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Digestive System Anatomy  Digestive tract    Accessory organs   Alimentary tract or canal GI tract Primarily glands Regions        Mouth or oral cavity Pharynx Esophagus Stomach Small intestine Large intestine Anus Functions    Ingestion: Introduction of food into stomach Mastication: Chewing Propulsion   Deglutition: Swallowing Peristalsis: Moves material through digestive tract Digestive Tract Histology Digestive System Regulation  Nervous regulation  Involves enteric nervous system   Types of neurons: sensory, motor, interneurons Coordinates peristalsis and regulates local reflexes  Chemical regulation  Production of hormones   Gastrin, secretin Production of paracrine chemicals   Histamine Help local reflexes in ENS control digestive environments as pH levels Peritoneum and Mesenteries  Peritoneum     Visceral: Covers organs Parietal: Covers interior surface of body wall Retroperitoneal: Behind peritoneum as kidneys, pancreas, duodenum Mesenteries    Routes which vessels and nerves pass from body wall to organs Greater omentum Lesser omentum Oral Cavity  Mouth or oral cavity     Lips (labia) and cheeks Palate: Oral cavity roof    Vestibule: Space between lips or cheeks and alveolar processes Oral cavity proper Hard and soft Palatine tonsils Tongue: Involved in speech, taste, mastication, swallowing Teeth  Two sets    Primary, deciduous, milk: Childhood Permanent or secondary: Adult (32) Types  Incisors, canine, premolar and molars Tooth structure: Salivary Glands  Produce saliva    Prevents bacterial infection Lubrication Contains salivary amylase   Breaks down starch Three pairs    Parotid: Largest Submandibular Sublingual: Smallest Pharynx and Esophagus   Pharynx    Nasopharynx Oropharynx: Transmits food normally Laryngopharynx: Transmits food normally Esophagus   Transports food from pharynx to stomach Passes through esophageal hiatus (opening) of diaphragm and ends at stomach   Hiatal hernia Sphincters   Upper Lower Deglutition (Swallowing)  Three phases  Voluntary   Bolus of food moved by tongue from oral cavity to pharynx Pharyngeal Reflex: Upper esophageal sphincter relaxes, elevated pharynx opens the esophagus, food pushed into esophagus  Esophageal  Reflex: Epiglottis is tipped posteriorly, larynx elevated to prevent food from passing into larynx Phases of Deglutition (Swallowing) Stomach Anatomy:  Openings    Gastroesophageal: To esophagus Pyloric: To duodenum Regions     Cardiac Fundus Body Pyloric Stomach Histology:  Layers   Serosa or visceral peritoneum: Outermost Muscularis: Three layers      Outer longitudinal Middle circular Inner oblique Submucosa Mucosa Stomach Histology   Rugae: Folds in stomach when empty Gastric pits: Openings for gastric glands  Contain cells      Surface mucous: Mucus Mucous neck: Mucus Parietal: Hydrochloric acid and intrinsic factor Chief: Pepsinogen Endocrine: Regulatory hormones Hydrochloric Acid Production Movements in Stomach Phases of Gastric Secretion Small Intestine   Site of greatest amount of digestion and absorption Divisions     Modifications   Duodenum Jejunum Ileum: Peyer’s patches or lymph nodules Circular folds or plicae circulares, villi, lacteal, microvilli Cells of mucosa  Absorptive, goblet, granular, endocrine Small Intestine Secretions  Mucus   Digestive enzymes     Protects against digestive enzymes and stomach acids Disaccharidases: Break down disaccharides to monosaccharides Peptidases: Hydrolyze peptide bonds Nucleases: Break down nucleic acids Duodenal glands  Stimulated by vagus nerve, secretin, chemical or tactile irritation of duodenal mucosa Duodenum and Pancreas Duodenum Anatomy and Histology Liver  Lobes    Major: Left and right Minor: Caudate and quadrate Ducts   Common hepatic Cystic   From gallbladder Common bile  Joins pancreatic duct at hepatopancreatic ampulla Functions of the Liver  Bile production   Storage    Hepatocytes remove ammonia and convert to urea Phagocytosis   Glycogen, fat, vitamins, copper and iron Nutrient interconversion Detoxification   Salts emulsify fats, contain pigments as bilirubin Kupffer cells phagocytize worn-out and dying red and white blood cells, some bacteria Synthesis  Albumins, fibrinogen, globulins, heparin, clotting factors Blood and Bile Flow Duct System Gallbladder     Bile is stored and concentrated Stimulated by cholecystokinin and vegal stimulation Dumps into small intestine Production of gallstones possible  Drastic dieting with rapid weight loss Pancreas  Anatomy  Endocrine   Exocrine   Pancreatic islets produce insulin and glucagon Acini produce digestive enzymes Regions: Head, body, tail  Secretions  Pancreatic juice (exocrine)       Trypsin Chymotrypsin Carboxypeptidase Pancreatic amylase Pancreatic lipases Enzymes that reduce DNA and ribonucleic acid Bicarbonate Ion Production Gastric hormones: Movement in small intestine:      Mixing: Segmental contraction that occurs in small intestine Secretion: Lubricate, liquefy, digest Digestion: Mechanical and chemical Absorption: Movement from tract into circulation or lymph Elimination: Waste products removed from body Large Intestine:    Extends from ileocecal junction to anus Consists of cecum, colon, rectum, anal canal Movements sluggish (18-24 hours) Large Intestine  Cecum   Colon   Ascending, transverse, descending, sigmoid Rectum   Blind sac, vermiform appendix attached Straight muscular tube Anal canal  Internal anal sphincter (smooth muscle) External anal sphincter (skeletal muscle)  Hemorrhoids: Vein enlargement or inflammation  Secretions of Large Intestine  Mucus provides protection   Parasympathetic stimulation increases rate of goblet cell secretion Pumps Exchange of bicarbonate ions for chloride ions  Exchange of sodium ions for hydrogen ions   Bacterial actions produce gases called flatus Histology of Large Intestine Movement in Large Intestine  Mass movements   Local reflexes in enteric plexus    Gastrocolic: Initiated by stomach Duodenocolic: Initiated by duodenum Defecation reflex   Common after meals Distension of the rectal wall by feces Defecation  Usually accompanied by voluntary movements to expel feces through abdominal cavity pressure caused by inspiration Reflexes in Colon and Rectum: Digestion, Absorption, Transport  Digestion  Breakdown of food molecules for absorption into circulation Mechanical: Breaks large food particles to small  Chemical: Breaking of covalent bonds by digestive enzymes   Absorption and transport  Molecules are moved out of digestive tract and into circulation for distribution throughout body Lipoproteins  Types  Chylomicrons    VLDL LDL   Enter lymph Transports cholesterol to cells HDL  Transports cholesterol from cells to liver Water and Ions:  Water   Can move in either direction across wall of small intestine depending on osmotic gradients Ions  Sodium, potassium, calcium, magnesium, phosphate are actively transported Effects of Aging   Decrease in mucus layer, connective tissue, muscles and secretions Increased susceptibility to infections and toxic agents  Ulcerations and cancers
 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
                                             
                                             
                                             
                                             
                                             
                                             
                                           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