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Serosa
outer later of connective tissue
visceral peritoneum
Muscularis Externa
2 layers of muscles, how you propel food through
peristalsis: squeeze bolus through
extensive nerves to coordinate movement of food throughout system
Submucosa
glands, nerves, connective tissue later
extensive vessels, submucosal glands
Mucosa
surface epithelium (innermost later), lamina propia (mucosa gland), thin muscle layer
4 stages of digestion
Ingestion: food goes through mouth, chew it, start digestion. oral cavity, teeth smash food
Digestion: breakdown of food by mechanical and chemical processes. starts in mouth (salivary amylase)
Absorption: absorb nutrients in bloodstream (lower 2/3 of small intestine), moves smallest pieces (monomers) into blood or lymph
Defication: poop, rid of waste products. anus/rectum
what is the big tube
what are accessory structures
alimentary canal OR gastrointestinal tract, big/hollow tube that runs through body
various glands that release secretions into tube/aid in breakdown of food
Enteric Nervous System
GI tracts own version of nervous system
contains more neurons that spinal cord
enteric neurons communicate extensively with each other
Submucosal nerve plexus
Mesenteric nerve plexus
regulates glands and smooth muscle in mucosa (primarily in muscularis externa layer)
contracts GI tract motility (gut brain), respond to stimuli in GI tract
Mouth: mechanical and chemical digestion
mechanical digestion by chewing of food by teeth
some chemical digestion by amylase secretions in saliva for breakdown of starch molecules
tongue
large skeletal muscle, studded with taste buds and olfactory receptors in nose
helps move food around in mouth
saliva
cleanses mouth, dissolves food chemicals for taste, moistens food/compacts into bolus, begins breakdown of starch with enzyme amylase
where is saliva produced
what glands are there
major (extrinsic) salivary glands, located outside oral cavity
parotid glands, submandibular gland, sublingual gland
teeth
baby vs adult teeth
molars vs incisors
2 major regions
gum covered margins, socket (mastification: process of chewing)
baby teeth: 6 months-2 years
Permanent teeth: 6-12 years
molars: smashing food in smaller pieces
incisors: pinching/tearing food
crown: exposed part above gum, enamel: hardest part in bofy
root: embedded in jaw bone
Pharynx vs Esophagus
throat, shared by respiratory and digestive systems, swallowing occurs
muscular tube, rhythmic waves of muscular contraction (peristalsis)
Swallowing Process
Buccal phase: tongue flat, food is by back of throat
pharyngeal-esophageal phase: tongue pushes up against hard palate, nasopharynx blocks nose, epiglottis blocks larynx
Esophagus description of all 4 alimentary canal layers
mucosa: stratified, squamous epithelium
at esophagus-stomach junction: simple columnar epithelium of stomach
esophageal glands in submuscosa
muscularis externa: squeezing for peristalsis
adventitia instead of serosa
GERD
heartburn, acidic mixture of stomach comes up
gastroesophageal sphincter does not function properly
Stomach
3 layers of smooth muscle
very muscular, J shaped sac
store food, liquify food (mechanical digestion), carrying out initial chemical digestion of protein (pepsin)
longitudinal later of muscle, circular layer of muscle, oblique layer of muscle
Types of gland cells
glands in fundus and body produce most gastric juice. glands include secretory cells (muscous neck cells, parietal cells, cheif cells, enteroendocrine cells)
Parietal cells
Chief Cells
Enteroendocrine cells
secrete HCL (denature protein, activate pepsin), intrinsic factor (absorb vitamin B12)
secrete pepsinogen (activated by pepsin in lumen of stomach, lipase
secrete hormones (pancreas)
Stomach Chemistry
Initiate chemical digestion of proteins
pepsin begins protein breakdown
HCL kills harmful bacteria with low pH
later of mucus protecting stomach walls
Regulation of gastric emptying
duodenum can prevent overfilling by controlling how much chyme enters
duodenal receptors respond to stretch and chemical signals
stomach empties in around 4 hours but and increase in chyme entering duodenum can increase time to 6 hours
accessory digestive organs
liver: produce bile (emulsify fats so small intestine can absorb), role in processing/storing nutrients
gallbladder: stores bile, releases into small intestine
pancreas: secretes lots of digestive enzymes (98%(
salivary glands
teeth/tongue
Liver
Bile ducts
right lobe (bigger) + left lobe, porta hepatis (portal vein + artery)
common hepatic duct (leaves liver), cystic duct (connects to gallbladder), bile duct (formed by union of common hepatic and cystic duct)
Liver lobules
Liver sinusoids
hexagonal structures, plates of hepatocytes thats filtering and processing nutrient rich blood, center has central vein to collect all filtered blood
leakiest type of capillaries located between hepatic plates (blood from hepatic portal vein and artery goes through sinusoids, empties into central vein)
What is on the edge of each lobule
portal triads
hepatic artery (oxygen), hepatic portal vein (nutrient-rich blood), bile duct (bile)
hepatic portal vein and artery goes inside towards central vein, bile travels outside to bile caniculi
Hepatocyte
lots of ER, golgi apparatis, mitochondria (processes a lot)
stores bile, fat soluble vitamins, performs detoxification
Bile
Bilirubin
Gallstones
cholesterol salt derivatives, function in fat emulsification/absorption
pigment formed from heme (breakdown product)
bile stored to long or becomes concentrated, crystallization of cholesterol, blockage of common hepatic or bile ducts prevents bile form entering small intestine
Pancreas
Acini
Ducts
why is pancreatic juice alkaline
endocrine (insulin and glucagon) + exocrine (making digestive enzyme, pancreatic juice)
clusters of secretory cells that produce zymogen granules, contains proenzymes
secrete to duodenum via main pancreatic duct, small duct cells produce water and bicarbonate
to neutralize the acidity of the chyme
Digestive enzymes created by pancrease
proteases (protein), secreted in inactive form to prevent self digestion
amylase (carbohydrates), lipases (lipids), nucleases (nucleic acids)
secretin and CCK promote secretion and release of bile and pancreatic juice
Pyloric Sphincter
Bicarbonate ions
slowly releases stomach contents in small intestine (duodenum)
neutralize H+ ions and bring pH back to around 6
How does small intestine do mechanical and chemical digestion
mechanical: mixing of chyme by segmentation (push in both directions)
chemical: digestive enzymes secreted into first segment of small intestine from pancreas
enzymes break down carbohydrates, proteins, lipids
lipids must be emulsified (bile salts)
jejunum
ileum
Plicae circularis
Duodenal glands
most nutrient absorption occurs
absorption of bile salts and vitamin B12
circular folds, have villi (projections outwards), have submucosa (blood vessels), lymphatic tissue, MALT, brush border to increase surface area
intestinal crypts, secrete bicarbonate ions rich mucus, neutralize acidic chyme
Chemical digestion in pancreas
pancreatic enzymes digest most of the food: amylase, protease, nuclease, lipase
brush border to jejunum only absorbs small nutrients
glucose, amino acids, minerals, water soluble vitamins enter blood
lipids and fat soluble vitamins enter lacteal (lymphatic circulation), then blood, then liver
How does stuff enter large intestine
what makes up large intestine
what does it absorb
what does it contain
what does it produce
iliocecal valve
colon (ascending, transcending, descending) + rectum + anus
90% of water, Na/K ions
microbiome (bacteria to make vitamin B12, K, gas)
feces (undigested food, bacteria, bilirubin)
Gut Microbiome
acetate: lower immune response to decrease inflammation
butyrate: energy source for gut wall epithelial cells and important for brain health
propionate: interacts with immune response