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Digestive System,
         Part 1
Objectives:

Discuss the general functions and
anatomy of the digestive tract,
including accessory structures.

First, an overview of the tubular nature
of the digestive system.

Describe the individual organs of the
system, including a discussion of the
gross and microscopic anatomy.




                                                      Developed by
                                           John Gallagher, MS, DVM
Digestive System Overview

   AKA:
   Digestive Tract
   Alimentary Tract or Canal
   GI tract
   Gut

Muscular, hollow tube,
from the lips to the anus
+
Various accessory organs
Digestive System Overview
  The function of the system as a whole is
  processing food in such a way that nutrients
  can be absorbed and residues eliminated.
Individual parts
function in:
     •   Ingestion
     •   Propulsion
     •   Mechanical digestion and
         segmentation
     •   Chemical and enzymatic digestion
     •   Secretion
     •   Absorption
     •   Compaction
     •   Excretion and elimination
         (defecation)
Membranes

    Peritoneum - generic serous membrane in
    abdominal cavity
    Parietal and Visceral Peritoneum
    Retroperitoneal vs. (intra)peritoneal


Mesenteries - double sheets of peritoneum, surrounding and
  suspending portions of the digestive organs

•   Greater omentum - "fatty apron", hangs anteriorly from      Fig. 22.6
    stomach; double layer encloses fat
•   Lesser omentum - between stomach and liver
•   Mesentery proper - suspends and wraps the small intestine
•   Mesocolon - suspends and wraps the colon, parts are
     – transverse mesocolon
     – sigmoid mesocolon
General
Organization
Structure of Small Intestinal Wall
Plicae circulares – circular pleats around the interior of the small
    intestine
Villi – minute finger-like projections, contain capillaries & lacteals
Microvilli – sub-microscopic size, projections on single cells
                                                 Function of all three?




                                                       Crypts at bottom of
                                                       villi—Cell
                                                       regeneration
                                                       (mitosis)
                                                       Glands—mucus,
                                                       enzymes
Smooth Muscle, a
  review

• One nucleus
• Nonstriated
   – Actin and myosin present
• Slow, sustained
  contraction
• Communication
   – Varicosities
   – Gap junctions
Histological
     Organization
Tube made up of four
  layers.
  1. Mucosa
  2. Submucosa
  3. Muscularis externa
  4. Serosa = Visceral
  Peritoneum

Modifications along its
  length as needed.
The 4 Layers of
       the Gut
1) Mucosa
      Epithelium - usually simple columnar epithelium with goblet cells;
      may be stratified squamous if protection needed, e.g., esophagus
      Lamina propria – areolar connective tissue deep to epithelium
      Muscularis mucosae -produces folds - plicae (small intestine) or     Fig 23.7
      rugae (stomach)
The 4 Layers of
      the Gut
2) Submucosa – made up of loose connective tissue
      contains submucosal plexus and blood vessels


                                                     Fig 23.7
The 4 Layers of
      the Gut
3) Muscularis externa – smooth muscle, usually two layers
      (controlled by the myenteric plexus; source of peristalsis )
      -
         inner layer: circular
         outer layer: longitudinal                                   Fig 23.7
The 4 Layers of
     the Gut
4) Serosa
            visceral layer of mesentery (contiguous
            with the peritoneum) or adventitia
            depending on location
                                                      Fig 23.7
Repetitio est
mater studiorum
Oral
Cavity


         •   AKA buccal cavity or mouth - lined
             with oral mucosa (type of epithelium
             ?)
         •   Lips = labia
              – Labial frenulum
         •   Hard and soft palates - form roof of
             mouth
         •   Tongue - skeletal muscle
              – Lingual frenulum
         •   Salivary glands - three pairs
         •   Teeth
         •   Fauces = opening to pharynx
Types and Numbers of Teeth




Dental succession
        Deciduous (1o, baby, milk)
teeth - 20, replaced by
        Permanent teeth - 32 teeth
Structure of Teeth

                                              Fig 23.14
Crown - exposed surface of tooth
Neck - boundary between root and crown

Enamel - outer surface
Dentin – bone-like, but noncellular
Pulp cavity - hollow with blood vessels and
   nerves
Root canal - canal length of root
Gingival sulcus - where gum and tooth meet
Periodontal Ligament
Three pairs of Salivary Glands
  1-1.5 L / day for
  digestion (?)
  lubrication (swallowing) moistening
  (tasting)

• Parotid – lateral side of face,
  anterior to ear, drain by parotid
  duct to vestibule near 2nd
  upper molar
• Submandibular – medial
  surface of mandible – drain
  near lingual frenulum drain
  posterior to lower molars
• Sublingual – in floor of mouth -
  drain near lingual frenulum
Mumps




Swollen, painful parotid salivary glands (parotitis) on one or both sides of
the face
Etiology: Mumps virus (Myxovirus)
Fever and sometimes orchitis, pancreatitis etc.
About 1/3 of infected people do not show symptoms

Effective vaccine (MMR)             since 1967
Esophagus

• Lined with noncornified
  stratified squamous epithelium
• Food boluses propelled by
  peristalsis of both skeletal and
  smooth muscle (gravity, too)
• Hiatus; lower esophageal
  sphincter
• GERD
Stomach


oCardiac   Sphincter (?)
oCardia

oFundus

oBody

oPylorus

oPyloric   sphincter
oGreaterand Lesser
Curvatures
oGreater   Omentum
Stomach

  •Rugae     or Rugal
  Folds
  •Pylorus

  •Pyloric   sphincter
Circulation
Histology of Stomach

Type of epithelium lining stomach?

Gastric pits – shallow pits, external half rapidly
    reproduces for replacement

Gastric glands – deep in lamina propria, 3 types of
    cells
1. Parietal cells (produce HCl and intrinsic
   factor B12)
2. Chief cells (produce pepsinogen)
3. Enteroendocrine cells – G cells (several
    hormones including gastrin which stimulates both
    parietal and chief cells)
Ulcers

• Mucosal erosion of stomach or
  duodenum
• GERD
• NSAIDs
• Helicobacter pylori
• Stress??
• Dx by
  esophagogastroduodenoscopy
       http://www.you
       tube.com/watc
       h?v=hm1nEP
       HxJ0E
Review:
Chapter23 digestivepart1marieb

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Chapter23 digestivepart1marieb

  • 1. Digestive System, Part 1 Objectives: Discuss the general functions and anatomy of the digestive tract, including accessory structures. First, an overview of the tubular nature of the digestive system. Describe the individual organs of the system, including a discussion of the gross and microscopic anatomy. Developed by John Gallagher, MS, DVM
  • 2. Digestive System Overview AKA: Digestive Tract Alimentary Tract or Canal GI tract Gut Muscular, hollow tube, from the lips to the anus + Various accessory organs
  • 3. Digestive System Overview The function of the system as a whole is processing food in such a way that nutrients can be absorbed and residues eliminated. Individual parts function in: • Ingestion • Propulsion • Mechanical digestion and segmentation • Chemical and enzymatic digestion • Secretion • Absorption • Compaction • Excretion and elimination (defecation)
  • 4. Membranes Peritoneum - generic serous membrane in abdominal cavity Parietal and Visceral Peritoneum Retroperitoneal vs. (intra)peritoneal Mesenteries - double sheets of peritoneum, surrounding and suspending portions of the digestive organs • Greater omentum - "fatty apron", hangs anteriorly from Fig. 22.6 stomach; double layer encloses fat • Lesser omentum - between stomach and liver • Mesentery proper - suspends and wraps the small intestine • Mesocolon - suspends and wraps the colon, parts are – transverse mesocolon – sigmoid mesocolon
  • 6. Structure of Small Intestinal Wall Plicae circulares – circular pleats around the interior of the small intestine Villi – minute finger-like projections, contain capillaries & lacteals Microvilli – sub-microscopic size, projections on single cells Function of all three? Crypts at bottom of villi—Cell regeneration (mitosis) Glands—mucus, enzymes
  • 7. Smooth Muscle, a review • One nucleus • Nonstriated – Actin and myosin present • Slow, sustained contraction • Communication – Varicosities – Gap junctions
  • 8. Histological Organization Tube made up of four layers. 1. Mucosa 2. Submucosa 3. Muscularis externa 4. Serosa = Visceral Peritoneum Modifications along its length as needed.
  • 9. The 4 Layers of the Gut 1) Mucosa Epithelium - usually simple columnar epithelium with goblet cells; may be stratified squamous if protection needed, e.g., esophagus Lamina propria – areolar connective tissue deep to epithelium Muscularis mucosae -produces folds - plicae (small intestine) or Fig 23.7 rugae (stomach)
  • 10. The 4 Layers of the Gut 2) Submucosa – made up of loose connective tissue contains submucosal plexus and blood vessels Fig 23.7
  • 11. The 4 Layers of the Gut 3) Muscularis externa – smooth muscle, usually two layers (controlled by the myenteric plexus; source of peristalsis ) - inner layer: circular outer layer: longitudinal Fig 23.7
  • 12. The 4 Layers of the Gut 4) Serosa visceral layer of mesentery (contiguous with the peritoneum) or adventitia depending on location Fig 23.7
  • 14. Oral Cavity • AKA buccal cavity or mouth - lined with oral mucosa (type of epithelium ?) • Lips = labia – Labial frenulum • Hard and soft palates - form roof of mouth • Tongue - skeletal muscle – Lingual frenulum • Salivary glands - three pairs • Teeth • Fauces = opening to pharynx
  • 15. Types and Numbers of Teeth Dental succession Deciduous (1o, baby, milk) teeth - 20, replaced by Permanent teeth - 32 teeth
  • 16. Structure of Teeth Fig 23.14 Crown - exposed surface of tooth Neck - boundary between root and crown Enamel - outer surface Dentin – bone-like, but noncellular Pulp cavity - hollow with blood vessels and nerves Root canal - canal length of root Gingival sulcus - where gum and tooth meet Periodontal Ligament
  • 17. Three pairs of Salivary Glands 1-1.5 L / day for digestion (?) lubrication (swallowing) moistening (tasting) • Parotid – lateral side of face, anterior to ear, drain by parotid duct to vestibule near 2nd upper molar • Submandibular – medial surface of mandible – drain near lingual frenulum drain posterior to lower molars • Sublingual – in floor of mouth - drain near lingual frenulum
  • 18. Mumps Swollen, painful parotid salivary glands (parotitis) on one or both sides of the face Etiology: Mumps virus (Myxovirus) Fever and sometimes orchitis, pancreatitis etc. About 1/3 of infected people do not show symptoms Effective vaccine (MMR) since 1967
  • 19. Esophagus • Lined with noncornified stratified squamous epithelium • Food boluses propelled by peristalsis of both skeletal and smooth muscle (gravity, too) • Hiatus; lower esophageal sphincter • GERD
  • 20. Stomach oCardiac Sphincter (?) oCardia oFundus oBody oPylorus oPyloric sphincter oGreaterand Lesser Curvatures oGreater Omentum
  • 21. Stomach •Rugae or Rugal Folds •Pylorus •Pyloric sphincter
  • 23. Histology of Stomach Type of epithelium lining stomach? Gastric pits – shallow pits, external half rapidly reproduces for replacement Gastric glands – deep in lamina propria, 3 types of cells 1. Parietal cells (produce HCl and intrinsic factor B12) 2. Chief cells (produce pepsinogen) 3. Enteroendocrine cells – G cells (several hormones including gastrin which stimulates both parietal and chief cells)
  • 24. Ulcers • Mucosal erosion of stomach or duodenum • GERD • NSAIDs • Helicobacter pylori • Stress?? • Dx by esophagogastroduodenoscopy http://www.you tube.com/watc h?v=hm1nEP HxJ0E