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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Human Anatomy & Physiology, Sixth Edition
Elaine N. Marieb
PowerPoint® Lecture Slides prepared by Vince Austin, University of Kentucky
23
The Digestive System
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Digestive System: Overview
 The alimentary canal or gastrointestinal (GI) tract digests
and absorbs food
 Alimentary canal – mouth, pharynx, esophagus, stomach,
small intestine, and large intestine
 Accessory digestive organs – teeth, tongue, gallbladder,
salivary glands, liver, and pancreas
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Digestive System: Overview
Figure 23.1
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Digestive Process
The GI tract is a “disassembly” line:
 Nutrients become more available to the body in each step
There are six essential activities:
 1) Ingestion, 2) propulsion, and 3) mechanical digestion
 4) Chemical digestion, 5) absorption, and 6) defecation
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Digestive Process
Figure 23.2
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Gastrointestinal Tract Activities
 1) Ingestion – taking food into the digestive tract
 2) Propulsion – swallowing and peristalsis
 Peristalsis – waves of contraction and relaxation of
muscles in the organ walls
 3) Mechanical digestion – chewing, mixing, and churning
food
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Gastrointestinal Tract Activities
 4) Chemical digestion – catabolic breakdown of food
 5) Absorption – movement of nutrients from the GI tract to
the blood or lymph
 6) Defecation – elimination of indigestible and unabsorbed
solid wastes
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Peritoneum and Peritoneal Cavity
Peritoneum – serous membrane of the abdominal cavity
 Visceral peritoneum – covers external surface of most
digestive organs
 Parietal peritoneum – lines the body wall
Peritoneal cavity
 Lubricates digestive organs
 Allows them to slide across one another
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Figure 23.5a
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Blood Supply: Splanchnic Circulation
Arteries and the organs they serve include:
 The hepatic, splenic, and left gastric: spleen, liver, and
stomach
 Inferior mesenteric and superior mesenteric: small and
large intestines
Hepatic portal circulation:
 Collects nutrient-rich venous blood from the digestive
viscera
 Delivers this blood to the liver for metabolic processing
and storage
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Mouth
Oral or buccal cavity:
 Is bounded by lips, cheeks, palate, and tongue
 Has the oral orifice as its anterior opening
 Is continuous with the oropharynx posteriorly
To withstand abrasions:
 The mouth is lined with stratified squamous epithelium
 The gums, hard palate, and dorsum of the tongue are
slightly keratinized
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Mouth
1. cheeks
2. lips (labia), labial frenulum (attach to gums)
3. hard palate - anterior part of roof of mouth (palatine bones)
4. soft palate - posterior of roof of mouth (mucous membrane)
5. uvula - hanging portion of soft palate (punching bag)
6. palatoglossal arch & palatopharyngeal arch
a. palatine tonsils between arches
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Anatomy of the Oral Cavity: Mouth
Figure 23.7a
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Oral Cavity and Pharynx: Anterior View
Figure 23.7b
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Tongue
Functions include:
 Gripping and repositioning food during chewing
 Mixing food with saliva and forming the bolus
 Initiation of swallowing, and speech
Note: Lingual frenulum secures the tongue to the floor of
the mouth
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Tongue
Superior surface bears three types of papillae:
 Filiform – give the tongue roughness and provide friction
 Fungiform – scattered widely over the tongue and give it
a reddish hue
 Circumvallate – V-shaped row in back of tongue
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Tongue
Figure 23.8
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Salivary Glands
 Parotid – lies anterior to the ear between the masseter
muscle and skin
 Parotid duct – opens into the vestibule next to the second
upper molar
 Submandibular – lies along the medial aspect of the
mandibular body
 Sublingual – lies anterior to the submandibular gland under
the tongue
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Salivary Glands
Figure 23.9a
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Permanent Teeth
Figure 23.10.2
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Classification of Teeth
Teeth are classified according to their shape and function:
 Incisors – chisel-shaped teeth adapted for cutting or
nipping
 Canines – conical or fanglike teeth that tear or pierce
 Premolars (bicuspids) and molars – have broad crowns
with rounded tips and are best suited for grinding or
crushing
 During chewing, upper and lower molars lock together
generating crushing force
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Tooth Structure
a. crown - above the level of the gums
b. root - one to three projections into socket
c. neck - between crown and root on gumline
d. dentin - hard shell of tooth
e. pulp cavity - center of tooth
f. pulp - lymph, blood, nerve, connective tissue
g. root canal - passage through roots to the pulp
i. apical foramen - opening at the base
h. enamel - covers the dentin on the crown
i. cementum - covers dentin on the root
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Tooth Structure
Figure 23.11
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Esophagus
 Muscular tube going from the laryngopharynx to the
stomach
 Travels through the mediastinum and pierces the diaphragm
 Joins the stomach at the cardiac orifice
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Stomach
- Chemical breakdown of proteins begins and food is converted
to chyme
 Cardiac region – surrounds the cardiac orifice
 Fundus – dome-shaped region beneath the diaphragm
 Body – midportion of the stomach
 Pyloric region – made up of the antrum and canal which
terminates at the pylorus
- The pylorus is continuous with the duodenum through the
pyloric sphincter
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Stomach
 Greater curvature – entire extent of the convex lateral
surface
 Lesser curvature – concave medial surface
 Lesser omentum – runs from the liver to the lesser curvature
 Greater omentum – drapes inferiorly from the greater
curvature to the small intestine
 Rugae - folds in the inner lining of the stomach
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Stomach
Figure 23.14a
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Stomach
 Blood supply – celiac trunk, and corresponding veins (part
of the hepatic portal system)
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Small Intestine: Gross Anatomy
 Runs from pyloric sphincter to the ileocecal valve
 The bile duct and main pancreatic duct join the
duodenum at the hepatopancreatic ampulla
 The ileum joins the large intestine at the ileocecal valve
Has three subdivisions:
1.duodenum
2. jejunum
3. ileum
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Pancreas - structure
posterior to great curvature of the stomach
1. head - enlarged portion in C-curve of the duodenum
2. body - tapers off beneath the stomach
3. tail - terminal part near the end
4. pancreatic duct - merges with bile duct to duodenum
a. hepatopancreatic ampulla (merging of both)
5. accessory duct - empties into duodenum, smaller
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Pancreas - histology
1. made of glandular epithelial cells
2. pancreatic islets (of Langerhans) (1% of all cells)
a. hormones: glucagon, insulin, somatostatin
3. acini - (99% of the cells in pancreas)
a. mixture of enzymes called "pancreatic juice"
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Liver
 Superficially has four lobes – right, left, caudate, and
quadrate
 The largest gland in the body
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Liver: Associated Structures
The falciform ligament:
 Separates the right and left lobes anteriorly
 Suspends the liver from the diaphragm and anterior abdominal
wall
The ligamentum teres:
 Is a remnant of the fetal umbilical vein
 Runs along the free edge of the falciform ligament
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Liver: Associated Structures
 The lesser omentum anchors the liver to the stomach
 The hepatic blood vessels enter the liver at the porta hepatis
 gallbladder - rests in a recess on the inferior surface of the
right lobe; stores bile for digestion of fats
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Bile
Bile leaves the liver via:
 Bile ducts, which fuse into the common hepatic duct
 The common hepatic duct, which fuses with the cystic
duct
 These two ducts form the bile duct
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Gallbladder and Associated Ducts
Figure 23.20
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
The Gallbladder
 Thin-walled, green muscular sac on the ventral surface of the
liver
 Stores and concentrates bile by absorbing its water and ions
 Releases bile via the cystic duct, which flows into the bile
duct
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Large Intestine
 Is subdivided into the cecum, appendix, colon, rectum, and
anal canal
 The saclike cecum:
 Lies below the ileocecal valve in the right iliac fossa
 Contains a wormlike vermiform appendix
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Colon
Has distinct regions:
 ascending colon
 hepatic flexure
 transverse colon
 splenic flexure
 descending colon
 sigmoid colon
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Large Intestine
Figure 23.29a
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Colon
 The transverse and sigmoid portions are anchored
via mesenteries called mesocolons
 The sigmoid colon joins the rectum
 The anal canal, the last segment of the large
intestine, opens to the exterior at the anus
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Anus
 internal sphincter - smooth muscle (involuntary)
 external sphincter - skeletal muscle (voluntary)
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Mesenteries of Digestive Organs
Figure 23.30b
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Mesenteries of Digestive Organs
Figure 23.30c
Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Mesenteries of Digestive Organs
Figure 23.30d

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ANATOMY OF Digestive.pdf

  • 1. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Human Anatomy & Physiology, Sixth Edition Elaine N. Marieb PowerPoint® Lecture Slides prepared by Vince Austin, University of Kentucky 23 The Digestive System
  • 2. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Digestive System: Overview  The alimentary canal or gastrointestinal (GI) tract digests and absorbs food  Alimentary canal – mouth, pharynx, esophagus, stomach, small intestine, and large intestine  Accessory digestive organs – teeth, tongue, gallbladder, salivary glands, liver, and pancreas
  • 3. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Digestive System: Overview Figure 23.1
  • 4. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Digestive Process The GI tract is a “disassembly” line:  Nutrients become more available to the body in each step There are six essential activities:  1) Ingestion, 2) propulsion, and 3) mechanical digestion  4) Chemical digestion, 5) absorption, and 6) defecation
  • 5. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Digestive Process Figure 23.2
  • 6. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Gastrointestinal Tract Activities  1) Ingestion – taking food into the digestive tract  2) Propulsion – swallowing and peristalsis  Peristalsis – waves of contraction and relaxation of muscles in the organ walls  3) Mechanical digestion – chewing, mixing, and churning food
  • 7. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Gastrointestinal Tract Activities  4) Chemical digestion – catabolic breakdown of food  5) Absorption – movement of nutrients from the GI tract to the blood or lymph  6) Defecation – elimination of indigestible and unabsorbed solid wastes
  • 8. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Peritoneum and Peritoneal Cavity Peritoneum – serous membrane of the abdominal cavity  Visceral peritoneum – covers external surface of most digestive organs  Parietal peritoneum – lines the body wall Peritoneal cavity  Lubricates digestive organs  Allows them to slide across one another
  • 9. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 23.5a
  • 10. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Blood Supply: Splanchnic Circulation Arteries and the organs they serve include:  The hepatic, splenic, and left gastric: spleen, liver, and stomach  Inferior mesenteric and superior mesenteric: small and large intestines Hepatic portal circulation:  Collects nutrient-rich venous blood from the digestive viscera  Delivers this blood to the liver for metabolic processing and storage
  • 11. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Mouth Oral or buccal cavity:  Is bounded by lips, cheeks, palate, and tongue  Has the oral orifice as its anterior opening  Is continuous with the oropharynx posteriorly To withstand abrasions:  The mouth is lined with stratified squamous epithelium  The gums, hard palate, and dorsum of the tongue are slightly keratinized
  • 12. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Mouth 1. cheeks 2. lips (labia), labial frenulum (attach to gums) 3. hard palate - anterior part of roof of mouth (palatine bones) 4. soft palate - posterior of roof of mouth (mucous membrane) 5. uvula - hanging portion of soft palate (punching bag) 6. palatoglossal arch & palatopharyngeal arch a. palatine tonsils between arches
  • 13. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Anatomy of the Oral Cavity: Mouth Figure 23.7a
  • 14. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Oral Cavity and Pharynx: Anterior View Figure 23.7b
  • 15. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Tongue Functions include:  Gripping and repositioning food during chewing  Mixing food with saliva and forming the bolus  Initiation of swallowing, and speech Note: Lingual frenulum secures the tongue to the floor of the mouth
  • 16. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Tongue Superior surface bears three types of papillae:  Filiform – give the tongue roughness and provide friction  Fungiform – scattered widely over the tongue and give it a reddish hue  Circumvallate – V-shaped row in back of tongue
  • 17. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Tongue Figure 23.8
  • 18. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Salivary Glands  Parotid – lies anterior to the ear between the masseter muscle and skin  Parotid duct – opens into the vestibule next to the second upper molar  Submandibular – lies along the medial aspect of the mandibular body  Sublingual – lies anterior to the submandibular gland under the tongue
  • 19. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Salivary Glands Figure 23.9a
  • 20. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Permanent Teeth Figure 23.10.2
  • 21. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Classification of Teeth Teeth are classified according to their shape and function:  Incisors – chisel-shaped teeth adapted for cutting or nipping  Canines – conical or fanglike teeth that tear or pierce  Premolars (bicuspids) and molars – have broad crowns with rounded tips and are best suited for grinding or crushing  During chewing, upper and lower molars lock together generating crushing force
  • 22. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Tooth Structure a. crown - above the level of the gums b. root - one to three projections into socket c. neck - between crown and root on gumline d. dentin - hard shell of tooth e. pulp cavity - center of tooth f. pulp - lymph, blood, nerve, connective tissue g. root canal - passage through roots to the pulp i. apical foramen - opening at the base h. enamel - covers the dentin on the crown i. cementum - covers dentin on the root
  • 23. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Tooth Structure Figure 23.11
  • 24. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Esophagus  Muscular tube going from the laryngopharynx to the stomach  Travels through the mediastinum and pierces the diaphragm  Joins the stomach at the cardiac orifice
  • 25. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Stomach - Chemical breakdown of proteins begins and food is converted to chyme  Cardiac region – surrounds the cardiac orifice  Fundus – dome-shaped region beneath the diaphragm  Body – midportion of the stomach  Pyloric region – made up of the antrum and canal which terminates at the pylorus - The pylorus is continuous with the duodenum through the pyloric sphincter
  • 26. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Stomach  Greater curvature – entire extent of the convex lateral surface  Lesser curvature – concave medial surface  Lesser omentum – runs from the liver to the lesser curvature  Greater omentum – drapes inferiorly from the greater curvature to the small intestine  Rugae - folds in the inner lining of the stomach
  • 27. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Stomach Figure 23.14a
  • 28. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Stomach  Blood supply – celiac trunk, and corresponding veins (part of the hepatic portal system)
  • 29. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Small Intestine: Gross Anatomy  Runs from pyloric sphincter to the ileocecal valve  The bile duct and main pancreatic duct join the duodenum at the hepatopancreatic ampulla  The ileum joins the large intestine at the ileocecal valve Has three subdivisions: 1.duodenum 2. jejunum 3. ileum
  • 30. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Pancreas - structure posterior to great curvature of the stomach 1. head - enlarged portion in C-curve of the duodenum 2. body - tapers off beneath the stomach 3. tail - terminal part near the end 4. pancreatic duct - merges with bile duct to duodenum a. hepatopancreatic ampulla (merging of both) 5. accessory duct - empties into duodenum, smaller
  • 31. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
  • 32. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Pancreas - histology 1. made of glandular epithelial cells 2. pancreatic islets (of Langerhans) (1% of all cells) a. hormones: glucagon, insulin, somatostatin 3. acini - (99% of the cells in pancreas) a. mixture of enzymes called "pancreatic juice"
  • 33. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Liver  Superficially has four lobes – right, left, caudate, and quadrate  The largest gland in the body
  • 34. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Liver: Associated Structures The falciform ligament:  Separates the right and left lobes anteriorly  Suspends the liver from the diaphragm and anterior abdominal wall The ligamentum teres:  Is a remnant of the fetal umbilical vein  Runs along the free edge of the falciform ligament
  • 35. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Liver: Associated Structures  The lesser omentum anchors the liver to the stomach  The hepatic blood vessels enter the liver at the porta hepatis  gallbladder - rests in a recess on the inferior surface of the right lobe; stores bile for digestion of fats
  • 36. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Bile Bile leaves the liver via:  Bile ducts, which fuse into the common hepatic duct  The common hepatic duct, which fuses with the cystic duct  These two ducts form the bile duct
  • 37. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Gallbladder and Associated Ducts Figure 23.20
  • 38. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings The Gallbladder  Thin-walled, green muscular sac on the ventral surface of the liver  Stores and concentrates bile by absorbing its water and ions  Releases bile via the cystic duct, which flows into the bile duct
  • 39. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Large Intestine  Is subdivided into the cecum, appendix, colon, rectum, and anal canal  The saclike cecum:  Lies below the ileocecal valve in the right iliac fossa  Contains a wormlike vermiform appendix
  • 40. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Colon Has distinct regions:  ascending colon  hepatic flexure  transverse colon  splenic flexure  descending colon  sigmoid colon
  • 41. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Large Intestine Figure 23.29a
  • 42. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Colon  The transverse and sigmoid portions are anchored via mesenteries called mesocolons  The sigmoid colon joins the rectum  The anal canal, the last segment of the large intestine, opens to the exterior at the anus
  • 43. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Anus  internal sphincter - smooth muscle (involuntary)  external sphincter - skeletal muscle (voluntary)
  • 44. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Mesenteries of Digestive Organs Figure 23.30b
  • 45. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Mesenteries of Digestive Organs Figure 23.30c
  • 46. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Mesenteries of Digestive Organs Figure 23.30d