Anatomy of the Large Intestine

  • Located in the inferior part of the left upper quadrant.
    • Head near the midline; tail extends to the left.

Function of Amylase

  • Enzyme that breaks down carbohydrates.
  • Also produced in the large intestine.

Overview of the Large Intestine

  • Functions: Absorption of water from indigestible food; formation of compact feces.
  • Major components: cecum, colon, rectum, anal canal.
    • Cecum: Joins the small intestine at the ileocecal junction.
    • Ileo is the last part of the small intestine.
    • "Sickle" refers to the first part of the colon.
    • Mucocelcal junction where they come together.
    • Appendix: Approximately 9 cm long, often surgically removed.
  • Colon: About 1.5 meters long; comprises ascending, transverse, descending, and sigmoid regions.
  • Rectum: Straight tube from sigmoid colon to anal canal.
    • Anal canal lasts 2-3 cm; the final segment of the digestive tract.

Digestive Process

  • Food takes 18-24 hours to pass through the large intestine, yielding water, indigestible food, and microbes.
  • Microbes synthesize Vitamin K, which is essential for blood clotting.

Large Intestine Functions

  • Feces Formation: Water and salts absorption, secretion of mucus, and activity of microorganisms contribute to feces formation.
  • Stores feces until defecation, with strong contractions (mass movements) every 8-12 hours, propelling contents forward.
  • Digestion: Involves mechanical and chemical breakdown of food, primarily occurring in the stomach and small intestine.
  • Peristalsis: The movement that helps transport food through the digestive tract.

Breakdown of Nutrients

  • Carbohydrates: Need to be broken down to simple sugars.
    • Digested from polysaccharides to disaccharides by salivary and pancreatic amylase.
    • Disaccharides are further broken down into monosaccharides on the intestinal epithelium.
  • Glucose Absorption: Glucose taken in through co-transport with sodium into epithelial cells then transported via the portal vein to the liver for storage as energy.

Lipid Digestion

  • Triglycerides are broken down into fatty acids and monoglycerides.
    • Micelles form around the fats due to bile salts, facilitating their diffusion into intestinal epithelial cells.
    • Inside epithelial cells, fatty acids and monoglycerides are reassembled into triglycerides and coated with proteins to form chylomicrons.
    • Chylomicrons are released via exocytosis into lacteals, entering the lymphatic system and then bloodstream.

Lipoproteins

  • Lipoproteins: Water-soluble and lipid-soluble molecules for transport in blood and lymph.
    • Types:
    • Chylomicrons: Facilitate fat transport.
    • LDL (Low-Density Lipoprotein): Bad fat, transfers fat from the liver to arteries, leading to fat deposition in vessels.
    • HDL (High-Density Lipoprotein): Good fat, transports fat from arteries to liver for removal.

Protein Digestion

  • Pepsin: Enzyme in stomach that initiates protein digestion.
  • Pancreatic enzymes (trypsin, chymotrypsin, and carboxypeptidase) are secreted in inactive form into the small intestine where they are activated.
  • Absorption of Amino Acids: Peptides are broken down into tripetides or individual amino acids absorbed through epithelial cells by various co-transport mechanisms.

Water and Mineral Absorption

  • Water crosses intestinal walls depending on osmotic pressure; 99% is absorbed.
  • Minerals require active transport across the intestinal wall.