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120 Cards in this Set

  • Front
  • Back

The digestive tract

Aka the gastrointestinal (GI) tract or alimentary canal


A muscular tube that extends from oral cavity to anus and passes through


- pharynx


- esophagus


- stomach


- small/large intestines


- anus

Functions of digestion

Ingestion


Mechanical processing


Digestion


Secretion


Absorption


Excretion

When does ingestion occur

When materials enter digestive tract via the mouth

What is mechanical processing

Crushing and shearing that makes material easier to propel along digestive tract

What is digestion

The chemical breakdown if food into small organic fragments for absorption by digestive epithelium

What is secretion

The release of water, acids, enzymes, buffers, and salrs by epithelium of digestive tract and by glandular organs

What is absorption

The movement of organic substrates, electrolytes, vitamins, and water across digestive epithelium into interstitial fluid of digestive tract

What is excretion

Removal of waste products from body fluids

2 serous membranes and what they line

Serosa or visceral peritoneum covers organs within peritoneal cavity


Parietal peritoneum lines inner surface of body wall

Peritoneal cavity

Space between the serous membranes


Located within the abdominopelvic cavity


Secretes peritoneal fluid


Allows sliding without friction or irritation

What are the mesentaries and what do they do

Double layer membrane that suspends in peritoneal cavity


Provides an access for nerves, blood, and lymphatic vessels


Stabilize positions of attached organs


Prevent intestines from becoming entagled

Lesser omentum does what

Stabilizes position of stomach


Provides access route for blood vessels and other structures entering or leaving liver

Where is the greater omentum located

Extends inferiorly between the body wall and the anterior surface of small intestine


Hangs like an apron from lateral and inferior borders of stomach

What does adipose tissue in the greater omentum do

Conforms to shapes of surrounding organs


Pads and protects surfaces of abdomen


Stores lipid energy reserves

What parts of the digestive system are involved in absorption and what increases the surface area for absorption

Stomach, sma intestine, and most of large intestine are involved (simple columnar epithwlium with goblet cells)


Folding increases surface area for absorption (longitudinal folds that disappear as digestive tract fills and permanent transverse folds or plicae)

Where are enteroendocrine cells found and what do they do

Scattered among columnar cells of digestive epithelium


Secrete hormones that coordinate activities of the digestive tract and accessory glands

Major layers of the digestive tract

Mucosa


Submucosa


Muscularis externa


Serosa

What do parasympathetic and sympathetic digestive innervation do

Parasympathetic: increases muscle tone and activity, peristaltic and secretion


Sympathetic: promotes muscular inhibition and relaxation, closes sphincters

What does smooth muscle do along the digestive tract and how are they controlled

Has rhythmic waves of activity (peristalsis)


Controlled by pacesetter cells


Moves a bolus

What do smooth muscle cells undergo spontaneously

Spontaneous depolarization that triggers a wave of contraction through entire muscular sheet

How does peristaltic motion work

- Circular muscles contract behind bolus while circular muscles ahead of the bokus relax


- Longitudinal muscles ahead of bolus contract shortening adjacent segments


- Wave of contraction in circular muscles forces bolus forward

Neural mechanisms

Control


- movement if materials along digestive tract


- secretary function


Motor neurons


- control smooth muscle contraction and glandular secretion


- located in myenteric plexus

How many digestive hormones and what do they effect

At least 18 hormones that affect


- most aspects of digestive function


- activities of other systems

How are digestive hormones produced

By enteroendocrine dells in digestive tract

Local mechanisms

- Prostaglandins, histamine, and other chemicals released into interstitial fluid


- affect adjacent cells within small segment of digestive tract


- coordinating response to changing conditions (variations in local pH, chemical, or physical stimuli)


- affect only a portion of the tract

Functions of oral cavity

- sensory analysis of materials before swallowing


- mechanical processing through actions of teeth, tongue, and palatal surfaces


- lubrication: mixing with mucus and salivary gland secretions


- limited digestion of carbohydrates and lipids

What is hard palate formed by

Palatine process of maxillary bones


Horizontal plates of palatine bones

What is the soft palate and what does it support

- muscular tissue posterior to hard palate


- supports uvula (prevents food from entering pharynx prematurely)

Where are Palatine tonsils located

Located between glossopalatine arch and pharyngopalatine arch

4 functions of the tongue

- mechanical processing: compression, abrasion, and distortion


- manipulation: assists in chewing, prepares material for swallowing


- sensory analysis: touch, temperature, and taste receptors


- secretions: mucins, enzyme lingual lipase

Lingual frenulum

Connects body of tongue to floor of oral cavity

What are sublingual glands, what do secretions do, and what do they contain

- small glands extend into underlying lamina propria


- secretions flush tongues epithelium


- contain water mucins, enzyme lingual lipase

How does lingual lipase work

Works over a broad pH range (3.0-6.0)


Can work in stomach


Starts lipid digestion immediately

Salivary glands

3 pairs secrete into oral cavity (parotid, sublingual, submandibular)

Where are parotid glands located and what do they produce

In front of ear


Produce enzyme salivary amylase (breaks down starches)

Where are sublingual salivary glands and what do they produce

Covered by mucous membrane on floor of mouth, near tongue


Produce mucous secretions (buffer/lubricant)

Where are submandibular salivary glands and what did they secrete

In floor of mouth along inner side of jaw


Secrete buffers, glycoproteins (mucins), salivary amylase

What controls salivary secretions

Autonomic nervous system


- parasympathetic: large amounts


- sympathetic: small amounts

How much saliva is produced per day and what does it contain

- 1 to 1.5 liters each day


- contains 99.4% water


- 0.6% electrolytes (Na+, Cl-, HCO3-), buffers, glycoproteins (mucins), antibodies, enzymes, waste products

Functions of saliva

- cleans teeth


- moistens/lubricates mouth and materials in mouth


- dissolving chemicals that stimulate taste buds and provide sensory information


- initiate digestion of complex carbohydrates by enzyme salivary amylase and lipids by enzyme lingual lipase

Mastication

To chew food

Enamel

White part of tooth


Hardest substance in the body

Dentin

Mineralized matrix similar to that of bone


Doesn't contain cells

Pulp cavity

Recieves blood vessels and nerves through thr root canal

Gingivae (gums)

Ridges of oral mucosa


Surround base of each tooth on alveolar processes of maxillary/mandible bones

Root of tooth

Alveolus - bony socket where root is located


A layer of cemented covers dentin of the root providing protection and anchoring periodontal ligament

Root canal

Narrow tunnel located at root of tooth

Neck of tooth

Marks boundary between root and crown

Crown of tooth

Exposed oprtion of tooth beyond gingiva


Dentin covered by layer of enamel

Dental arches contain how many types of teeth

4 (incisors, cupids or canines, bicuspids or premolars, molars)

Incisors

Blade shaped teeth at front of mouth


Used for clipping or cutting

Cupids or canines

Conical pointed tip


Used for tearing or slashing

Bicuspids or premolars

Flattened crowns


Used to crush, mash, grind

Molars

Very large flat crowns with prominent ridges


Used for crushing and grinding

Primary and secondary dentitions

During embryonic development, 2 sets of teeth form


- primary dentition: deciduous teeth (20)


- secondary dentition: permanent teeth (32)

Pharynx

Common passageway for solid food, liquids, and air

Swallowing

Also called deglutition


Can be initiated voluntarily but proceeds automatically

Esophagus

Hollow muscular tube


About 10 in. Long and 0.8 in. Wide


Conveys solid food and liquids to stomach


Peristalsis moves food to stomach (lower esophageal sphincter)

What are the cardia, fundus, body, and pylorus of the stomach

Cardia - narrow upper region


Fundus - dome shaped, left


Body - central portion


Pylorus - funnel shaped end

2 parts of pylorus

Pyloric sphincter: regulates flow into small intestine


Pyloric glands: secrete mucous

Functions of stomach

- storage of ingested food


- mechanical breakdown of ingested food


- disruption of chemical bonds in food material (by acids/enzymes, forms chyme)


- production of intrinsic factor (glycoprotein required for absorption of vitamin B12 in small intestine)

Chyme

Mixture of secretions and food

What is the stomach lined by and what does the lining do

- simple columnar epithelium lines all portions of stomach


- epithelium is a secretary sheet (produces mucus that covers interior surface if the stomach)

pH of stomach and what this does

1.5 - 2.0


Kills microorganisms, denatures, and activates pepsin

Gastric pits and where are mucous cells found

- shallow depressions that open onto the gastric structure


- mucous cells at base, or neck, of each gastric pit


- actively divide, replacing superficial cells

Where are gastric glands and how do they communicate

In fundus and body of stomach, extend deep into underlying lamina propria


Each gastric put communicates with several gastric glands

Secretary cells in gastric glands

Parietal cells


Chief cells

Parietal cells

Secrete hydrochloric acid (HCL)


- results in alkaline blood due to HCO3- influx


- activates pepsinogen to pepin


Secretes intrinsic factor for B12 absorption

Chief cells

- most abundant near base of gastric glands


- Secretes pepsinogen (inactive proenzyme)


- secretes hydrochloric acid (HCl)

Regulation of acid and enzyme production

In gastric mucosa cab be controlled by CNS


Regulated by short reflexes of ANS coordinated in wall of stomach


Regulated by hormones of digestive tract

3 phases of gastric secretion

Cephalic phase


Gastric phase


Intestinal phase

Cephalic phase of gastric secretion

Begins when you see, smell, taste, or think of food


- directed by CNS


- prepares stomach to recieve food


- activates parietal and chief cells


- G cells release gastrin

Gastric phase of gastric secretion

Begins with arrival of food in stomach


- builds on stimulation from cephalic phase


-chyme acidifies and increases protein digestion

Intestinal phase of gastric secretion

Begins when chyme first enters small intestine


After several hours of mixing contractions


- when waves of contraction sweep down length of stomach it inhibits gastric secretion

Pepsin

Performs preliminary digestion of proteins

Digestion from saliva

Amylase - some digestion of carbohydrates


Lingual lipase - lipids


Both active until pH drops below 4.5 (1-2 hours)

Stomach contents as digestion happens

Become more fluid


pH approaches 2.0


Pepsin activity increases


Protein disassembly begins

What happens to nutrients during digestion in stomach and why isn't digestion complete

Nutrients are not absorbed


- mucous aids in prevention


- no transport mechanism


- membrane impermeable to water


- digestion is only preliminary

When are alcohol and aspirin absorbed

During digestion in the stomach due to their lipid nature

Small intestine

Plays a key role in digestion and absorption of nutrients


90% of nutrient absorption occurs here


21 ft long, 1 inch in diameter


From pylori valve to ileocecal valve

Duodenum

Segment of small intestine closest to stomach


25 cm long


Mixing bowl that eecieves chyme from stomach and digestive secretions from pancreas and liver


Few plicae


Small villi

Duodenum functions

Recieve chyme from stomach


Neutralize acids before they can damage the absorptive surfaces of small intestine

Jejunum

Middle segment of the small intestine


2.5 meters long

The jejunum in the located of most

Chemical digestion


Nutrient absorption - absorbs carbs, lipids, protein, calcium, iron

Ileum

Final segment of small intestine


3.5 meters long


Ends with ileocecal valve - to cecum of large intestine

Peyers patches

Lymphoid nodules that protect small intestine from bacteria of large intestine

Plicae (plicae circulares)

Transverse folds/ridges in intestinal lining greatly increasing surface area


Permanent features (don't dissappear when small intestine fills)

Intestinal villi and what are they covered in

A series of fingerlike projections in mucosa of small intestine


Covered by similar columnar epithelium


- covered with microvilli, the "brush border"


- increases surface area (with plicae, take surface area from 3.6 ft squared to 2200 ft squared)

Brush border enzymes

Integral membrane proteins


On surfaces if intestinal microvilli


Break down materials in contact with brush border

Enterokinase

A brush border enzyme


Activates pancreatic proenzyme trypsinogen

What are intestinal secretions, how much per day, and what do they do

Watery intestinal juice


1.8 liters/day enter intestinal lumen


Moistens chyme


Assists in buffering acids


Keeps digestive enzymes and products of digestion in solution

What is the gastroenteric reflex initiated by, and what does it stimulate, trigger, and allow

- Initiated by stretch receptors as fills


- Stimulates motility and secretions along entire small intestine


- Triggers relaxation of ileocecal valve


- Allows materials to pass from small intestine into large intestine

Pancre a s position and how much pancreatic juice does it produce

Lies posterior to stomach from duodenum toward spleen


100 mL (1 qt.) Pancreatic juice per day

Functions of pancreas

Endocrine cells: of pancreatic islets secrete insulin and glucagon into bloodstream


Exorcize organ: main job is to produce digestive enzymes and buffers delivered to duodenum

Pancreatic enzymes and what they break down

Pancreatic alpha amylase: breaks down starches


Pancreatic lipase: breaks down complex lipids


Nucleases: break down nucleic acids


Proteolytic enzymes: break certain proteins apart

Two types of proteolytic enzymes and what they do

Proteases break large protein complexes (trypsinogen)


Peptidases break small peptides into amino acids

How is trypsinogen converted to trypsin

Enterokinase in duodenum converts trypsinogen to trypsin

Liver weight, what it does, how many lobes, and how are they divided

Largest visceral organ (1.5 kg)


Performs essential metabolic and synthetic functions


2 major and 2 minor lobes divided by falciform ligament

3 functions of liver

Metabolic regulation


Hematological regulation


Bile production

How does the liver do hematological regulation

Largest blood reservoir in body


Recieves 25% cardiac output


Performs hematological regulation functions

Hepatocytes

Liver cells that adjust circulating levels of nutrients through selective absorption and secretion

Lipid digestion/absorption

- Dietary lipids aren't water soluble


- Mechanical processing in stomach creates large drops containing lipids


- Pancreatic lipase isn't lipid soluble, it interacts only at the surface of liquid droplet

Where is bile produced, stored, discharged, and what does it contain

Produced in lived, stored in gallbladder, and discharged into small intestine


Contains buffers and bile salts

What do bile salts do

Break droplets apart (emulsification,)


- increases surface area exposed to enzymatic attack


- creates tiny emulsion droplets coated either bile salts

What is the gallbladder and what does it store

A pear shaped muscular sac


Stores and concentrated bile prior to excretion in duodenum via common vile duct

Gallstones

Crystals of insoluble minerals and salts


Form if bile is too concentrated


Small stones may be flushed through bile duct and excreted

Gallbladder and bile modification

Full gallbladder contains 40-70 mL bile


Bile composition changes in gallbladder


- water is reabsorbed


- bile salts and solutes become concentrated

Large intestine measurements and position

Almost 5 ft long and 3 ft wide


Horseshoe shaped


Extends from end of ileum to anus


Lies inferior to stomach and liver


Frames small intestine


Larger diameter and thinner walls than small intestine

Functions of large instestine

Reabsorption of water


Compaction of intestinal contents into feces


Absorption of important vitamins produced by bacteria


Storage of fecal material prior to defecation

3 parts of large intestine

Cecum, colon, rectum

Cecum

Pouchlike first portion of large intestine


Recieves material arriving from ileum


Stores material and begins compaction


Appendix attached

Colon

Largest portion of large intestine


- ascending colon


- transverse colon


- descending colon


- Sigmoid colon

Rectum

Forms last 6 inches of digestive tract


An expandable organ for temporary storage of feces


Fecal material in rectum triggers urge to defecate


Anal canal - last 1 inch- exits via the anus

Internal anal sphincter

Circular muscles layer if muscularis externa


Has smooth muscle cells not under voluntary control

External anal sphincter

Encircles distal portion of anal canal


A ring of skeletal muscle fibers under voluntary control

Characteristics of colon

-Lack of villi


-Abundance of goblet cells


-Presence distinctive intestinal glands


-Mucosa doesn't produce enzymes (provides lubrication for fecal matter)


-less than 10% of nutrients absorption occurs in large intestine


-Prepares fecal material for ejection from body


Types of absorption in large instestinr

-Reabsorption of water


-Reabsorption of bile salts (in cecum, transported in blood to liver)


-Absorption of vitamins produced by bacteria (K, Biotin, pantothenic acid)


-Absorption of organic wastes

What do organic wastes do and what do they generate

Bacteria break down peptides in fever and generate


- ammonia: as soluble as ammonium ions


- indole and skatole: nitrogen compounds responsible for odor of feces


- hydrogen sulfide: gas that produces rotten egg odor

What do bacteria that feed on indigestible carbohydrates (complex polysaccharides) produce

Flatus or intestinal gas in large intestine

Essential nutrients

Carbohydrates


Proteins


Lipis


Water


Electrolytes


Vitamins