Comprehensive Review of the Digestive System and Related Disorders
Colon Cancer Screening
- Screening can prevent colon cancer by finding and removing polyps before they progress to cancerous stages.
- According to the American Cancer Society, the lifetime risk of developing colorectal cancer is approximately 1/23 or 4.4\%; risk is slightly lower in females.
Digestive System Overview
- Stomach Anatomy:
- Located behind the epigastric region in the abdominopelvic area.
- Esophageal Sphincter at the top (connects esophagus with stomach).
- Pyloric Sphincter at the bottom (controls gastric emptying).
- Rugae: folds inside the stomach for secretion of gastric juices.
- Muscle Layers of the stomach:
- Vertical
- Transverse
- Oblique
- Function: These muscle layers churn food, mixing gastric substances for digestion.
Large Intestine Anatomy
- Like the stomach, the large intestine has three layers (walls).
Salivary Glands
- Function: Produce saliva and enzymes for food breakdown in the mouth.
- Three pairs of major salivary glands:
- Submandibular (under lower jaw)
- Sublingual (under the tongue)
- Parotid (near the ear)
Pancreas
- Location: Elongated gland stretching transversely across the posterior abdominal wall.
- Functions:
- Endocrine: Secretion of insulin and glucagon into the bloodstream.
- Exocrine: Secretion of digestive enzymes into the duodenum.
- Structure:
- Divided into head, body, and tail; head is near the duodenum.
- Duct extends throughout the gland for enzyme transport.
Liver and Gallbladder
- Liver:
- Produces bile, detoxifies the body, synthesizes proteins, regulates glycogen storage.
- Largest lobe is the right lobe.
- Gallbladder:
- Stores bile, which is emptied into common bile duct and then into the duodenum.
- Bile aids in fat digestion.
Spleen
- Location: Dark purple organ found posterior and inferior to the stomach.
- Functions:
- Part of the lymphatic system (contains lymph nodes).
- Hemopoiesis: Production of blood cells (especially during infection).
- Stores about 500 mL of blood.
Digestive Processes
- Mastication: Process of chewing food (mescedure means to chew).
- Metabolism: Breakdown of food into energy.
- Catabolism: Breakdown phase (large molecules to smaller, e.g., glycogen o pyruvic ext{ acid}).
- Anabolism: Constructive phase (smaller molecules into larger, e.g., amino ext{ acids} o proteins).
- Chyme: Mixture of gastric juices and partially digested food; has yellow-orange color from bile.
- Process:
- Chyme passes through the intestines; water is reabsorbed in the large intestine leading to solidification into feces.
Nutrients and Vitamins
- Essential Body Nutrients: Carbohydrates, fats, proteins, vitamins, minerals, and water.
- Vitamins: Organic substances crucial for metabolism and health.
- Classified into fat-soluble (A, D, E, K) and water-soluble (B, C).
Minerals
- Essential for bone health, muscle function, and various metabolic processes.
- Daily requirements for adults:
- Calcium & Phosphorus: 1000 mg
- Sodium: 2400 mg
- Copper: 2 mg
- Iodine: 150 µg
- Magnesium: 350 mg
Medical Procedures
- Colonoscopy: Examines the large intestine for polyps, cancers; involves clear liquids and bowel cleansing before procedure.
- Proctoscopy: Examines the rectum with specialized instruments for detecting abnormalities.
Common Disorders of the Digestive System
- Hernias: Protrusion of tissue through normal body structures; classifications include inguinal, abdominal, and more.
- Fistulas: Abnormal passageways between organs or cavities; can form due to infections, injuries, or congenital issues.
- Dysentery: Intestinal infection characterized by diarrhea with mucus and blood; treatment involves hydration and antibiotics.
- Cholera: Severe diarrhea caused by Vibrio cholerae; treated through fluid restoration.
Cancer Signs (CAUTION)
- C: Change in bowel or bladder habits
- A: Sore that doesn’t heal
- U: Unusual bleeding
- T: Thickenings or lump
- I: Indigestion/difficulty swallowing
- O: Obvious changes in moles
- N: Nagging cough/hoarseness
Nutritional Deficiencies
- Scurvy: Vitamin C deficiency, symptoms include gum bleeding, joint pain; treated with vitamin C supplementation.
- Beriberi: Vitamin B1 (thiamine) deficiency, affecting the nervous system.
- Pelagra: Niacin deficiency, characterized by multiple bodily symptoms including gastrointestinal disturbances.
Conclusion
- Proper nutrition is crucial for health and prevention of diseases. Regular screening for cancer and awareness of digestion-related disorders can significantly affect long-term health outcomes.