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Parts of the digestive tract
Mouth, pharynx, esophagus, stomach, small intestine, large intestine, anus; accessory organs include salivary glands, liver, pancreas, gallbladder.
Layers of the wall of the GI tract
Mucosa, submucosa, muscularis, serosa
Inner lining epithelium of the GI tract
Simple columnar epithelium; esophagus has stratified squamous epithelium.
Functions of villi and microvilli
Increase surface area for absorption in the small intestine.
Sympathetic nerve stimulation on GI motility
Inhibits motility and secretions; prepares body for 'fight or flight'.
Parasympathetic nerve stimulation on GI motility
Stimulates motility and secretions; promotes 'rest and digest' functions.
Peristalsis
Wave-like muscle contractions that move food through the GI tract, occurring throughout the digestive system.
Mixing movements
Churning movements that blend food with digestive juices, primarily in the stomach.
Segmentation movements
Rhythmic contractions that mix food in the small intestine, enhancing absorption.
Mass movements
Strong peristaltic waves that move waste toward the rectum, primarily in the large intestine.
Phases of swallowing
Oral phase, pharyngeal phase, esophageal phase.
Salivary glands
Parotid, sublingual, submandibular; produce saliva containing amylase, mucin, and antibacterial compounds.
Functions of saliva
Moistens food, begins digestion of carbohydrates, contains antibacterial agents.
Function of the esophagus
Transports food from the pharynx to the stomach; lower esophageal sphincter prevents acid reflux.
Condition from loose lower esophageal sphincter
Gastroesophageal reflux disease (GERD).
Parts of the stomach
Cardia, fundus, body, pylorus.
Functions of the stomach
Stores food, begins digestion of proteins, regulates the passage of food to the small intestine.
Composition of gastric juice
Hydrochloric acid, pepsin, intrinsic factor, mucous.
Functions of components of gastric juice
Acidic environment for digestion, protein digestion (pepsin), absorption of vitamin B12 (intrinsic factor), mucus protects the stomach lining.
Importance of the gastric mucosal barrier
Protects the stomach lining from acidic gastric juice and prevents ulcers.
Condition from intrinsic factor deficiency
Pernicious anemia.
Factors disrupting gastric mucosal barrier
NSAIDs, alcohol, H. pylori infection, excessive acid production.
Factors controlling gastric secretion
Neural (vagal stimulation), hormonal (gastrin), local factors (food presence).
Three phases of gastric secretion
Cephalic phase, gastric phase, intestinal phase; gastric juice is maximally secreted during the gastric phase.
Hormone that stimulates gastric secretion
Gastrin; secreted from gastric mucosa.
Composition of pancreatic juice
Digestive enzymes (amylase, lipase, proteases), bicarbonate.
Functions of components of pancreatic juice
Amylase for carbohydrate digestion, lipase for fat digestion, proteases for protein digestion, bicarbonate for neutralizing stomach acid.
Hormones controlling pancreatic secretion
Secretin (stimulates bicarbonate secretion), cholecystokinin (stimulates enzyme secretion).
Release location of secretin and cholecystokinin
Secretin is released from the small intestine; cholecystokinin is released from the small intestine.
Stimulus for secretin release
Acidic chyme entering the small intestine.
Stimulus for cholecystokinin release
Fats and proteins entering the small intestine.
Inactivity of protein-digesting enzymes
Prevent autodigestion; activated in the small intestine by enterokinase.
Components of bile
Bile salts, cholesterol, bilirubin, electrolytes.
Functions of bile
Emulsifies fats, aids in fat digestion and absorption.
Emulsification of fats
Process of breaking down large fat globules into smaller droplets to enhance digestion.
Action of cholecystokinin on bile secretion
Stimulates gallbladder contraction to release bile into the small intestine.
Part of small intestine bile is released into
Duodenum.
Parts of the small intestine
Duodenum, jejunum, ileum.
Maximum digestion and absorption site in small intestine
Jejunum.
Enzymes on microvilli of small intestine
Disaccharidases, peptidases, and enterokinase.
Parts of the large intestine
Cecum, colon (ascending, transverse, descending, sigmoid), rectum, anus.
Functions of the large intestine
Absorbs water and electrolytes, forms and stores feces.
Digestion and absorption of carbohydrates
Involves salivary amylase, pancreatic amylase, and brush border enzymes; absorbed as monosaccharides.
Digestion and absorption of proteins
Involves pepsin and pancreatic proteases; absorbed as amino acids.
Digestion and absorption of fats
Requires bile and lipases; absorbed as fatty acids and glycerol.
Lactose intolerance
Inability to digest lactose due to deficiency of lactase.
Digestion and absorption of fats in small intestine
Involves emulsification by bile and breakdown by lipases for absorption of fatty acids.
Digestion and absorption of disaccharides
Broken down into monosaccharides (glucose, fructose, galactose) by specific enzymes on the brush border.