Transcript document

Lect 17Digestive
Gastrointestinal Tract
Accessory Organs
Intro to
Anatomy , Physiology
and Nutrition
Digestive Tract =
___________
• Mouth
• Pharynx
• Esophagus
• Stomach
• Small Intestine
• Large Intestine
• Anus
Accessory Organs
• Teeth and salivary
glands
• Liver/gall bladder
• Pancreas
• Mesenteries
Alimentary Canal - Characteristic Cross Section
– __________ = Passage down the middle
– Mucosa
– Submucosa
• What kind of tissue?
• What is found in this layer?
– Muscle layer
– Serosa = ? Type of membrane
____________
•
•
•
•
•
•
•
•
Functions of the Digestive System
The process of taking foods and liquid into the
mouth:
Ingestion
The release of water, acid, buffers, and enzymes
by cells and accessory organs into the lumen.
Secretion
Alternating contraction and relaxation of smooth
muscle.
Peristalsis  Mixing and propulsion
Mechanical and chemical break down of organic
material into small molecules.
Digestion
Mouth
• Cheeks: lateral walls
– buccinator muscles, bucal fat pads
– Non-keratinized stratified squamous epithelium
– Lips attach to gum: labial frenulum (a midline fold)
• Vestibule: space between lips and gums
(gingiva)/teeth
• Oral cavity proper – from gums and teeth to
Fauces
Oral Cavity
• Floor:
– Mylohyoid muscle
– Tongue
• frenulum
• Palate:
– Hard Palate: palantine bones + part of maxilla
– Soft Palate: + Uvula – close oral cavity
nasopharynx
• Tonsils:
– Palatine: either side of tongue
– Lingual : near base of tongue at hyoid bone
– Pharyngeal: = adenoids – posterior wall of
pharynx
Teeth
• Fours types:
– Incisors
– Canines
– Premolars
– Molars
• Primary teeth: deciduous – ‘baby teeth’
• Adult teeth
– dental formula: number of teeth of each type
in one half of each jaw reading from the front
(incisors) to back (molars)
• Humans Adults: 2123/2123
Salivary Glands
•
•
•
•
Parotid below your ear and over the masseter
Submandibular is under lower edge of mandible
Sublingual is deep to the tongue in floor of mouth
All have ducts that empty into the oral cavity
Tortora & Grabowski 9/e 2000
• Swallowing:
• What prevents food
from entering nasal
cavity:
• What temporarily seals
oral cavity/pharynx?
• What closes opening
to respiratory
passage?
• Peristaltic wave
pushes _______ down
__________.
Pharynx – 3
regions:
Nasopharynx
Oropharynx
Laryngopharynx
• Anatomy
– A collapsible 10 inch
long muscular tube.
• Functions
– Secrete mucus and
transport food from
the pharynx to the
stomach.
• Rhythmic waves of
muscle contraction?
(Peristalisis).
• Pierces the
diaphragm at hiatus
– hiatal hernia or
diaphragmatic hernia
The
Esophagus
Peritoneum
• visceral layer covers organs
• parietal layer lines the walls of body
cavity
• Peritoneal cavity
– potential space containing a bit of
serous fluid
Greater Omentum- fatty apron: covers
transverse colon and small intestine.
• Falciform Ligament: Suspends liver from
anterior wall of abdomen/diaphragm
• Lesser Omentum: suspends stomach and
duodenum from liver
• Mesentary Proper: Extends from dorsal
wall of abdominal cavity, suspends small
intestine
• Mesocolon: binds transverse and sigmoid
colon to dorsal abd. wall
Falciform
Ligament
Lesser
Omentum
Mesentary
Proper
Mesocolon
Greater
Omentum
•
•
•
•
Which side is it on?
Size when empty?
Parts of stomach?
Structure of its walls?
• Smooth muscle layers
• rugae
• Gastric pits
• What digestive processes
occur here
• Associated mesenteries?
• Semifluid contents are
known as?
Gastric Pits and Gastric Glands
• Gastric Pits: shallow depressions of
gastric mucosa
• Gastric Glands:
– Open to gastric pits
– Endocrine and exocrine cells in walls
– Exocrine secretions  gastric juice
•
Protects walls of
stomach
•
Acid environment
activates
pepsinogen
Absoption o f B12
in small intestine
•
•
Initiates protein
breakdown
•
Hormonal activity
initiates smooth
muscle action and
secretion of
gastric juice
• What stimulates secretion of Gastrin?
Secretion of gastric juice –
parasympathetic involvement –
sensory stimuli
• Small Intestine
• Three parts
• Digestive processes
– Absorption of lipids
•
• Special adaptations – functions
• Support
Absorption in Small Intestine
• Absorption of Lipids
• Bile salts act to emulsify
• Fatty acids + glycerol at villi
– Intermediate metabolic conversions 
chylomicrons – protein encased structures
enter blood stream
– Delivered to
• tissues as LDL
• Liver as HDL
– Bile salts  feces
Where will the absorbed nutrients go?
Pancreas- Endocrine/Exocrine
• Endocrine – Islet tissues
• Exocrine – acinar cells via pancreatic
duct  ?? (where)
– Pancreatic juice:
•
•
•
•
Pancreatic amylase
Trypsin
Lipase etc.
Releases bicarbonate ions – neutralizes chyme
– Regulation via
• secretin from duodenal epithelial tissues
• Cholecystokinin
Liver
• Lobes divided into lobules
• Blood from portal vein  sinusoids 
central canal
• Multiple functions
– Blood glucose  glycogen  blood glucose
– Lipid oxidation
– Formation of urea from NH2
– Deamination of aa
– Storage
– Production of bile
• Bile and the Gall Bladder
• Bile
– Bile salts
– Others
– Emulsification of lipids
– Released as fatty substance enter lumen of
duodenum
– Cholecystokinin (CCK) stimulates contrations
of gall bladder
• Large Intestine
• Regions
– Cecum
• Veriform appendix
– Colon – 4 regions
– Rectum
– Anal canal
• Internal & external anal sphincters
• Functions
Symbiotic Bacteria Reside in the Colon
• Numbers- about 50 species.
• Fecal component- accounts
for about 1/3 the total weight
of feces.
• They are nourished by
undigested foods.
• Their metabolic processes
produce gas.
• Some produce vitamins B
and K.
• They decompose pigmented
molecules, which give feces
its brown color.
Nutrition
• Macronutrients – energy source
– Calorie – measure of energy in foods
• Micronutrients – required for vital
biochemical processes
– Incl. vitamins & minerals
• Hydrolysis – initial step
• Essential nutrients
• Essential fatty acids
– Required for synthesis of other forms in liver
• Linoleic acid
• Essential amino acids (8)
– See table 15.8
• Complete vs partially complete proteins
• Issues with Fats and Cholesterol
– 4x amt of energy in carbs
– Does Cholesterol intake greatly impact risk of
heart disease?
– What is the impact of intake of different kinds
of fats on arthrosclerosis – (linked to heart
disease)?
– Trans fats?
• Carbohydrates – all are not the same
• Glycemic Index: impact/rate of change in
blood glucose levels after ingestion
• Some examples of high vs. low glycemic
index foods
• Impact of milling on glycemic index
• Vitamins
• Fat soluble
• Water-soluble
– B complex
– C (ascorbic acid)
The End.