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main functions of digestive sys
take in food, break down into nutrient molecules, absorb molecules into blood stream and synthesize compounds, rid body of indigestible remains
Mechanical digestion define
physical process of breaking down food
chemical digestion define
utilize enzymes to break down chemical bonds
two parts of digestive system?
alimentary canal/GI tract - trace pathway of digestion
accessory organs - help alimentary canal
organs/parts in alimentary canal
mouth, esophagus, pharynx, stomach, spleen, small intestine, large intestine, an*s
organs/parts accessory organs of digestive sys
tongue & teeth, salivary glands, pancreas, gallbladder, and liver
6 steps of digestion/processing food
ingestion (oral cavity) begins chemical breakdown
propulsion (esophagus, stomach, SI/LI) includes both swallowing and peristalsis
mechanical breakdown (SI) physical process: chewing and segmentation
digestion (SI/LI)
Absorption (SI/LI)
defecation (rectum/anus)
peristalses define
movement via propulsion with smooth muscle
main propulsive force
segmentation define
move/mixing back and forth in the SI
propulsion define
move forward
Peritoneum of digestive sys
visceral peritoneum - external surface
parietal peritoneum - lines body wall
mesentery - double layer of peritoneum
intraperitoneal vs retroperitoneal organs
intraperitoneal - within peritoneal
retroperitoneal - found outside peritoneal (some organs can be both)
4 tunics of alimentary canal and their function
mucosa: deepest secretes, absorbs, and protects via mucus lubrication
submucosa: blood and lymphatic vessels (supply blood nerves and lymphatic vasculature)
muscularis externa: muscles that runs in diff planes to help w/ contraction
serosa: ct tissue how we anchor alimentary canal
splanchnic circulation define
blood supply to digestive organs
arteries branch off aorta to serve GI tract
venous side: Heptatic portal sys send blood to liver for detox
arterial side major branches off descending aorta, serves alimentary canal
enteric nervous sys
‘gut brain’ GI tract’s nervous sys
2 main interconnecting plexi: submucosal and myenteric nerve plexus
both plexi respond to short and long reflex arcs
submucosal nerve plexus function
regulates glands and smooth muscle in mucosa
myenteric nerve plexus function
controls GI tract motility
what structures make up the oral cavity
tongue, teeth, salivary glands, and mouth
how does saliva aid in digestion (3 things)
filter microorganisms from many things going into mouth daily
keep mouth moist
many types of stimuli that can trigger/inhibit salivation
how does deglutition work
deglutition = swallowing
2 phases: buccal and pharyngeal-esophageal phase
buccal: volunary movement of tongue pressed against hard palate
pharyngeal-esophageal involuntary nervous sys take over food pushed down esophagus
structural components of the stomach that aid in digestion
rugae of mucosa: folds of stomach when empty, secretes lots of alkaline mucus
additional muscular layer oblique muscular layer: helps stomach grind and smash food
what tunics of the stomach are modified
muscularis has an extra layer for mechanical digestion: oblique layer
mucosa: mucosal barrier of gastric pits
chyme define
stomach converts bolus of food to paste-like substance called chyme
gastric pits and gastric glands
gastric pits lead to gastric glands: how we accomplish chemical digestion
gastric pits and glands found in walls of stomach
in gastric pits what cells exist
surface mucosal cells secrete mucus
mucous neck cell secrete mucus
parietal cell secrete HCl and intrinsic factor which activates B12 and aids in RBC prod
chief cell secrete pepsinogen (helps digest proteins) and gastric lipase (helps breakdown lipids)
G cell secrete hormone gastrin the hunger home
enteroendocrine cells produce D+G cells which produce gastrin
mucosal barrier created by what
(1) thick layer of mucosal cells (2) tight junctions between epitheal cells (prevent ‘leakage’/juice seeping under tissue (3) high turnover epithealial cells replaced every 3-6 days
how is gastric secretion regulated
regulated by both neural and hormonal secretion
neural (stimulus) vagus nerve stimulation inc secretion (inhibition) sympathetic stimulation dec secretion
hormonal (stimulus) gastrin stiumulates enzyme & HCl secretion by parietal cells (inhibition) gastrin antagonists or G cells secreted by SI
phases of gastric secretion
cephalic phase triggered by aroma, taste, sight, or thought and its a long reflex arc
gastric phase stimulated by stretch receptors or chemicals lasts 3-4 hrs provides 2/3 of released gastric juices
intestinal phase begins when chyme enters small intestine
how is HCl formed in the stomach
formed via parietal cells using bicarbonate system and chloride ions
how is stomach filling and emptying regulated? what processes are involved?
stomach can stretch and accommodate large amts of food consumed emptying stomach
emptying stomach: gastric contractile activity: peristalic waves move toward pyloris 3x a minute chyme is delievered to SI in small increments (~3mL spurts) everything else gets retropulsed and 1 min later another 3 mL spurt released
what does gastric contractile activity include
gastric contractile activty involves grinding propulsion and retropulsion
purpose of liver
produces bile
purpose of gall bladder
stores bile
purpose of pancreas
digestive enzymes and bicarbonate
supplies most enzymes needed to digest chyme as well as HCO-3 to neutralize stomach acid
what is bile
yellow green alkaline solution containing electrolytes phospholipids bile salts bilirubin cholesterol, and triglycerides
function of bile
like ‘soap’ emulsify/break down lipids (like dawn dish soap)
what is pancreatic juice
combines with bile at heptapoetic sphincter
function of pancreatic juice
neutralize chyme and digest proteins activated in duodenum
how are bile and pancreatic juice secreted into the SI
Exocrine: acinar cells secrete pancreatic juices whereas duct cells secrete HCO3 (bicarb)
bile and pancreatic juices empty into the duodenum via hepatopancreatic ampulla and major duodenal papilla
divisions of SI (in order)
duodenum shortest section where majority of digestion happens
jejunum
ileum joins LI at ileocecal valve
structural modifications to increase surface area in SI
circular folds, villi, microvilli (on surface of villi and form brush border)
brunners/duodenal glands secrete HCO3 (bicarb) beneath villi
goblet cells secrete mucus between/on/within villi
why are the structural mods of SI important
increase surface area of small intestine to maximize nutrient and water absorption
how is food digested in SI
when chyme arrives to SI partially digested carbs and fats but also undigested fats
to breakdown fats need bile salts from gallbladder which gets secreted to SI
chyme mixed with bile and pancreatic juices and pH is increased to make it more basic
brush border/microvilli do final digestion and break it down into monomers
how does food move into the large intestine
ileocecal valve/sphincter regulates chyme moving into LI
valve prevents regurgitation/back flow to ileum
structural mods to LI
teniae coli 3 bands longitudinal smooth muscle in muscularis externa
haustra pocket like sacs caused by tone of teniae coli
epiploic appendages fat filled pouches of visceral peritoneum
divisions of LI
ascending colon
transverse colon
descending colon ‘storage tank’
sigmoid colon to the rectum
bacterial flora
tons of bacteria in colon and bacterial breakdown the only breakdown of food stuffs that occurs in LI
function of bacteria flora
thousands of bacteria which aid in fermentation and vitamin synthesis
carbs: how are they digested (1) what enzymes are involved (2) where does this digestion/absorption occur (3)
digested by 4 step process
pancreatic amylase breaks down starch and glycogen into smaller carbs
brush border break down starch and glycogen into smaller carbs
small carbs cotransported across absorptive epithealial membrane
monosacc exit across basolateral membrane and enter capillary
enzymes: salivary amylase, pancreatic amylase, and brush border
location in order of enzymes: mouth, SI, SI
proteins: how are they digested (1) what enzymes are involved (2) where does this digestion/absorption occur (3)
digestion: breakdown in similar process to carbs and amino acids move out cells of SI to blood vessels
enzymes: pepsin (in presence of HCl) pancreatic enzymes and brush border enzymes
location in order of enzymes: stomach, SI, SI
lipids: how are they digested (1) what enzymes are involved (2) where does this digestion/absorption occur (3)
digestion:
large fats emulsified in SI to smaller fat droplets
pancreatic lipases hydrolyze trigly into monoglycerides
micelles (consist of fatty acids, monogly, and bile salts) ferry their contents to epithealial cells
fatty acids and monogly diffuse from micelle into epithelial cells
chylomicron formed
chylomicrons extrude from epithelial cells by exocytosis
enzymes: lingual lipase, gastric lipase, emulsification by detergent action of bile salts from pancreatic lipases
location in order of enzymes: mouth stomach SI SI