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79 Cards in this Set

  • Front
  • Back

Digestive process

1. Ingestion


2. Propulsion


3. Mechanical digestion


4. Chemical digestion


6. Absorption


7. Defecation

Ingestion

Process of taking food into the digestive tract usually via the mouth

Propulsion

Process of moving food through the alimentary canal

Are part of which part of digestive process?


Swallowing


Peristalsis

Propulsion

Mechanical digestion

1. chewing


2. Mixing of food with the saliva


3. Churning food in the stomach


4. Segmentation



Peristalasis

A. Alternative waves of contraction of relaxation of the muscle in the organ wall.




B. More common in the Stomach

Segmentation

a. Mixing of food with digestive juices; increase the rate of absorption of food.




B. More common in the SI

Chemical digestion

(Catabolic process) large food molecules >> enzymes >>small food molecules (facilitates absorption

Absorption

Transport of digested end products (vitamins, minerals, water) from the lumen of the GI tract to blood or lymph



Defecation

Elimination of indigestible substances via the anus

Bloody Supply


Splancnic circulation

1. Celiac trunk


2. Mesenteric vessels

Hepatic Portal Circulation

Collect nutrition-rich venous blood from the digestive organs and delivers it to the liver for processing and storage; the nutrients are then release back into the bloodstream for general use.

Walls of the GI organ

1. Mucosa


2. Submucosa


3. Muscularis external


4. Serous a (or adventititia)



Kind of epithelium find in the Mucosa of GI organ

Simple Columnar

Muscularis externa

Myenteric plexus enteric neurons that provide the major nerve supply to the GI tract wall and control GI motion (Peristalsis and segmentation)

Salivary glands

Parotid


Submandibular


Sublingual



Amylase

Enzymes that begins the chemical breakdowns of starchy foods

Find in the salivary glands

Amylase


Lysozyme


IgA



2 phases of deglutation (swallowing)

1. Bucal phase


2. Pharyngeal- esophageal phase -


pharynx/esophagus (involuntary)

mouth

1. Allow for the ingestion of food


2. include some accessory organs like :


teeth


tongue


salivary glands



Salivary glands

Parotid, submandibular, sublingual


Amylase


Lysozyme


IgA


parasympatheticMainly under parasympatheri control

Amylase
enzyme that begin the chemical breakdown of starchy food.
Parynx
food passes from the oropharynx>>laryngopharynx
Esophagus
Passes through the mediastinum and pierces the diaphragm at the esophageal hiatus to join the stomach at the cardiac orifice which in turn is surrounded by the gastroesophageal sphincter.
Deglutition (swallowing) 2 phases

1. Buccal phase - mouth (voluntary)




2. Pharyngeal - esophageal phase -


pharynx/esophagus (involuntary)

Sensory and motor impulses (location)
swallowing center (pons/medulla oblongata) >>>peristalsis
gastroesophageal sphincter
is located at the beginning of the stomach
Stomach

1. Iniciates the chemical breakdown of protein


2. Bolus>>Chyme (crème past)


3. Mucosa

Mucosa

@ Simple columnar epithelium with goblet cells


@ Gastric pits >>> gastric glands>>> gastric juice


@ Cells of the gastric glands (surrounded by capilares)

Cells of the gastric glands

@ Mucous neck cells>> acidic mucus


@ Parietal (oxyntic) cells >> HCI (bring stomach to pH 1.5 to 3.5)/intrinsic factor (absorp. of Vit. B12)


@ Chief (zymogenic) cells>> pepsinogen>> pep sin


@ Enteroendocrine cells

Chief (zygomatic) cells
Pepsinogen >>>Pepsin
Enteroendocrine cells

endorphins


gastrin


histamine


serotonin


somatostatin

Regulation of gastric secretion


NEUTRAL and HORMONAL


3 phases

1. Cephalic


2. Gastric


3. Intestinal

Cephalic

a. Occurs before ford enters the stomach


b. Taste, smell, sight and thought of food>>>


stimulate stomach glands to secrete

Gastric

a. Stomach distension >> activates stretch


receptors >>> stimulates stomach glands


to secrete


b. Chemical stimuli provided by caffeine, rising


pH, and partially digested protein

Chemical stimuli provided by caffeine, rising pH, and partially digested protein

Protein foods>>> rise in stomach pH because the proteins buffer the H+ ions >>> gastrin released from Enteroendocrine cells (G cells) >>> stimulates HCI release >>> provides the acidic conditions needed for protein digestion. Note: gastrin secretion is inhibited when gastric contents become highly acidic

HCI formation is stimulated by

a. Ach


b. Gastrin


c. Histamine

Alkaline tide
blood leaving the stomach is more alkaline than blood entering the stomach; the alkaline tide" of the stomach will be neutralized by the "acidic tide" of the pancreas.

Intestinal


2 Components

Excitatory (brief)


Inhibitory (enterogastric reflex)

Excitatory (brief)
as partially digested food begins filling the duodenum, intestinal mucosal cells secrete enteric gastric which stimulates gastric secretions and motility
Inhibitory (enterogastric reflex)
intestinal distensinwith chime containing large amount of H+, fats, and partially digested proteins triggers the release of enterogastrones (secretin, CCK, VIP, GIP) the decrease gastric secretions and motility
Where and when does peristalsis begins?

After meal


Near the gastroesophageal sphincter

What does intensify motility

approaching to the pylorus


bigger amount of food

Rhythm of the
It is set by the spontaneous activity of pacemaker cell (interstitial cells of Caja) that depolarize and repolarize 3 times per minute.
Normal emptying time of the stomach
3 to 4 hours (when food is properly combined)
Small intestine

Site when digestion is completed


Site where virtually all absorption occurs

Small Intestine anatomy

1. Duodenum


2. Jejunum


3. Ileum

Small Intestine


Modification for absorption

1. Plicae circularis


2. Villi


3. Microvilli

Plicae circularis

folds of the mucosa and submucosa

Villi
finger-like projections of the mucosa; at the core of the villi: lacteals - for the absorption of fatty acids and monoglycerides: between the villi : Cripts of Lieberkuhn- secrete intestinal juice (pH = 6.5 to 7.8)
Microvilli
Projections of the plasma membrane of the epithelial cells that line the villi; contain Brush border enzymes: disaccharidases - carbohudrate digestion: peptidases - protein digestion
Cripts of Lieberkuhn
pH 6.5 to 7.8
Mucosa
Simple columnar epithelium with mucus-production goblet cells and Enteroendocrine cells (release enterogastrones)
Submucosa

Ileum


Doudenum

Ileum
Peyer's patches
Duodenum
Brunner's glands- secrete bicarbonate - rich mucus to neutralize the acidic chime coming from the stomach
Liver

1. Largest gland in the body


2. The only digestive function of the liver is the production of the bile

Bile Salts

Emulsify fats


Facilitate fat and cholesterol absorption


Help solubilize cholesterol contained in the bile and that coming from the diet

Bile pigments

Bilirubin >> urobilinogen and stercobilinogen (brown color of feces)


Cholesterol

Anatomy of the liver

Right lobe, left, quadrate, caudate


ligamentum teres, falciform


Ducts: right and left hepatic, common hepatic

Microscopic anatomy

1. Liver lobule


Triad (branch of the hepatic artery, branch of the hepatic portal vein, and bile duct)


2. Blood flow directed towards the central vein; bile flow directed towards the bile duct

Gall Bladder

@. Muscular sac located on the ventral undersurface of the liver.


@. Stores and concentrates bile

Anatomy of the Gall bladder

# Cystic duct


# Common bile duct

Contraction of the Gall bladder

$ Parasumpatheric (CN X)


$ CCK

CCK

* released by the intestines when fatty, acidic chime enters the duodenum


* stimulates pancreatic secretion


* relaxes the Sphincter of Oddi

Pancreas Anatomy

Head, body, tail


Pancreatic duct and accessory duct


Hepatopancreatic duct

Pancreatic juice
pH 8: neutralizes the acidic chime entering the duodenum
Pancreatic enzymes:
inactive proteases that become activated once they enter the duodenum via duodenal enterokinases (example inactive trypsinogen converted to active trypsin)
Regulation of pancreatic secretions

Parasympatheric (CN X)


Secretin


CCK

Motility of the Small Intestine

Mainly segmentation (as opposed to peristalsis in the stomach)


Gastroileal reflex

Gastroileal reflex

Increases segmentation


Relaxes ileocecal valve

Large Intestine

Cecum


Ascending Colon


Hepatic flexure (liver)


Transverse colon


Splenic flexure (spleen)


Descending colon


Sigmoid colon


Rectum

Associated anatomy of Large Intestine

Haustra


Teniae coli

Function of Large Intestine
Absorb water from the indigestible food residues delivered to it in a fluid state and eliminated them from the body as semisolid feces
Bacterial flora

Ferment indigestible carbohydrates >> acid and gasses (flatus)


Synthesize vitamins B and K

Motility Large Intestine

Sluggish, short - lived peristaltic contractions


Haustra contractions (slow, segmenting movements that occur every 30 min


Mass movements

Mass movements
Long, slow-moving, powerful contractions that push feces into the rectum; 3 to 4 times in 24 hours during or after meal - gastrocolic reflex
Defecation reflex
Distension of the rectum with feces sends nerve impulses to the CNS which ultimately leads to a motor response that contracts the rectal walls and relaxes the internal anal shincter