteric nerve plexus Myenteric plexus Submucosal plexus Enteric Nervous System A smaller third plexus is found within the serosa layer – Subsersora nerve plexus Subserosa nerve plexus Enteric Nervous System The submucosal nerve plexus chiefly regulates the activity of glands and smooth muscle in the mucosa tunic The myenteric nerve plexus lies between the circular and longitudinal layers of smooth muscle of the muscularis externa Myenteric plexus Submucosal plexus Enteric Nervous System Via their communication with each other, with smooth muscle layers, and with submucosal plexus, the enteric neurons of the myenteric plexus provide the major nerve supply to the GI tract This plexus controls GI tract mobility by controlling the patterns of segmentation and peristalsis Control comes from local reflex arcs between enteric neurons in the same or different plexus or organs Enteric Nervous System The enteric nervous system is also linked to the CNS by afferent visceral fibers and sympathetic and parasympathetic branches of the ANS Digestive activity is subject to extrinsic control exerted by ANS which can speed up or slow secretory activity and mobility Digestive System Mouth, Pharynx, and Esophagus The mouth is the only part of the digestive system that is involved in the ingestion of food Most digestive function of the mouth reflect the activity of accessory organs chewing the food and mixing it with salvia to begin the process of chemical digestion The mouth also begin the propulsive process by which food is carried through the pharynx and esophagus to the stomach The Mouth The oral cavity is a lined with mucosa It bounded by the lips anteriorly, and the tongue inferiorly and the cheeks laterally Its anterior opening is the oral orifice Posteriorly the oral cavity is continuous with the oropharynx The Mouth The walls of the mouth are lined with stratified squamous epithelium The epithelium is highly ketatinized for extra protection against abrasion during eating The mucosa also produces defensins to fight microbes in the mouth The Lips and Cheeks The labia and the cheeks have a core of skeletal muscle covered by skin The orbicularis oris muscle forms the bulk of the lips The cheeks are formed largely by the buccinators The area between the teeth and gums is the vestibule The Lips and Cheeks The lips extend from the inferior margin of the nose to the superior boundary of the chin The reddened area is called red margin The labial frenulum is a median fold that joins the internal aspect of each lip to the gum The Palate The Tongue The Tongue The Salivary Glands Composition of Saliva Control of Salivation The Teeth The Tongue Dentition and the Dental Formula The Teeth Tooth Structure Tooth and Gum Disease The Pharynx The Esophagus Digestive Processing Occurring in the Mouth, Pharynx Digestive Processes Digestive Processes Digestive Processes Digestive Processes Digestive Processes The Stomach The Stomach Gross Anatomy Microscopic Anatomy Microscopic Anatomy Microscopic Anatomy Digestive Processes Occurring in the Stomach Regulation of Gastric Secretion Gastric Motility and Emptying Gastric Motility and Emptying The Small Intestine and Associated Structures Gross Anatomy Microscopic Anatomy Intestinal Juice: Composition and Control The Liver and Gallbladder Regulation of Release into the Small Intestine Requirements for Optimal Intestinal Digestive Activity Motility of the Small Intestine The Large Intestine Large Intestine Gross Anatomy Microscopic Anatomy Bacterial flora Digestive Processes Occurring in the Large Intestine Motility of the Large Intestine Defecation Food Poisoning Developmental Aspects of the Digestive System