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.