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oral cavity → pharynx → esophagus → stomach → small intestine → large intestine
passage of food through the main regions
accessory structures of GI tract
assist with mechanical processing and chemical digestion but do not form part of the continous food pathway
teeth
break down food into smaller pieces through chewing/mastication and increasing surface area for enzymatic action
tongue
muscular manipulator of food that positions and moves food for chewing, assists with swallowing, and contains taste receptors that initiate digestive reflexes
body: anterior 2/3 in the oral cavity
root: posterior 1/3 in the oropharynx
salivary glands
exocrine glands that produce saliva containing enzymes begin the breakdown of carbohydrates and moisten food for easier swallowing
amylase
enzyme that begins the chemical breakdown of carbohydrates in the mouth
liver
largest exocrine gland in the body
produces 500-1000 mL/day of bile to emulsify fats for easier digestion and absorption
nutrient storage of glycogen, vitamins, and minerals
detoxifies toxins, drugs, and alcohol
falciform ligament
suspends liver from diaphragm and anterior abdominal wall
separates right and left lobes of the liver
ligamentum teres
remnant of fetal umbilical vein
coronary ligaments
attach superior liver to diaphragm and define the bare area of the liver
right and left triangular ligaments
formed by meeting of anterior and posterior coronary ligament layers
help stabilize the liver laterally
common bile duct
transports bile from the liver and gallbladder to the duodenum
gallbladder
stores and releases bile into the small intestine when needed for fat digestion into:
cystic duct → common bile duct → duodenum
gallstones
hardened deposits of cholesterol, bile salts, or bilirubin
can block ducts and cause abdominal pain, nausea, or jaundice
pancreas
endocrine glands that produces digestive enzymes and bicarbonate to neutralize stomach acid to aid chemical digestion in the small intestine
pancreatic amylase
breaks carbohydrates/starch into maltose and smaller carbohydrates
pancreatic lipase
breaks triglycerides into glycerol and free fatty acids
zymogens
inactive enzyme precursors that must be activated after reaching their target site in the small intestine
includes trypsinogen, chymotrypsinogen, and procarboxypeptidase
trypsinogen
activated by enteropeptidase in the duodenum to trypsin
breaks proteins into smaller peptides and amino acids
chymotrypsinogen
activated by trypsin to chymotrypsin
breaks proteins into smaller peptides and amino acids
procarboxypeptidase
activated by trypsin to carboxypeptidase
breaks proteins into smaller peptides and amino acids
main pancreatic duct
merges with the common bile duct at the h
abdominal cavity
largest hollow space in the body that houses most of the digestive organs, along with parts of the urinary and lymphatic systems
peritoneal cavity
smaller, specialized potential space within the abdominal cavity
lies between two layers of the peritoneum
peritoneum
thin, continuous serous membrane that protects and stabilizes the abdominal organs
has two layers
parietal peritoneum
lines the inside of the abdominal and pelvic walls
visceral peritoneum
covers the surfaces of most abdominal organs
peritoneal space
space between the parietal and visceral peritoneum
contains small amount of peritoneal fluid
peritoneal fluid
reduces friction and allows organs to move smoothly during digestion and breathing
ascites
excess fluid in the peritoneal space which may result from liver disease, infection, cancer, or trauma
can be removed through paracentesis
mesentery
double layer of visceral peritoneum that folds over to suspend and anchor certain abdominal organs
holds organs in place during movement
provides pathway for blood vessels, lymphatics, and nerves
stores fat and limits spread of infection
greater omentum
drapes over the abdominal organs
lesser omentum
connects the liver to the stomach and duodenum
mesocolon
anchors parts of the large intestine including the transverse mesocolon and sigmoid mesocolon
intraperitoneal
organs completely enclosed by visceral peritoneum and suspended within the peritoneal cavity by mesenteries
includes the stomach, spleen, liver, first inch of duodenum, jejunum, ileum, transverse colon, and sigmoid colon
retroperitoneal
organs located behind the peritoneal cavity with only part of their surface covered by peritoneum
includes the remaining parts of the duodenum, cecum, ascending colon, descending colon, and pancreas
mucosa
deepest layer of the alimentary canal that contains epithelial tissue and directly contacts food and other materials entering the tract
contains goblet cells that produce mucus
close to layer of MALT
surrounds the lumen
lamina propia
beneath the epithelium, layer of loose connective tissue that contains blood vessels, lymphatic vessels, and immune cells
supports the epithelium, nourishes it, and plays role in immune defense
submucosa
second principal layer of the alimentary canal that is composed of dense connective tissue
contains lymph vessels, blood vessels, nerves, and elastic fibers for structural support and flexibility
muscularis externa
consists of two muscle layers in the intestines and three layers in the stomach
skeletal or smooth muscle depending on the region
responsible for moving materials down the tract by ryhthmic contractions called peristalsis
serosa
most superficial layer of the alimentary canal
consists of visceral peritoneum which encapsulates and protects the organs
oral cavity
region around the mouth, including the teeth, tongue, and salivary glands
cheeks and lips
keep food between teeth for chewing and are important for speech and suckling in infants
vestibule
space between the teeth and cheeks where the gingivae (gums) are located
lips
mark the transition between the skin-colored cutaneous region and the red vermilion area
frenulum
midline structures that anchor specific parts of the mouth
superior labial frenulum: anchors the upper lip
inferior labial frenulum: anchors the lower lip
lingual frenulum: anchors the tongue
hard palate
roof of the oral cavity that is formed by the palatine bones and the palatine processes of the maxillae
soft palate
muscular region posterior to the hard palate
uvula
hangs from the soft palate and prevents food from entering the nasal cavity during swallowing
adult dentition
32 teeth total
4 incisors: cutting
2 canines: puncturing and shredding
4 premolars: crushing and grinding
6 molars: crushing and grinding
deciduous dentition
20 teeth total
4 incisors: cutting
2 canines: tearing
4 molars: grinding
bolus
food becomes this once it has been mechanically broken down by chewing, mixed with saliva, and formed into a soft mass in the mouth
filiform papillae
rough surface that aids in food breakdown and has NO taste function
circumvallate papillae
large, arranged in a V formation on the dorsal tongue, and contains taste buds
foliate papillae
located on the lateral sides of the tongue and contain taste buds
fungiform papillae
mushroom-shaped on the dorsal surface and contain taste buds
taste buds
found mainly on the papillae of the tongue but also on the soft palate, pharynx, and epiglottis and function to send signals to brain through specific cranial nerves to allow for the perception of taste
contain gustatory cells that detect chemicals dissolved in saliva
sweet, sour, salty, bitter, and umami
facial nerve (CN VII)
carries taste sensation from the anterior 2/3 of the tongue
glossopharyngeal nerve (CN IX)
carries taste sensations from the posterior 1/3 of the tongue
vagus nerve (CN X)
carries taste sensations from the soft palate, pharynx, and epiglottis
intrinsic salivary glands
located beneath the mucous membrane inside the mouth
secrete saliva at a constant low rate to prevent drying of the oral mucosa
includes labial, buccal, palatine, and lingual glands
labial glands
intrinsic salivary glands found in the lips
buccal glands
intrinsic salivary glands found in the cheeks
palatine glands
intrinsic salivary glands found in the palate
lingual glands
intrinsic salivary glands found in the tongue
extrinsic salivary glands
large and discrete organs located outside the oral mucosa
connected to the oral cavity by ducts
includes the paired parotid, submandibular, and sublingual glands
parotid glands
connected by the parotid ducts and located superficial to the masseter muscle
submandibular glands
connected by submandibular ducts and located below the mylohyoid muscle in the mandible
sublingual glands
connected by the sublingual ducts and located beneath the tongue and floor of the mouth
pharynx
shared passageway for food and air
deep and superficial layers of skeletal muscle contract to push bolus down
esophagus
straight, muscular tube that transports the bolus from the pharynx to the stomach and passes through the diaphragm at the esophageal hiatus
mucosa lined with non-keratinized stratified squamous epithelium
submucosa with esophageal glands that secrete mucus
muscularis externa
upper 1/3: skeletal muscle
middle 1/3: combination of skeletal and smooth muscle
lower 1/3: smooth muscle only
stomach
J-shaped organ that receives the bolus from the esophagus and functions to mechanically and enzymatically break down food
mechanical digestion
churning motions that mix food with gastric secretions
chemical digestion
enzymes like proteases break down proteins and lipases break down fats
true
true or false: the stomach does not absorb significant nutrients but it can absorb certain substances like aspirin and lipid-soluble drugs
cardiac region
small area near the lower esophageal sphincter where food enters
contains mucous cells that secrete protective mucus to shield the esophagus-stomach junction from acid
gastric fundus
dome-shaped area of the stomach that lies superior to the lower esophageal sphincter and contains majority of gastric glands, which include …
mucous neck cells, parietal cells, chief cells, and stem cells
mucous neck cells
secrete mucus for protection and lubrication
parietal cells
secrete hydrochloric acid for protein digestions and intrinsic factor for vitamin B12 absorption in the small intestine
pernicious anemia
condition where vitamin B12 deficiency results in abnormally large, immature red blood cells
chief cells
secrete pepsinogen and gastric lipase for protein and fat digestion
stem cells
replace damaged epithelial cells
gastric region
largest and main portion of the stomach
shared the same cells types and functions as the gastric fundus
pyloric region
narrow, distal portion of the stomach that is lined with mucous cells for protection
subdivided into pyloric antrum, pylorus, and pyloric sphincter
pyloric region
funnel-like passage leading toward the pylorus
pylorus
narrow terminal portion of the stomach
pyloric sphincter
ring of smooth muscle at the end of the pylorus that regulates the flow of chyme into the duodenum
also called the gastroduodenal sphincter
greater curvature
inferolateral margin of the stomach that is attached to the greater omentum
lesser curvature
superomedial margin of the stomach that is attached to the liver via the lesser omentum
gastric rugae
internal folds of the mucosa that allow the stomach to expand when filled and return to its smaller size when empty
stomach sounds
caused by the movement of gas and fluid within the stomach and intestines during digestion but can also occur when the stomach is empty as muscles contract in anticipation of food
often called borborygmi
mucosa of the stomach
lumen is lined with simple columnar glandular epithelium
gastric pits: indented regions in mucosa that lead to gastric glands
goblet cells: secrete mucus to further protect lining
muscularis externa of the stomach
three layers of smooth muscle oriented at different angles to maximize churning efficiency to enhance mechanical breakdown of food and aid in mixing
longitudinal layer
circular layer
oblique layer
small intestine
coiled mass that fills most of the abdominal cavity and is the primary site that maximizes surface area for digestion and nutrient absorption
divided into duodenum, jejunum, and ileum
circular folds of small intestine
large transverse ridges in the mucosa and submucosa that slow the movement of chyme, increasing contact time for absorption
villi
finger-like projections extending from circular fold of the small intestine
lines with enterocytes specialized for absorption
capillary network absorbs amino acids, sugars, and water-soluble nutrients
lacteals absorb fats and lipid-soluble vitamins
microvilli
microscopic projections from the apical surface of enterocytes
further increase surface area and contain enzymes for chemical digestion
form the intestinal brush border with enterocytes
intestinal crypts
deep pits extending downward from base of the villi into the mucosa that contain…
absorptive cells: take in digested nutrients
goblet cells: produce mucus
stem cells: replace shed epithelial cells
paneth cells: secrete lysozyme to protect against bacterial infection
duodenum
receives stomach contents, pancreatic juice, and bile
10 inches long and means “twelve fingers”
neutralizes stomach acid, emulsifies fats, inactivates pensin, activates pancreatic enzymes, and regulates stomach emptying