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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 and Fecal Formation

  • 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.