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Chapter 25 The Digestive System
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gastroenterology
Study of the digestive tract and the diagnosis and treatment of its disorders
digestive system
Organ system that processes food, extracts nutrients, and eliminates residue
ingestion
Intake of food
digestion
Mechanical and chemical breakdown of food into a form usable by the body
absorption
Uptake of nutrient molecules into the epithelial cells of the digestive tract and then into the blood and lymph
compaction
Absorbing water and consolidating the indigestible residue into feces
defecation (excretion)
Elimination of undigested material (feces)
mechanical digestion
The physical breakdown of food into smaller particles; Cutting and grinding action of the teeth; Churning action of stomach and small intestines
chemical digestion
A series of hydrolysis reactions that breaks dietary macromolecules into their individual monomers; Carried out by digestive enzymes produced by salivary glands, stomach, pancreas, and small intestine
monosaccharides (glucose)
polysaccharides (Carbs) into
amino acids
proteins into
monoglycerides,fatty acids
fats (lipids) into
nucleotides
nucleic acids into
digestive tract (alimentary canal)
30 ft long muscular tube extending from mouth to anus; Mouth, pharynx, esophagus, stomach, small intestine, large intestine, rectum, and anus
gastrointestinal (GI) tract
Stomach and intestines
accessory organs
Teeth, tongue, salivary glands, liver, gallbladder, and pancreas
mucosa
layer of GI tract that contains Epithelium; Lamina propria; Muscularis mucosae
submucosa
layer of GI tract that contains Blood and lymphatic vessels, nerve plexus, glands
muscularis externa
layer of GI tract that contains Inner circular layer; Outer longitudinal layer
serosa
layer of GI tract that contains Areolar tissue or mesothelium
enteric plexus
Nervous network in esophagus, stomach, and intestines that regulates digestive tract motility, secretion, and blood flow
submucosal plexus
Controls glandular secretion of mucosa; Controls movement (contractions) of muscularis mucosae
myenteric plexus
Parasympathetic ganglia and nerve fibers between the two layers of muscularis externa; Controls peristalsis; Contractions of muscularis externa
mesentery
Connective tissue sheet that suspends stomach and intestines from abdominal wall
peritoneum
A serous membrane that lines the peritoneal cavity of the abdomen and covers the mesenteries and viscera
dorsal mesentery
Suspends GI tract and forms serosa (visceral peritoneum) of stomach and intestines
ventral mesentery
Forms lesser and greater omentum; Lacy layer of connective tissue that contains lymph nodes, lymphatic vessels, blood vessels
lesser omentum
Attaches stomach to liver
greater omentum
Covers small intestines like an apron
short (myenteric) reflexes
Stretch or chemical simulations acts through myenteric plexus; Stimulates peristaltic contraction of swallowing
long (vagovagal) reflexes
Parasympathetic stimulation of digestive motility and secretion
functions of the mouth
Ingestion, taste, mechanical digestion, chemical digestion, swallowing, speech, and respiration
stratified squamous
what epithelium lines mouth
vestibule
Space between teeth and cheeks
lips (labia)
Divided into 2 parts
mustache area
Cutaneous area of lip
lipstick area
Red (vermillion area) of lip
tongue
A sensitive organ that is a muscular manipulator of food
palate
Separated the oral cavity from the nasal cavity
hard (bony) palate
Aids in holding and manipulating food
soft palate
Posterior to hard palate
dentition
The teeth
masticate
Chewing
crown
Portion above the gums
periodontal ligament
Anchors teeth into alveoli process; Gomphosis joint (the tooth in the alveolar process)
dentin
Hard yellowish tissue that makes up most of tooth
mastication/chewing
Break foods into smaller pieces to be swallowed
functions of saliva
Moistens the mouth, begins starch and fat digestion, cleanse teeth, inhibit bacteria
salivary amylase
Enzyme that begins starch digestion in the mouth
lingual lipase
Enzyme that digests after it reaches the stomach (activated by stomach acid)
mucus
Binds and lubricates a mass of food and aids in swallowing
lysozyme
An enzyme that kills bacteria
immunoglobulin A (lgA)
An antibody that inhibits bacterial growth
saliva
what has a pH of 6.8-70
parotid,submandibular,sublingual glands
what are the 3 pairs of Extrinsic (major) Salivary Glands
mucous
What do mucous cells secrete
amylase
What do serous cells secrete
1-1.5
Extrinsic salivary glands secrete about #-# L of saliva
bolus
What is it called when mucus in the saliva binds food particles into a soft, slipper easily mass? (ball of food)
esophagus
straight muscular tube 25-30 cm long through esophageal hiatus in diaphragm
lower esophageal sphincter (LES)
Food pauses here because of constriction
mucosa
what has Nonkeratinezed stratified squamous
submucosa
what Contains esophageal glands which secrete mucus
muscularis externa
Skeletal muscle in upper and transcends to smooth in bottom
adventitia
The esophagus is covered in ______
swallowing/deglutition
A complex action involving over 22 muscles in the mouth, pharynx, and esophagus
oral (buccal) phase
What swallowing stage is when tongue collects food, presses it against palate forming bolus, and pushes it posteriorly
pharyngeal phase
What swallowing stage is when it prevents food and drink from reentering mouth or entering the nasal cavity
esophageal phase
Phase-peristalsis
stomach
A muscular sac in upper left abdominal cavity immediately inferior to the diaphragm
main stomach functions
Liquifies food, acts a food storage organ
chyme
acidic, soupy mixture of semi-digested food that passes on to the small intestine; stomach makes this (liquified bolus)
outer longitudinal,middle circular,inner oblique layers
what are the 3 layers of the muscularis externa
simple columnar
what epithelium layer of the stomach wall does mucosa have
regenerative (stem) cells
Divide rapidly and produce continual supply of new cells to replace cells that die
parietal cells
Secrete HCl acid and intrinsic factor
pepsinogen,lipase
Chief cells secrete:
hormone and paracrine messengers
Enteroendocrine cells secrete _______ that regulate digestion
gastrin
G cell produce
intrinsic factor (parietal cells)
Essential for B12 absorption by the small intestine
hemoglobin synthesis
What is B12 necessary for
pernicious anemia
Lack of B12 can cause
pepsin
Protein digestion; Secreted as pepsinogen (inactive form) then HCl converts it to
gastric and lingual lipse
Both play a minor role in digesting dietary fats
gastric motility
It takes 4 hours to empty from stomach
cephalic phase
What phase is when the vagus nerve stimulates gastric secretion and motility just with sight, smell, taste, or thought of food
gastric phase
Activated by presence of food or semidigested protein
Ach,histamine,gastrin
Gastric secretion stimulated mainly by what 3 chemicals
intestinal phase
what phase is when the Duodenum regulates gastric activity through hormones and nervous reflexes
hilum
Irregular opening between quadrate and caudate lobes
gallbladder
Adheres to a depression on the inferior surface of the liver, between right and quadrate lobes
hepatic lobules
Tiny cylinders that fill the interior of the liver
right and left hepatic ducts
Collect bile from all bile ductules of liver lobes
common hepatic duct
right and left hepatic ducts unite to form the ______ that leaves the liver
bile duct
Formed from union of cystic and common hepatic ducts; descends through lesser omentum toward the duodenum
cystic duct
Coming from gallbladder joins common hepatic duct
gallbladder
Pear shaped sac on underside of liver that stores and concentrates bile
bile
Yellow-green fluid secreted by liver containing minerals, cholesterol, neutral fats, phospholipids, bile pigments, and bile acids
bilirubin
Principal bile pigment from the decomposition of hemoglobin
urobilinogen
bacteria in large intestine metabolize bilirubin to