Digestive System Notes

The Digestive System

Overview

  • The digestive system includes:
    • Upper GIT: Mouth, Pharynx, Esophagus, and Stomach
    • Lower GIT: Small Intestine, Large Intestine, and Anus
    • Accessory Organs: Liver and the Hepatic Portal System, Pancreas, and Gallbladder

Learning Objectives

  • Describe the overall function of the digestive system and differentiate the gastrointestinal tract/alimentary canal from the accessory digestive organs.
  • List and define the major processes occurring during digestive system activity.
  • Draw the major subdivisions of the anterior abdominal wall, and identify the organs located in each subdivision.
  • Describe the location and function of the peritoneum and peritoneal cavity.
  • Differentiate between intraperitoneal and secondarily retroperitoneal digestive organs. Name the mesenteries associated with the intraperitoneal digestive organs.
  • Describe the splanchnic circulation and indicate the importance of the hepatic portal system.
  • Describe the tissue composition and general function of each of the four layers of the alimentary canal.
  • Describe stimuli and controls of digestive activity via the enteric nervous system.

Activities of the Digestive System

  • Ingestion
  • Mechanical breakdown
  • Mixing and propulsion
  • Digestion (chemical)
  • Absorption
  • Elimination

Abdominopelvic Cavity

  • Contains regions of the anterior abdominopelvic cavity.

The Peritoneum

  • Associated with the liver and mesentery.

The Mesenteries

  • Hold organs in place, store fat, and provide a route for blood vessels and nerves to reach visceral organs.
  • Ventral mesenteries: falciform ligament and lesser omentum.
  • Dorsal mesenteries: greater omentum, mesentery, transverse mesocolon, and sigmoid mesocolon.

Intraperitoneal and Retroperitoneal Organs

  • Distinction between the two.

Retroperitoneal Organs

  • Organs located behind the peritoneum.

Histology of the Gastrointestinal Tract

  • Smooth muscle fibers (smooth muscle cells).
  • Alternate waves of contraction and relaxation.
  • The walls of the gastrointestinal tract have the same four tissue layers:
    • Mucosa
    • Submucosa
    • Muscularis externa
    • Serosa
Mucosa
  • The mucosa, or inner lining, is a mucous membrane composed of:
    • Epithelium
    • Lamina propria
    • Muscularis mucosae
  • Major functions:
    • Secrete mucus, digestive enzymes, and hormones
    • Absorb end products of digestion into the blood
    • Protect against infectious disease
Submucosa
  • A thin meshwork of collagenous fibers, nerves, and blood vessels.
  • Contains the submucosal plexus.
Muscularis Externa
  • A double layer of smooth muscle: an inner sheet of circular fibers, and an outer sheet of longitudinal fibers.
  • Responsible for peristalsis and segmentation.
  • Contains the myenteric plexus.
Serosa
  • A serous membrane composed of connective tissue and simple squamous epithelium.
  • Superficial layer of portions of the gastrointestinal tract that are suspended in the abdominopelvic cavity.
  • Secretes a serous fluid.
  • Histological changes reflect functions of various regions.

Splanchnic Circulation

  • Arterial and venous circulation.

Enteric Nervous System

  • All digestive tract regulatory mechanisms control luminal conditions.
  • The enteric nervous system, or gut brain, consists of 100 million neurons (more neurons than the spinal cord!).
  • It is a semiautonomous, in-house nerve supply.
  • The plexuses interconnect like chicken wire all along the GI tract and regulate digestive activity throughout its length.
Enteric Nervous System - Plexuses
  • Submucosal plexus regulates movements of the mucosa, vasoconstriction of blood vessels, and innervates secretory cells of mucosal glands.
  • Myenteric plexus mostly controls gastrointestinal tract motility.

Reflexes

  • Short reflexes and long reflexes.