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DIGESTIVE
SYSTEM
Dhruvi A. Prajapati
Assistant Professor
Dept. of Chemistry & QA
Babaria Institute of Pharmacy
BITS Edu campus - Vadodara
 The digestive system
comprises of the
gastrointestinal tract with
various glands attached to
it.
 The tract starts from the
mouth and ends at the anus.
 The tract is 8-10 meters in
length.
Dhruvi A. Prajapati 2
WHAT IS THE DIGESTIVE SYSTEM ?
The gastrointestinal tract (digestive tract, digestional tract, GI tract,
GITor alimentary canal) is an organ system within humans and other
animals which takes in food, digests it and absorb energy and nutrients, and
expels the remaining waste as feces.
• Major digestive organs:
 Mouth.
 Pharynx.
 Esophagus.
 Stomach.
 Small Intestine.
 Large Intestine.
 Rectum.
• Accessory digestive organs:
 Liver
 Gallbladder
 pancreas
 Salivary gland
Dhruvi A. Prajapati 3
Functions of GI tract
• Ingestion: taking of food into the alimentary tract. i.e. eating & drinking.
• Propulsion: mixes & moves the contents along the alimentary tract.
• Digestion: consist of:
• Mechanical Phase – involves the breaking up of food into small pieces,
pushing the food down the food tube & mixing with it digestive juices
• Chemical Phase – involves the further breaking up of the larger molecules
of food into smaller molecules by the action of digestive enzymes
• Absorption:this is the process by which digested food substances pass through
the walls of some organs of the walls of some organs of the alimentary canal into
the blood for circulation.
• Elimination:food substances that have been eaten but cannot be digested &
absorbed are excreted from the alimentary canal as faeces by the process of
defaecation.
Dhruvi A. Prajapati 4
MOUTH
Relations:
• Anteriorly-lips
• Posteriorly-continue with the oropharynx
• Laterally-muscles of cheeks
• Superiorly-bony hard palate
• Inferiorly-muscular tongue & the soft tissues of the floor of the mouth
• The mouth is the first portion of the alimentary canal that receives food and
produces saliva.
• The oral mucosa is the mucous membrane epithelium lining the inside of the
mouth.
• The palate forms the roof of the mouth & is divided into the anterior hard
palate & posterior soft palate.
• The uvula is a curved fold of muscle covered with mucousmembrane,
hanging down from the middle.
Dhruvi A. Prajapati 5
Dhruvi A. Prajapati 6
TONGUE
• The tongue is a muscular organ in the mouth, that manipulates food
for mastication, and is used in the act of swallowing.
• It is of importance in the digestive system and is the primary organ of
taste in the gustatory system.
• The tongue's upper surface (dorsum) is covered by taste buds housed in
numerous lingual papillae.
• The human tongue is divided into two parts, an oral part at the front
and a pharyngeal part at the back.
Dhruvi A. Prajapati 7
• BLOOD SUPPLY
• lingual artery
• external carotid artery
• VENOUS DRAINAGE
• lingual veins
• internal jugular vein
• NERVE SUPPLY
• hypoglossal nerve
• Taste and sensation:
glossopharyngeal nerve
 FUNCTIONS
• Mastication (chewing)
• Deglutition (swallowing)
• Speech
• Taste Dhruvi A. Prajapati 8
TEETH
• The human teeth function to mechanically break down items of food by cutting
and crushing them in preparation for swallowing and digesting.
• Humans have four types of teeth: incisors, canines, premolars & molars, each
with a specific function.
Dhruvi A. Prajapati 9
PRIMARY TEETH
 Among deciduous (primary) teeth, ten are found in the maxilla (upper
jaw) and ten in the mandible (lower jaw), for a total of 20.
 Start to come in (erupt) at about 6 months of age
 In the primary set of teeth,
 two types of incisors – centrals and laterals, one canine & two types
of molars – first and second.
 All primary teeth are normally later replaced with their permanent
counterparts.
Dhruvi A. Prajapati 10
PERMANENT TEETH
 Among permanent teeth, 16 are found in the maxilla and 16 in the mandible,
for a total of 32.
 Age 21, all 32 of the permanent teeth have usually erupted.
 The permanent teeth are the:
 Two incisor (for cutting)-central incisor, lateral incisor
 One canine (for tearing)
 Two premolar (for crushing)-first premolar, second premolar,
 Three molar (for grinding)-first molar, second molar, and third molar.
Dhruvi A. Prajapati 11
PARTS
• ENAMEL
 Enamel is the hardest & most highly mineralized substance of the
body.
 It is one of the four major tissues which make up the tooth, along with
dentin, cementum, and dental pulp.
 96% of enamel consists of mineral, with water and organic material
comprising the rest.
 The normal color of enamel varies from light yellow to grayish white.
• DENTIN
 Dentin is the substance between enamel or cementum and the pulp
chamber.
 The porous, yellow-hued material is made up of 70% inorganic
materials, 20% organic materials, and 10% water by weight.
 Dentin is a mineralized connective tissue with an organic matrix of
collagenous proteins.
Dhruvi A. Prajapati 12
• CEMENTUM
 Cementum is a specialized
bone like substance covering
the root of a tooth.
 Its coloration is yellowish
and it is softer than dentin
and enamel.
• DENTAL PULP
 The dental pulp is the central
part of the tooth filled with
soft connective tissue.
 This tissue contains blood vessels
& nerves that enter the tooth from
a hole at the apex of the root.
Dhruvi A. Prajapati 13
FUNCTIONS OF TEETH
• Two incisor -for cutting
• One canine -for tearing
• Two premolar-for crushing
• Three molar-for grinding
• ERUPTION
• Tooth eruption in humans is a process in tooth development in which the teeth
enter the mouth and become visible.
• Primary teeth erupt into the mouth from around six months until 2 years
of age.
Dhruvi A. Prajapati 14
 BLOOD SUPPLY: Maxillary arteries
 VENOUS DRAINAGE: Internal jugular veins
 NERVE SUPPLY: Maxillary nerves, Mandibular nerves
Dhruvi A. Prajapati 15
SALIVARY GLANDS
• The salivary glands in are exocrine glands that produce saliva through a
system of ducts.
• Humans have 3 paired major salivary glands:
 Parotid
 submandibular and
 Sublingual as well hundreds of minor salivary glands.
PAROTID GLANDS
• The two parotid glands are major salivary glands wrapped around the mandibular ramus
in humans.
• The largest of the salivary glands.
• They secrete saliva to facilitate mastication and swallowing, and amylase to begin the
digestion of starches.
• It enters the oral cavity via the parotid duct.Dhruvi A. Prajapati 16
Dhruvi A. Prajapati 17
SUBMANDIBULAR GLANDS
• The submandibular glands are a pair of major salivary glands located beneath the
lower jaws, superior to the digastric muscles.
• The secretion produced is a mixture of both serous fluid & mucus, and enters the
oral cavity via the submandibular duct.
SUBLINGUAL GLANDS
• The sublingual glands are a pair of major salivary glands located inferior to the
tongue, anterior to the submandibular glands.
• Approximately 5% of saliva entering the oral cavity comes from these glands.
• The secretion produced is mainly mucous in nature.
MINOR SALIVARY GLANDS
• There are 800 to 1,000 minor salivary glands located throughout the oral cavity
within the submucosa of the oral mucosa in the tissue of the buccal, and lingual
mucosa. Dhruvi A. Prajapati 18
• BLOOD SUPPLY: External carotid artery
• VENOUS DRAINAGE: Jugular veins
COMPOSITION OF SALIVA
• About 1.5 litres of saliva is produced daily & it consists of:
 Water
 Mineral salts
 An enzyme
 Mucus
 Lysozyme
 Immunoglobulins
Dhruvi A. Prajapati 19
FUNCTION OF SALIVA
• Saliva contributes to the digestion of food & to the maintenance of oral
hygiene.
• Without normal salivary function the frequency of dental caries, gum disease
and other oral problems increases significantly.
Chemical digestion of polysaccharides
• Saliva contains the enzyme amylase that begins the breakdown of complex
sugars, including starches, reducing them to the disaccharide maltose.
• The optimum pH for the action of salivary amylase is 6.8 (slightly acid).
• Salivary pH ranges from 5.8 to 7.4 depending on the rate of flow; the higher
the flow rate, the higher is the pH.
• Enzyme action continues during swallowing until terminated by the strongly
acidic pH (1.5-1.8) of the gastric juices, which degrades the amylase.Dhruvi A. Prajapati 20
Lubricant
• Saliva, coats the oral mucosa, mechanically protecting it from trauma during
eating, swallowing and speaking.
• In people with little saliva soreness of the mouth is very common, and the food
(especially dry food) sticks to the inside of the mouth.
Digestion
• The digestive functions of saliva include moistening food and helping to create a
food bolus.
• This lubricative function of saliva allows the food bolus to be passed easily from
the mouth into the esophagus.
Role in taste
• Saliva is very important in the sense of taste.
• It is the liquid medium in which chemicals are carried to taste receptor cells
(mostly associated with lingual papillae).Dhruvi A. Prajapati 21
THE PHARYNX
• The pharynx is the part of the throat that is behind the mouth and nasal
cavity and above the esophagus and the larynx, or the tubes going down to
the stomach and the lungs.
• The pharynx is the portion of the digestive tract that receives the food from
your mouth.
• Branching off the pharynx is the esophagus, which carries food to the
stomach.
Dhruvi A. Prajapati 22
• The walls of the pharynx consist of three layers of tissue.
• The lining membrane (mucosa) is stratified squamous epithelium,
continuous with the lining of the mouth at one end and the oesophagus at
the other. Stratified epithelial tissue provides a lining well suited to the
wear and tear of swallowing.
• The middle layer consists of connective tissue which becomes thinner
towards the lower end and contains blood and lymph vessels and nerves.
• The outer layer consists of a number of involuntary muscles that are
involved in swallowing.
• When food reaches the pharynx swallowing is no longer under voluntary
control.
Dhruvi A. Prajapati 23
ESOPHAGUS
• The esophagus or oesophagus,commonly
known as the food pipe or gullet, The
esophagus is a muscular tube connecting
the throat (pharynx) with the stomach.
• The esophagus runs behind the
windpipe (trachea) and heart, and in
front of the spine.
• Length: 25 cm
• Diameter: 2 cm
Dhruvi A. Prajapati 24
STRUCTURE
• The wall of the esophagus from the lumen outwards consists of mucosa, submucosa
(connective tissue), layers of muscle fibers between layers of fibrous tissue, and an
outer layer of connective tissue.
• The mucosa is a stratified squamous epithelium of around 3 layers of squamous
cells, which contrasts to the single layer of columnar cells of the stomach.
• Most of the muscle is smooth muscle although striated muscle predominates in its
upper third.
• It has two muscular rings or sphincters in its wall, one at the top and one at the
bottom.
• A sphincter is a circular muscle that normally maintains constriction of a natural
body passage or orifice and which relaxes as required by normal physiological
functioning.
• The lower sphincter helps to prevent reflux of acidic stomach content.Dhruvi A. Prajapati 25
FUNCTIONS
• Formation of a bolus
• Swallowing
• Food is ingested through the mouth and when swallowed passes first
into the pharynx and then into the esophagus.
• Reducing gastric reflux
• Constriction of the upper and lower esophageal sphincters help to
prevent reflux (backflow) of gastric contents and acid into the
esophagus, protecting the esophageal mucosa.
Blood supply: Oesophageal arteries, Inferior phrenic arteries
Venous drainage: Left gastric vein
Dhruvi A. Prajapati 26
STOMACH
• The stomach is a muscular organ located on the left side of the upper
abdomen. The stomach receives food from the esophagus.
• As food reaches the end of the esophagus, it enters the stomach through a
muscular valve called the lower esophageal sphincter.
Relations:
• Anteriorly-left lobe of liver & anterior abdominal wall
• Posteriorly-abdominal aorta, pancreas, spleen, left kidney
• Superiorly-diaphragm, oesophagus & left lobe of liver
• Inferiorly-transverse colon & small intestine
• Left side-diaphragm & spleen
• Right side-liver & duodenum Dhruvi A. Prajapati 27
Dhruvi A. Prajapati 28
• A pouch-like organ primarily designed for food storage (for 2-4 hours),
some mechanical and chemical digestion also occur .
• Contains two sphincters at both ends to regulate food movement :
• cardiac sphincter near the esophagus
• pyloric sphincter near the small intestine .
• Divided into 4 regions :
• cardiac stomach (or cardiac),
• fundic stomach (or funded) ,
• body of stomach
• pyloric stomach (or Pylorus).
• Contain thick folds called rugae at its layer, for providing larger surface
area for expansion, secretion, digestion and some absorption.
Dhruvi A. Prajapati 29
Dhruvi A. Prajapati 30
FUNCTIONS
Digestion
• The stomach releases proteases (protein-digesting enzymes such as pepsin)
and hydrochloric acid, which kills or inhibits bacteria and provides the acidic
pH of 2 for the proteases to work.
• Food is churned by the stomach through muscular contractions of the wall
called peristalsis
Absorption
• Some absorption of certain small molecules nevertheless does occur in the
stomach through its lining
Dhruvi A. Prajapati 31
Gastric Juice
• Gastric acid, gastric juice or stomach acid, is a digestive fluid formed in the
stomach and is composed of hydrochloric acid (HCl), potassium chloride
(KCl) and sodium chloride (NaCl).
• The acid plays a key role in digestion of proteins, by activating digestive
enzymes, and making ingested proteins unravel so that digestive enzymes
break down the long chains of amino acids.
Gastric Secretory Cells
• Chief cells: secrete pepsinogen (an inactive enzyme).
• Parietal cells: secrete hydrochloric and (HCl) and "intrinsic factor" (which
helps absorption of vitamin B12 in the intestines).
• Mucous cells: secrete mucus and alkaline substances to help neutralize HCl
in the gastric juice .
• G cells: secrete a hormone called gastrin, which stimulates the parietal cells
and overall gastric. Dhruvi A. Prajapati 32
• Blood supply
• right gastroepiploic artery
• left gastroepiploic artery
• gastric artery
• Venous drainage
• gastric vein
Dhruvi A. Prajapati 33
Gastric juice
• Stomach size varies with the volume of food it contains, which may be 1.5 litres or
more in an adult.
• When a meal has been eaten the food accumulates in the stomach in layers, the last
part of the meal remaining in the fundus for some time.
• Mixing with the gastric juice takes place gradually and it may be some time before the
food is sufficiently acidified to stop the action of salivary amylase.
• The activity of gastric muscle consists of a churning movement that breaks down the
bolus and mixes it with gastric juice, and peristaltic waves that propel the stomach
contents towards the pylorus.
• When the stomach is active the pyloric sphincter closes. Strong peristaltic contraction
of the pylorus forces chyme, gastric contents after they are sufficiently liquefied,
through the pyloric sphincter into the duodenum in small spurts.
• Parasympathetic stimulation increases the motility of the stomach and secretion of
gastric juice; sympathetic stimulation has the opposite effect.
Dhruvi A. Prajapati 34
• About 2 litres of gastric juice are secreted daily by specialised
secretory glands in the mucosa.
• It consists of:
Water Secreted by gastric glands
Mineral salts
Mucus secreted by mucous neck cells in the glands & surface mucous cells on
the stomach surface
Hydrochloric acid Secreted by parietal cells in the gastric glands
Intrinsic factor
Inactive enzyme precursors: pepsinogens secreted by chief cells in the glands.
Dhruvi A. Prajapati 35
Dhruvi A. Prajapati 36
Functions of gastric juice
• Water further liquefies the food swallowed.
• Hydrochloric acid:
– acidifies the food and stops the action of salivary amylase
– kills ingested microbes
– provides the acid environment needed for effective digestion by pepsins.
• Pepsinogens are activated to pepsins by hydrochloric acid & by pepsins already present
in the stomach. These enzymes begin the digestion of proteins, breaking them into
smaller molecules. Pepsins act most effectively at a very low pH, between 1.5 and 3.5.
• Intrinsic factor (a protein) is necessary for the absorption of vitamin B12 from the ileum.
• Mucus prevents mechanical injury to the stomach wall by lubricating the contents. It
prevents chemical injury by acting as a barrier between the stomach wall and the
corrosive gastric juice. Hydrochloric acid is present in potentially damaging
concentrations and pepsins would digest the gastric tissues.Dhruvi A. Prajapati 37
Secretion of gastric juice
• There is always a small quantity of gastric juice present in the
stomach, even when it contains no food. This is known as fasting
juice.
• Secretion reaches its maximum level about 1 hour after a meal then
declines to the fasting level after about 4 hours.
• There are three phases of secretion of gastric juice
i. Cephalic phase
ii. Gastric phase
iii. Intestinal phase
Dhruvi A. Prajapati 38
i. Cephalic Phase
This flow of juice occurs before food reaches the stomach and is due
to reflex stimulation of the vagus (parasympathetic) nerves initiated by
the sight, smell or taste of food.
When the vagus nerves have been cut (vagotomy), this phase of
gastric secretion stops. Sympathetic stimulation, e.g. during emotional
states, also inhibits gastric activity.
Dhruvi A. Prajapati 39
ii. Gastric Phase
When stimulated by the presence of food the enteroendocrine cells in
the pylorus and duodenum secrete gastrin, a hormone which passes
directly into the circulating blood.
Gastrin, circulating in the blood which supplies the stomach,
stimulates the gastric glands to produce more gastric juice.
In this way secretion of digestive juice is continued after completion
of a meal and the end of the cephalic phase.
Gastrin secretion is suppressed when the pH in the pylorus falls to
about 1.5.
Dhruvi A. Prajapati 40
iii. Intestinal phase
When the partially digested contents of the stomach reach the small
intestine, two hormones, secretin and cholecystokinin, are produced by
endocrine cells in the intestinal mucosa.
They slow down the secretion of gastric juice and reduce gastric motility.
By slowing the emptying rate of the stomach, the chyme in the duodenum
becomes more thoroughly mixed with bile and pancreatic juice.
This phase of gastric secretion is most marked following a meal with a high
fat content.
The rate at which the stomach empties depends largely on the type of food
eaten.
A carbohydrate meal leaves the stomach in 2 to 3 hours, a protein meal
remains longer and a fatty meal remains in the stomach longest.
Dhruvi A. Prajapati 41
Dhruvi A. Prajapati 42
THE PANCREAS
• The pancreas is a glandular organ in the digestive system and endocrine system
of vertebrates.
• It is located in the abdominal cavity behind the stomach.
• It is an endocrine gland producing several important hormones, including
insulin, glucagon, somatostatin, and pancreatic polypeptide, all of which
circulate in the blood.
• Length: 15 cm or 6 inch
Dhruvi A. Prajapati 43
Dhruvi A. Prajapati 44
Structure
• Anatomically, the pancreas is divided into the head of
pancreas,
• the neck of pancreas,
• the body of pancreas,
• and the tail of pancreas.
• The neck is about 2.5 cm or 1 inch long & lies between
the head & the body
• The body is the largest part of the pancreas & lies behind
the pylorus.
• The tail ends by abutting the spleen.
BLOOD SUPPLY: Superior Mesenteric Artery, Splenic Artery
VENOUS DRAINAGE: Superior Mesenteric Veins, Splenic VeinsDhruvi A. Prajapati 45
FUNCTION
 The pancreas is involved in blood sugar control & metabolism
within the body.
 Sugar control and metabolism
 pancreatic islets are present in the pancreas.
 Within these islets are 4 main types of cells which are involved in the
regulation of blood glucose levels.
 Each type of cell secretes a different type of hormone:
 α alpha cells secrete glucagon (increase glucose in blood)
 β beta cells secrete insulin (decrease glucose in blood)
 δ delta cells secrete somatostatin (regulates/stops α and β cells) and
 γ (gamma) cells, secrete pancreatic polypeptide.
Dhruvi A. Prajapati 46
THE LIVER
• The liver, an organ only found in vertebrates, detoxifies various metabolites,
synthesizes proteins, and produces biochemical necessary for digestion
Relations:
 Anteriorly-diaphragm & anterior abdominal wall
 Posteriorly-oesophagus, inferior vena cava, aorta, gall bladder, vertebral
column & diaphragm
 Laterally-lower ribs & diaphragm
 Superiorly-diaphragm & anterior abdominal wall
 Inferiorly- stomach, bile ducts, duodenum, hepatic flexure of colon, right
kidney
Dhruvi A. Prajapati 47
Structure:
• The liver is a reddish-brown
wedge-shaped organ with 4 lobes
of unequal size & shape.
• weighs 1.44–1.66 kg
• width -15 cm.
• It is both the heaviest internal organ
& the largest gland in the human
body.
• The liver is grossly divided into 2
parts when viewed from above – a
right and a left lobe.
• The falciform ligament, divides the
liver into a left and right lobe.
Dhruvi A. Prajapati 48
FUNCTIONS
Synthesis
• Proteins produced and secreted by the liver.
• The liver plays a major role in carbohydrate, protein, amino acid & lipid metabolism.
Breakdown
• The liver is responsible for the breakdown of insulin and other hormones.
• The liver breaks down bilirubin via glucuronidation, facilitating its excretion into bile.
Other
• The liver stores a multitude of substances, including glucose (in the form of
glycogen)
• vitamin A (1–2 years' supply)
• vitamin D (1–4 months' supply)
• vitamin B12 (3–5 years' supply)
• vitamin K, iron, and copper.
• The liver produces albumin, the most abundant protein in blood serum.Dhruvi A. Prajapati 49
• Contains phagocytes to destroy damaged erythrocytes and foreign
substances, using phagocytosis.
BLOOD SUPPLY
• Hepatic artery
VENOUS DRAINAGE
• Hepatic veins
Dhruvi A. Prajapati 50
GALL BLADDER
• The gallbladder is a small hollow organ where bile is stored & concentrated
before it is released into the small intestine.
• In humans, the pear-shaped gallbladder lies beneath the liver.
Dhruvi A. Prajapati 51
Dhruvi A. Prajapati 52
STRUCTURE
• sits in a shallow depression below the right lobe of the liver, that is grey-blue
in life.
• Length-7 to 10 cm or 2.8 to 3.9 inches
• Diameter-4 cm or 1.6 inch
• The gallbladder has a capacity of about 50 millilitres
• The gallbladder is shaped like a pear, with its tip opening into the
cystic duct.
• Gallbladder is divided into three sections:
 the fundus,
 The body,
 and the neck.
Dhruvi A. Prajapati 53
FUNCTIONS
• The main purpose of the gallbladder is to store bile, also called gall,
needed for the digestion of fats in food.
• bile flows through small vessels into the larger hepatic ducts and ultimately
though the cystic duct into the gallbladder, where it is stored.
BLOOD SUPPLY
• the cystic artery
VENOUS DRAINAGE
• the cystic veins
Dhruvi A. Prajapati 54
SMALL INTESTINE
• The small intestine or small
bowel is the part of the gastro
intestinal tract between the
stomach & the large intestine
and is where most of the end
absorption of foof takes place.
Structure:
• Length: 3-5 m
• Diameter: 2.5-3 cm or 1 inch
Dhruvi A. Prajapati 55
PARTS
• The small intestine is divided into three structural parts:
(I)The duodenum
(II)The jejunum
(III)The ileum
• The duodenum is a short structure ranging from 20 cm to 25 cm in length,
and shaped like a "C".
• The jejunum is the midsection of the small intestine, connecting the
duodenum to the ileum. It is about 2.5 m long.
• The ileum is the final section of the small intestine. It is about 3 m long, and
contains villi similar to the jejunum.
Dhruvi A. Prajapati 56
FUNCTIONS
Digestion
• The small intestine is where most chemical digestion takes place.
• Many of the digestive enzymes that act in the small intestine are secreted by the
pancreas and liver and enter the small intestine via the pancreatic duct.
• Digestion of proteins & carbohydrate
Absorption
• Digested food is now able to pass into the blood vessels in the wall of the intestine
through either diffusion or active transport.
• The small intestine is the site where most of the nutrients from ingested food are
absorbed.
Immunological
• The small intestine supports the body's immune system.
• The presence of gut flora appears to contribute positively to the host's immune system.
Dhruvi A. Prajapati 57
BLOOD SUPPLY
• the coeliac trunk
• the superior mesenteric artery
VENOUS DRAINAGE
• the superior mesenteric veins
Dhruvi A. Prajapati 58
THE LARGE INTESTINE
• The large intestine, also known as
the large bowel or colon, is the
last part of the gastrointestinal tract
and of the digestive system in
vertebrates.
• Water is absorbed here and the
remaining waste material is stored as
feces before being removed by
defecation.
Dhruvi A. Prajapati 59
STRUCTURE
• The length of male colon is 166 cm .
female colon 155 cm
• The colon consists of five sections:
 the cecum
 ascending colon,
 the transverse colon,
 the descending colon,
 the sigmoid colon and the rectum.
Dhruvi A. Prajapati 60
Sections of the colon are:
• The ascending colon including the cecum and appendix
• The transverse colon including the colic flexures
and transverse mesocolon
• The descending colon
• The sigmoid colon – the s-shaped region of the large
intestine
Dhruvi A. Prajapati 61
• The average inner diameter of sections of the colon in
centimeters
• cecum 8.7 cm
• ascending colon 6.6 cm
• transverse colon 5.8 cm
• descending/sigmoid colon 6.3 cm
• and rectum near rectal/sigmoid junction 5.7 cm
Dhruvi A. Prajapati 62
The cecum
 The cecum is the first section of the colon & involved in the digestion, while the
appendix is a structure of the colon, not involved in digestion.
 The function of the appendix is uncertain.
 Containing Ileocecal valve
 The ileocecal valve is a sphincter muscle valve that separates the small intestine & the
large intestine.
 Its critical function is to limit the reflux of colonic contents into the ileum.
The ascending colon
 It is connected to the small intestine by a section of bowel called the cecum.
 The ascending colon runs upwards through the abdominal cavity toward the transverse
colon for approximately 8 inches or 20 cm.
 The unwanted waste material is moved upwards toward the transverse colon by the
action of peristalsis.
 Peristalsis is a radially symmetrical contraction & relaxation of muscles that propagates in
a wave down a tube.
Dhruvi A. Prajapati 63
Transverse colon
 The transverse colon is the part of the colon from the hepatic flexure to the
splenic flexure.
Descending colon
 The descending colon is the part of the colon from the splenic flexure to the
beginning of the sigmoid colon,descending colon is also called the distal gut.
 One function of the descending colon in the digestive system is to store feces
that will be emptied into the rectum.
Sigmoid colon
 The sigmoid colon is the part of the large intestine after the descending colon
and before the rectum.
 The name sigmoid means S-shaped .
 The walls of the sigmoid colon are muscular, and contract to increase the
pressure inside the colon, causing the stool to move into the rectum.Dhruvi A. Prajapati 64
Rectum
• The rectum is the last section of the large intestine. It holds the formed
feces awaiting elimination via defecation.
The anus
• The anus is the external opening of the rectum.
• Its function is to control the expulsion of feces.
• Two sphincters control the exit of feces from the body during an act of
defecation.
• These are the internal anal sphincter and the external anal sphincter,
which are circular muscles that normally maintain constriction of the
orifice & which relaxes as required by normal physiological functioning.
Dhruvi A. Prajapati 65
FUNCTIONS
• The large intestine absorbs water and any remaining absorbable nutrients
from the food before sending the indigestible matter to the rectum.
• The colon absorbs vitamins that are created by the colonic bacteria, such
as vitamin K.
Gut flora
• The large intestine houses over 700 species of bacteria that perform a
variety of functions.
• The large intestine absorbs some of the products formed by the bacteria
inhabiting this region.
• Undigested polysaccharides (fiber) are metabolized to short-chain fatty
acids by bacteria in the large intestine.
Dhruvi A. Prajapati 66
BLOOD SUPPLY
• The Superior Mesenteric Artery (SMA)
• Inferior Mesenteric Artery
VENOUS DRAINAGE
• The Inferior Mesenteric Vein
• The Superior Mesenteric Vein
Dhruvi A. Prajapati 67
PHYSIOLOGY OF DIGESTION
• The mouth is the beginning of the digestive tract.
• Chewing breaks the food into pieces that are more easily digested, while saliva
mixes with food to begin the process of breaking it down into a form your body
can absorb and use.
• From pharynx food travels to the esophagus or swallowing tube.
• By means of a series of contractions, called peristalsis, the esophagus
delivers food to the stomach.
• The lower esophageal sphincter keep food from passing backwards into the
esophagus.
• The stomach secretes acid and powerful enzymes that continue the process
of breaking down the food.
• When it leaves the stomach, food is the consistency of a liquid or paste.
Dhruvi A. Prajapati 68
• From there the food moves to the small intestine.
• The small intestine continues the process of breaking down food by using
enzymes released by the pancreas and bile from the liver.
• Bile is a compound that aids in the digestion of fat & eliminates waste
products from the blood.
• Peristalsis is also at work in this organ, moving food through & mixing it
up with digestive secretions.
• The duodenum is largely responsible for continuing the process of
breaking down food, with the jejunum & ileum being mainly responsible
for the absorption of nutrients into the bloodstream.
• Pancreas secretes enzymes into the small intestine.
• These enzymes break down protein, fat & carbohydrates from the food we
eat.
Dhruvi A. Prajapati 69
• Stool, or waste left over from the digestive process, is passed through the colon
by means of peristalsis, first in a liquid state & ultimately in solid form as the
water is removed from the stool.
• A stool is stored in the sigmoid colon until a "mass movement" empties it into
the rectum once or twice a day.
Dhruvi A. Prajapati 70

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Anatomy and physiology of Digestive system

  • 1. DIGESTIVE SYSTEM Dhruvi A. Prajapati Assistant Professor Dept. of Chemistry & QA Babaria Institute of Pharmacy BITS Edu campus - Vadodara
  • 2.  The digestive system comprises of the gastrointestinal tract with various glands attached to it.  The tract starts from the mouth and ends at the anus.  The tract is 8-10 meters in length. Dhruvi A. Prajapati 2
  • 3. WHAT IS THE DIGESTIVE SYSTEM ? The gastrointestinal tract (digestive tract, digestional tract, GI tract, GITor alimentary canal) is an organ system within humans and other animals which takes in food, digests it and absorb energy and nutrients, and expels the remaining waste as feces. • Major digestive organs:  Mouth.  Pharynx.  Esophagus.  Stomach.  Small Intestine.  Large Intestine.  Rectum. • Accessory digestive organs:  Liver  Gallbladder  pancreas  Salivary gland Dhruvi A. Prajapati 3
  • 4. Functions of GI tract • Ingestion: taking of food into the alimentary tract. i.e. eating & drinking. • Propulsion: mixes & moves the contents along the alimentary tract. • Digestion: consist of: • Mechanical Phase – involves the breaking up of food into small pieces, pushing the food down the food tube & mixing with it digestive juices • Chemical Phase – involves the further breaking up of the larger molecules of food into smaller molecules by the action of digestive enzymes • Absorption:this is the process by which digested food substances pass through the walls of some organs of the walls of some organs of the alimentary canal into the blood for circulation. • Elimination:food substances that have been eaten but cannot be digested & absorbed are excreted from the alimentary canal as faeces by the process of defaecation. Dhruvi A. Prajapati 4
  • 5. MOUTH Relations: • Anteriorly-lips • Posteriorly-continue with the oropharynx • Laterally-muscles of cheeks • Superiorly-bony hard palate • Inferiorly-muscular tongue & the soft tissues of the floor of the mouth • The mouth is the first portion of the alimentary canal that receives food and produces saliva. • The oral mucosa is the mucous membrane epithelium lining the inside of the mouth. • The palate forms the roof of the mouth & is divided into the anterior hard palate & posterior soft palate. • The uvula is a curved fold of muscle covered with mucousmembrane, hanging down from the middle. Dhruvi A. Prajapati 5
  • 7. TONGUE • The tongue is a muscular organ in the mouth, that manipulates food for mastication, and is used in the act of swallowing. • It is of importance in the digestive system and is the primary organ of taste in the gustatory system. • The tongue's upper surface (dorsum) is covered by taste buds housed in numerous lingual papillae. • The human tongue is divided into two parts, an oral part at the front and a pharyngeal part at the back. Dhruvi A. Prajapati 7
  • 8. • BLOOD SUPPLY • lingual artery • external carotid artery • VENOUS DRAINAGE • lingual veins • internal jugular vein • NERVE SUPPLY • hypoglossal nerve • Taste and sensation: glossopharyngeal nerve  FUNCTIONS • Mastication (chewing) • Deglutition (swallowing) • Speech • Taste Dhruvi A. Prajapati 8
  • 9. TEETH • The human teeth function to mechanically break down items of food by cutting and crushing them in preparation for swallowing and digesting. • Humans have four types of teeth: incisors, canines, premolars & molars, each with a specific function. Dhruvi A. Prajapati 9
  • 10. PRIMARY TEETH  Among deciduous (primary) teeth, ten are found in the maxilla (upper jaw) and ten in the mandible (lower jaw), for a total of 20.  Start to come in (erupt) at about 6 months of age  In the primary set of teeth,  two types of incisors – centrals and laterals, one canine & two types of molars – first and second.  All primary teeth are normally later replaced with their permanent counterparts. Dhruvi A. Prajapati 10
  • 11. PERMANENT TEETH  Among permanent teeth, 16 are found in the maxilla and 16 in the mandible, for a total of 32.  Age 21, all 32 of the permanent teeth have usually erupted.  The permanent teeth are the:  Two incisor (for cutting)-central incisor, lateral incisor  One canine (for tearing)  Two premolar (for crushing)-first premolar, second premolar,  Three molar (for grinding)-first molar, second molar, and third molar. Dhruvi A. Prajapati 11
  • 12. PARTS • ENAMEL  Enamel is the hardest & most highly mineralized substance of the body.  It is one of the four major tissues which make up the tooth, along with dentin, cementum, and dental pulp.  96% of enamel consists of mineral, with water and organic material comprising the rest.  The normal color of enamel varies from light yellow to grayish white. • DENTIN  Dentin is the substance between enamel or cementum and the pulp chamber.  The porous, yellow-hued material is made up of 70% inorganic materials, 20% organic materials, and 10% water by weight.  Dentin is a mineralized connective tissue with an organic matrix of collagenous proteins. Dhruvi A. Prajapati 12
  • 13. • CEMENTUM  Cementum is a specialized bone like substance covering the root of a tooth.  Its coloration is yellowish and it is softer than dentin and enamel. • DENTAL PULP  The dental pulp is the central part of the tooth filled with soft connective tissue.  This tissue contains blood vessels & nerves that enter the tooth from a hole at the apex of the root. Dhruvi A. Prajapati 13
  • 14. FUNCTIONS OF TEETH • Two incisor -for cutting • One canine -for tearing • Two premolar-for crushing • Three molar-for grinding • ERUPTION • Tooth eruption in humans is a process in tooth development in which the teeth enter the mouth and become visible. • Primary teeth erupt into the mouth from around six months until 2 years of age. Dhruvi A. Prajapati 14
  • 15.  BLOOD SUPPLY: Maxillary arteries  VENOUS DRAINAGE: Internal jugular veins  NERVE SUPPLY: Maxillary nerves, Mandibular nerves Dhruvi A. Prajapati 15
  • 16. SALIVARY GLANDS • The salivary glands in are exocrine glands that produce saliva through a system of ducts. • Humans have 3 paired major salivary glands:  Parotid  submandibular and  Sublingual as well hundreds of minor salivary glands. PAROTID GLANDS • The two parotid glands are major salivary glands wrapped around the mandibular ramus in humans. • The largest of the salivary glands. • They secrete saliva to facilitate mastication and swallowing, and amylase to begin the digestion of starches. • It enters the oral cavity via the parotid duct.Dhruvi A. Prajapati 16
  • 18. SUBMANDIBULAR GLANDS • The submandibular glands are a pair of major salivary glands located beneath the lower jaws, superior to the digastric muscles. • The secretion produced is a mixture of both serous fluid & mucus, and enters the oral cavity via the submandibular duct. SUBLINGUAL GLANDS • The sublingual glands are a pair of major salivary glands located inferior to the tongue, anterior to the submandibular glands. • Approximately 5% of saliva entering the oral cavity comes from these glands. • The secretion produced is mainly mucous in nature. MINOR SALIVARY GLANDS • There are 800 to 1,000 minor salivary glands located throughout the oral cavity within the submucosa of the oral mucosa in the tissue of the buccal, and lingual mucosa. Dhruvi A. Prajapati 18
  • 19. • BLOOD SUPPLY: External carotid artery • VENOUS DRAINAGE: Jugular veins COMPOSITION OF SALIVA • About 1.5 litres of saliva is produced daily & it consists of:  Water  Mineral salts  An enzyme  Mucus  Lysozyme  Immunoglobulins Dhruvi A. Prajapati 19
  • 20. FUNCTION OF SALIVA • Saliva contributes to the digestion of food & to the maintenance of oral hygiene. • Without normal salivary function the frequency of dental caries, gum disease and other oral problems increases significantly. Chemical digestion of polysaccharides • Saliva contains the enzyme amylase that begins the breakdown of complex sugars, including starches, reducing them to the disaccharide maltose. • The optimum pH for the action of salivary amylase is 6.8 (slightly acid). • Salivary pH ranges from 5.8 to 7.4 depending on the rate of flow; the higher the flow rate, the higher is the pH. • Enzyme action continues during swallowing until terminated by the strongly acidic pH (1.5-1.8) of the gastric juices, which degrades the amylase.Dhruvi A. Prajapati 20
  • 21. Lubricant • Saliva, coats the oral mucosa, mechanically protecting it from trauma during eating, swallowing and speaking. • In people with little saliva soreness of the mouth is very common, and the food (especially dry food) sticks to the inside of the mouth. Digestion • The digestive functions of saliva include moistening food and helping to create a food bolus. • This lubricative function of saliva allows the food bolus to be passed easily from the mouth into the esophagus. Role in taste • Saliva is very important in the sense of taste. • It is the liquid medium in which chemicals are carried to taste receptor cells (mostly associated with lingual papillae).Dhruvi A. Prajapati 21
  • 22. THE PHARYNX • The pharynx is the part of the throat that is behind the mouth and nasal cavity and above the esophagus and the larynx, or the tubes going down to the stomach and the lungs. • The pharynx is the portion of the digestive tract that receives the food from your mouth. • Branching off the pharynx is the esophagus, which carries food to the stomach. Dhruvi A. Prajapati 22
  • 23. • The walls of the pharynx consist of three layers of tissue. • The lining membrane (mucosa) is stratified squamous epithelium, continuous with the lining of the mouth at one end and the oesophagus at the other. Stratified epithelial tissue provides a lining well suited to the wear and tear of swallowing. • The middle layer consists of connective tissue which becomes thinner towards the lower end and contains blood and lymph vessels and nerves. • The outer layer consists of a number of involuntary muscles that are involved in swallowing. • When food reaches the pharynx swallowing is no longer under voluntary control. Dhruvi A. Prajapati 23
  • 24. ESOPHAGUS • The esophagus or oesophagus,commonly known as the food pipe or gullet, The esophagus is a muscular tube connecting the throat (pharynx) with the stomach. • The esophagus runs behind the windpipe (trachea) and heart, and in front of the spine. • Length: 25 cm • Diameter: 2 cm Dhruvi A. Prajapati 24
  • 25. STRUCTURE • The wall of the esophagus from the lumen outwards consists of mucosa, submucosa (connective tissue), layers of muscle fibers between layers of fibrous tissue, and an outer layer of connective tissue. • The mucosa is a stratified squamous epithelium of around 3 layers of squamous cells, which contrasts to the single layer of columnar cells of the stomach. • Most of the muscle is smooth muscle although striated muscle predominates in its upper third. • It has two muscular rings or sphincters in its wall, one at the top and one at the bottom. • A sphincter is a circular muscle that normally maintains constriction of a natural body passage or orifice and which relaxes as required by normal physiological functioning. • The lower sphincter helps to prevent reflux of acidic stomach content.Dhruvi A. Prajapati 25
  • 26. FUNCTIONS • Formation of a bolus • Swallowing • Food is ingested through the mouth and when swallowed passes first into the pharynx and then into the esophagus. • Reducing gastric reflux • Constriction of the upper and lower esophageal sphincters help to prevent reflux (backflow) of gastric contents and acid into the esophagus, protecting the esophageal mucosa. Blood supply: Oesophageal arteries, Inferior phrenic arteries Venous drainage: Left gastric vein Dhruvi A. Prajapati 26
  • 27. STOMACH • The stomach is a muscular organ located on the left side of the upper abdomen. The stomach receives food from the esophagus. • As food reaches the end of the esophagus, it enters the stomach through a muscular valve called the lower esophageal sphincter. Relations: • Anteriorly-left lobe of liver & anterior abdominal wall • Posteriorly-abdominal aorta, pancreas, spleen, left kidney • Superiorly-diaphragm, oesophagus & left lobe of liver • Inferiorly-transverse colon & small intestine • Left side-diaphragm & spleen • Right side-liver & duodenum Dhruvi A. Prajapati 27
  • 29. • A pouch-like organ primarily designed for food storage (for 2-4 hours), some mechanical and chemical digestion also occur . • Contains two sphincters at both ends to regulate food movement : • cardiac sphincter near the esophagus • pyloric sphincter near the small intestine . • Divided into 4 regions : • cardiac stomach (or cardiac), • fundic stomach (or funded) , • body of stomach • pyloric stomach (or Pylorus). • Contain thick folds called rugae at its layer, for providing larger surface area for expansion, secretion, digestion and some absorption. Dhruvi A. Prajapati 29
  • 31. FUNCTIONS Digestion • The stomach releases proteases (protein-digesting enzymes such as pepsin) and hydrochloric acid, which kills or inhibits bacteria and provides the acidic pH of 2 for the proteases to work. • Food is churned by the stomach through muscular contractions of the wall called peristalsis Absorption • Some absorption of certain small molecules nevertheless does occur in the stomach through its lining Dhruvi A. Prajapati 31
  • 32. Gastric Juice • Gastric acid, gastric juice or stomach acid, is a digestive fluid formed in the stomach and is composed of hydrochloric acid (HCl), potassium chloride (KCl) and sodium chloride (NaCl). • The acid plays a key role in digestion of proteins, by activating digestive enzymes, and making ingested proteins unravel so that digestive enzymes break down the long chains of amino acids. Gastric Secretory Cells • Chief cells: secrete pepsinogen (an inactive enzyme). • Parietal cells: secrete hydrochloric and (HCl) and "intrinsic factor" (which helps absorption of vitamin B12 in the intestines). • Mucous cells: secrete mucus and alkaline substances to help neutralize HCl in the gastric juice . • G cells: secrete a hormone called gastrin, which stimulates the parietal cells and overall gastric. Dhruvi A. Prajapati 32
  • 33. • Blood supply • right gastroepiploic artery • left gastroepiploic artery • gastric artery • Venous drainage • gastric vein Dhruvi A. Prajapati 33
  • 34. Gastric juice • Stomach size varies with the volume of food it contains, which may be 1.5 litres or more in an adult. • When a meal has been eaten the food accumulates in the stomach in layers, the last part of the meal remaining in the fundus for some time. • Mixing with the gastric juice takes place gradually and it may be some time before the food is sufficiently acidified to stop the action of salivary amylase. • The activity of gastric muscle consists of a churning movement that breaks down the bolus and mixes it with gastric juice, and peristaltic waves that propel the stomach contents towards the pylorus. • When the stomach is active the pyloric sphincter closes. Strong peristaltic contraction of the pylorus forces chyme, gastric contents after they are sufficiently liquefied, through the pyloric sphincter into the duodenum in small spurts. • Parasympathetic stimulation increases the motility of the stomach and secretion of gastric juice; sympathetic stimulation has the opposite effect. Dhruvi A. Prajapati 34
  • 35. • About 2 litres of gastric juice are secreted daily by specialised secretory glands in the mucosa. • It consists of: Water Secreted by gastric glands Mineral salts Mucus secreted by mucous neck cells in the glands & surface mucous cells on the stomach surface Hydrochloric acid Secreted by parietal cells in the gastric glands Intrinsic factor Inactive enzyme precursors: pepsinogens secreted by chief cells in the glands. Dhruvi A. Prajapati 35
  • 37. Functions of gastric juice • Water further liquefies the food swallowed. • Hydrochloric acid: – acidifies the food and stops the action of salivary amylase – kills ingested microbes – provides the acid environment needed for effective digestion by pepsins. • Pepsinogens are activated to pepsins by hydrochloric acid & by pepsins already present in the stomach. These enzymes begin the digestion of proteins, breaking them into smaller molecules. Pepsins act most effectively at a very low pH, between 1.5 and 3.5. • Intrinsic factor (a protein) is necessary for the absorption of vitamin B12 from the ileum. • Mucus prevents mechanical injury to the stomach wall by lubricating the contents. It prevents chemical injury by acting as a barrier between the stomach wall and the corrosive gastric juice. Hydrochloric acid is present in potentially damaging concentrations and pepsins would digest the gastric tissues.Dhruvi A. Prajapati 37
  • 38. Secretion of gastric juice • There is always a small quantity of gastric juice present in the stomach, even when it contains no food. This is known as fasting juice. • Secretion reaches its maximum level about 1 hour after a meal then declines to the fasting level after about 4 hours. • There are three phases of secretion of gastric juice i. Cephalic phase ii. Gastric phase iii. Intestinal phase Dhruvi A. Prajapati 38
  • 39. i. Cephalic Phase This flow of juice occurs before food reaches the stomach and is due to reflex stimulation of the vagus (parasympathetic) nerves initiated by the sight, smell or taste of food. When the vagus nerves have been cut (vagotomy), this phase of gastric secretion stops. Sympathetic stimulation, e.g. during emotional states, also inhibits gastric activity. Dhruvi A. Prajapati 39
  • 40. ii. Gastric Phase When stimulated by the presence of food the enteroendocrine cells in the pylorus and duodenum secrete gastrin, a hormone which passes directly into the circulating blood. Gastrin, circulating in the blood which supplies the stomach, stimulates the gastric glands to produce more gastric juice. In this way secretion of digestive juice is continued after completion of a meal and the end of the cephalic phase. Gastrin secretion is suppressed when the pH in the pylorus falls to about 1.5. Dhruvi A. Prajapati 40
  • 41. iii. Intestinal phase When the partially digested contents of the stomach reach the small intestine, two hormones, secretin and cholecystokinin, are produced by endocrine cells in the intestinal mucosa. They slow down the secretion of gastric juice and reduce gastric motility. By slowing the emptying rate of the stomach, the chyme in the duodenum becomes more thoroughly mixed with bile and pancreatic juice. This phase of gastric secretion is most marked following a meal with a high fat content. The rate at which the stomach empties depends largely on the type of food eaten. A carbohydrate meal leaves the stomach in 2 to 3 hours, a protein meal remains longer and a fatty meal remains in the stomach longest. Dhruvi A. Prajapati 41
  • 43. THE PANCREAS • The pancreas is a glandular organ in the digestive system and endocrine system of vertebrates. • It is located in the abdominal cavity behind the stomach. • It is an endocrine gland producing several important hormones, including insulin, glucagon, somatostatin, and pancreatic polypeptide, all of which circulate in the blood. • Length: 15 cm or 6 inch Dhruvi A. Prajapati 43
  • 45. Structure • Anatomically, the pancreas is divided into the head of pancreas, • the neck of pancreas, • the body of pancreas, • and the tail of pancreas. • The neck is about 2.5 cm or 1 inch long & lies between the head & the body • The body is the largest part of the pancreas & lies behind the pylorus. • The tail ends by abutting the spleen. BLOOD SUPPLY: Superior Mesenteric Artery, Splenic Artery VENOUS DRAINAGE: Superior Mesenteric Veins, Splenic VeinsDhruvi A. Prajapati 45
  • 46. FUNCTION  The pancreas is involved in blood sugar control & metabolism within the body.  Sugar control and metabolism  pancreatic islets are present in the pancreas.  Within these islets are 4 main types of cells which are involved in the regulation of blood glucose levels.  Each type of cell secretes a different type of hormone:  α alpha cells secrete glucagon (increase glucose in blood)  β beta cells secrete insulin (decrease glucose in blood)  δ delta cells secrete somatostatin (regulates/stops α and β cells) and  γ (gamma) cells, secrete pancreatic polypeptide. Dhruvi A. Prajapati 46
  • 47. THE LIVER • The liver, an organ only found in vertebrates, detoxifies various metabolites, synthesizes proteins, and produces biochemical necessary for digestion Relations:  Anteriorly-diaphragm & anterior abdominal wall  Posteriorly-oesophagus, inferior vena cava, aorta, gall bladder, vertebral column & diaphragm  Laterally-lower ribs & diaphragm  Superiorly-diaphragm & anterior abdominal wall  Inferiorly- stomach, bile ducts, duodenum, hepatic flexure of colon, right kidney Dhruvi A. Prajapati 47
  • 48. Structure: • The liver is a reddish-brown wedge-shaped organ with 4 lobes of unequal size & shape. • weighs 1.44–1.66 kg • width -15 cm. • It is both the heaviest internal organ & the largest gland in the human body. • The liver is grossly divided into 2 parts when viewed from above – a right and a left lobe. • The falciform ligament, divides the liver into a left and right lobe. Dhruvi A. Prajapati 48
  • 49. FUNCTIONS Synthesis • Proteins produced and secreted by the liver. • The liver plays a major role in carbohydrate, protein, amino acid & lipid metabolism. Breakdown • The liver is responsible for the breakdown of insulin and other hormones. • The liver breaks down bilirubin via glucuronidation, facilitating its excretion into bile. Other • The liver stores a multitude of substances, including glucose (in the form of glycogen) • vitamin A (1–2 years' supply) • vitamin D (1–4 months' supply) • vitamin B12 (3–5 years' supply) • vitamin K, iron, and copper. • The liver produces albumin, the most abundant protein in blood serum.Dhruvi A. Prajapati 49
  • 50. • Contains phagocytes to destroy damaged erythrocytes and foreign substances, using phagocytosis. BLOOD SUPPLY • Hepatic artery VENOUS DRAINAGE • Hepatic veins Dhruvi A. Prajapati 50
  • 51. GALL BLADDER • The gallbladder is a small hollow organ where bile is stored & concentrated before it is released into the small intestine. • In humans, the pear-shaped gallbladder lies beneath the liver. Dhruvi A. Prajapati 51
  • 53. STRUCTURE • sits in a shallow depression below the right lobe of the liver, that is grey-blue in life. • Length-7 to 10 cm or 2.8 to 3.9 inches • Diameter-4 cm or 1.6 inch • The gallbladder has a capacity of about 50 millilitres • The gallbladder is shaped like a pear, with its tip opening into the cystic duct. • Gallbladder is divided into three sections:  the fundus,  The body,  and the neck. Dhruvi A. Prajapati 53
  • 54. FUNCTIONS • The main purpose of the gallbladder is to store bile, also called gall, needed for the digestion of fats in food. • bile flows through small vessels into the larger hepatic ducts and ultimately though the cystic duct into the gallbladder, where it is stored. BLOOD SUPPLY • the cystic artery VENOUS DRAINAGE • the cystic veins Dhruvi A. Prajapati 54
  • 55. SMALL INTESTINE • The small intestine or small bowel is the part of the gastro intestinal tract between the stomach & the large intestine and is where most of the end absorption of foof takes place. Structure: • Length: 3-5 m • Diameter: 2.5-3 cm or 1 inch Dhruvi A. Prajapati 55
  • 56. PARTS • The small intestine is divided into three structural parts: (I)The duodenum (II)The jejunum (III)The ileum • The duodenum is a short structure ranging from 20 cm to 25 cm in length, and shaped like a "C". • The jejunum is the midsection of the small intestine, connecting the duodenum to the ileum. It is about 2.5 m long. • The ileum is the final section of the small intestine. It is about 3 m long, and contains villi similar to the jejunum. Dhruvi A. Prajapati 56
  • 57. FUNCTIONS Digestion • The small intestine is where most chemical digestion takes place. • Many of the digestive enzymes that act in the small intestine are secreted by the pancreas and liver and enter the small intestine via the pancreatic duct. • Digestion of proteins & carbohydrate Absorption • Digested food is now able to pass into the blood vessels in the wall of the intestine through either diffusion or active transport. • The small intestine is the site where most of the nutrients from ingested food are absorbed. Immunological • The small intestine supports the body's immune system. • The presence of gut flora appears to contribute positively to the host's immune system. Dhruvi A. Prajapati 57
  • 58. BLOOD SUPPLY • the coeliac trunk • the superior mesenteric artery VENOUS DRAINAGE • the superior mesenteric veins Dhruvi A. Prajapati 58
  • 59. THE LARGE INTESTINE • The large intestine, also known as the large bowel or colon, is the last part of the gastrointestinal tract and of the digestive system in vertebrates. • Water is absorbed here and the remaining waste material is stored as feces before being removed by defecation. Dhruvi A. Prajapati 59
  • 60. STRUCTURE • The length of male colon is 166 cm . female colon 155 cm • The colon consists of five sections:  the cecum  ascending colon,  the transverse colon,  the descending colon,  the sigmoid colon and the rectum. Dhruvi A. Prajapati 60
  • 61. Sections of the colon are: • The ascending colon including the cecum and appendix • The transverse colon including the colic flexures and transverse mesocolon • The descending colon • The sigmoid colon – the s-shaped region of the large intestine Dhruvi A. Prajapati 61
  • 62. • The average inner diameter of sections of the colon in centimeters • cecum 8.7 cm • ascending colon 6.6 cm • transverse colon 5.8 cm • descending/sigmoid colon 6.3 cm • and rectum near rectal/sigmoid junction 5.7 cm Dhruvi A. Prajapati 62
  • 63. The cecum  The cecum is the first section of the colon & involved in the digestion, while the appendix is a structure of the colon, not involved in digestion.  The function of the appendix is uncertain.  Containing Ileocecal valve  The ileocecal valve is a sphincter muscle valve that separates the small intestine & the large intestine.  Its critical function is to limit the reflux of colonic contents into the ileum. The ascending colon  It is connected to the small intestine by a section of bowel called the cecum.  The ascending colon runs upwards through the abdominal cavity toward the transverse colon for approximately 8 inches or 20 cm.  The unwanted waste material is moved upwards toward the transverse colon by the action of peristalsis.  Peristalsis is a radially symmetrical contraction & relaxation of muscles that propagates in a wave down a tube. Dhruvi A. Prajapati 63
  • 64. Transverse colon  The transverse colon is the part of the colon from the hepatic flexure to the splenic flexure. Descending colon  The descending colon is the part of the colon from the splenic flexure to the beginning of the sigmoid colon,descending colon is also called the distal gut.  One function of the descending colon in the digestive system is to store feces that will be emptied into the rectum. Sigmoid colon  The sigmoid colon is the part of the large intestine after the descending colon and before the rectum.  The name sigmoid means S-shaped .  The walls of the sigmoid colon are muscular, and contract to increase the pressure inside the colon, causing the stool to move into the rectum.Dhruvi A. Prajapati 64
  • 65. Rectum • The rectum is the last section of the large intestine. It holds the formed feces awaiting elimination via defecation. The anus • The anus is the external opening of the rectum. • Its function is to control the expulsion of feces. • Two sphincters control the exit of feces from the body during an act of defecation. • These are the internal anal sphincter and the external anal sphincter, which are circular muscles that normally maintain constriction of the orifice & which relaxes as required by normal physiological functioning. Dhruvi A. Prajapati 65
  • 66. FUNCTIONS • The large intestine absorbs water and any remaining absorbable nutrients from the food before sending the indigestible matter to the rectum. • The colon absorbs vitamins that are created by the colonic bacteria, such as vitamin K. Gut flora • The large intestine houses over 700 species of bacteria that perform a variety of functions. • The large intestine absorbs some of the products formed by the bacteria inhabiting this region. • Undigested polysaccharides (fiber) are metabolized to short-chain fatty acids by bacteria in the large intestine. Dhruvi A. Prajapati 66
  • 67. BLOOD SUPPLY • The Superior Mesenteric Artery (SMA) • Inferior Mesenteric Artery VENOUS DRAINAGE • The Inferior Mesenteric Vein • The Superior Mesenteric Vein Dhruvi A. Prajapati 67
  • 68. PHYSIOLOGY OF DIGESTION • The mouth is the beginning of the digestive tract. • Chewing breaks the food into pieces that are more easily digested, while saliva mixes with food to begin the process of breaking it down into a form your body can absorb and use. • From pharynx food travels to the esophagus or swallowing tube. • By means of a series of contractions, called peristalsis, the esophagus delivers food to the stomach. • The lower esophageal sphincter keep food from passing backwards into the esophagus. • The stomach secretes acid and powerful enzymes that continue the process of breaking down the food. • When it leaves the stomach, food is the consistency of a liquid or paste. Dhruvi A. Prajapati 68
  • 69. • From there the food moves to the small intestine. • The small intestine continues the process of breaking down food by using enzymes released by the pancreas and bile from the liver. • Bile is a compound that aids in the digestion of fat & eliminates waste products from the blood. • Peristalsis is also at work in this organ, moving food through & mixing it up with digestive secretions. • The duodenum is largely responsible for continuing the process of breaking down food, with the jejunum & ileum being mainly responsible for the absorption of nutrients into the bloodstream. • Pancreas secretes enzymes into the small intestine. • These enzymes break down protein, fat & carbohydrates from the food we eat. Dhruvi A. Prajapati 69
  • 70. • Stool, or waste left over from the digestive process, is passed through the colon by means of peristalsis, first in a liquid state & ultimately in solid form as the water is removed from the stool. • A stool is stored in the sigmoid colon until a "mass movement" empties it into the rectum once or twice a day. Dhruvi A. Prajapati 70