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1 
The Digestive System
2 
Digestion 
• Processing of food 
• Types 
– Mechanical (physical) 
• Chew 
• Tear 
• Grind 
• Mash 
• Mix 
– Chemical 
• Catabolic reactions 
• Enzymatic hydrolysis 
– Carbohydrate 
– Protein 
– Lipid
3 
Digestion 
• Phases 
– Ingestion 
– Movement 
– Digestion 
– Absorption 
– Further digestion
Digestive System Organization 
• Gastrointestinal (Gl) tract (Alimentary canal) 
4 
– Tube within a tube 
– Direct link/path between organs 
– Structures 
• Mouth 
• Oral Cavity 
• Pharynx 
• Esophagus 
• Stomach 
• Duedenum 
• Jejenum 
• kIleum 
• Cecum 
• Ascending colon 
• Transverse colon
Digestive System Organization 
5 
• Descending colon 
• Sigmoid colon 
• Rectum 
• Anus 
• Accessory structures 
– Not in tube path 
– Organs 
• Teeth 
• Tongue 
• Salivary glands 
• Liver 
• Gall bladder 
• Pancreas
Anatomy of the Mouth and 
6 
Throat
Human Deciduous and 
Permanent Teeth 
7
Dorsal Surface of the Tongue 
8
The Major Salivary Glands 
9
Deglutition (swallowing) 
10 
• Sequence 
– Voluntary stage 
• Push food to back of 
mouth 
– Pharyngeal stage 
• Raise 
– Soft palate 
– Larynx + hyoid 
– Tongue to soft palate 
– Esophageal stage 
• Contract pharyngeal 
muscles 
• Open esophagus 
• Start peristalsis
Deglutition (swallowing) 
11 
• Control 
– Nerves 
• Glossopharyngeal 
• Vagus 
• Accessory 
– Brain stem 
• Deglutition center 
– Medulla oblongata 
– Pons 
– Disorders 
• Dysphagia 
• Aphagia
12 
Esophagus 
• Usually collapsed (closed) 
• 3 constrictions 
– Aortic arch 
– Left primary bronchus 
– Diaphragm 
• Surrounded by 
– SNS plexus 
– Blood vessels 
• Functions 
– Secrete mucous 
– Transport food
Peristalsis and Segmentation 
13
14 
Esophagus 
• Sphincters 
– Upper 
– Lower 
• Abnormalities 
– Achalasia 
– Atresia 
– Hernia 
– Barret’s esophagus 
– Esophageal varices
15 
Stomach 
• Usually “J” shaped 
• Left side, anterior to the spleen 
• Mucous membrane 
– G cells – make gastrin 
– Goblet cells – make mucous 
– Gastric pit – Oxyntic gland – Parietal cells – Make 
HCl 
– Chief cells – Zymogenic cells 
• Pepsin 
• Gastric lipase
Anatomy of the Stomach 
16
17 
Stomach 
• 3 muscle layers 
– Oblique 
– Circular 
– Longitudinal 
• Regions 
– Cardiac sphincter 
– Fundus 
– Antrum (pylorus) 
– Pyloric sphincter 
• Vascular 
• Inner surface thrown into 
folds – Rugae 
• Contains enzymes that work 
best at pH 1-2
18 
Stomach 
• Functions 
– Mix food 
– Reservoir 
– Start digestion of 
• Protein 
• Nucleic acids 
• Fats 
– Activates some enzymes 
– Destroy some bacteria 
– Makes intrinsic factor – B 
12 absorption 
– Destroys some bacteria 
– Absorbs 
• Alcohol 
• Water 
• Lipophilic acid 
• B 12
19 
Small Intestine 
• Extends from pyloric 
sphincter  ileocecal 
valve 
• Regions 
– Duodenum 
– Jejenum 
– Ileum 
• Movements 
– Segmentation 
– Peristalsis
20 
Small Intestine 
• Histology 
– Intestinal glands – Intestinal enzymes 
– Duodenal glands – Alkaline mucous 
– Paneth cells – Lysozyme 
– Microvilli 
– Lacteals 
– Plica circularis 
– Smooth muscle 
– Lymphatic tissue – GALT 
– Vascular
21 
Small Intestine 
• Absorbs 
– 80% ingested water 
– Electrolytes 
– Vitamins 
– Minerals 
– Carbonates 
• Active/facilitated 
transport 
• Monosaccharides 
– Proteins 
• Di-/tripeptides 
• Amino acids 
– Lipids 
• Monoglycerides 
• Fatty acids 
• Micelles 
• Chylomicrons
Structure of the Villi in the 
22 
Small Intestine
23 
Small Intestine 
• Secretes digestive 
enzymes 
– Peptidases 
• Amino- 
• Di- 
• Tri- 
– Sucrases 
– Maltase 
– Lactase 
– Saccharidases 
• Di- 
• Tri- 
– Lipase 
– Nucleases
24 
Small Intestine 
• Control 
• Requires pancreatic 
enzymes & bile to 
complete digestion
25 
Large Intestine 
• Extends from ileocecal valve to anus 
• Regions 
– Cecum – Appendix 
– Colon 
• Ascending 
• Transverse 
• Descending 
– Rectum 
– Anal canal
Anatomy of the Large Intestine 
26
27 
Large Intestine 
• Histology 
– No villi 
– No permanent circular folds 
– Smooth muscle 
• Taeniae coli 
• Haustra 
– Epiploic appendages 
– Otherwise like rest of Gl tract
28 
Large Intestine 
• Functions 
– Mechanical digestion 
• Haustral churning 
• Peristalsis 
• Reflexes 
– Gastroileal 
– Gastrocolic 
– Chemical digestion – 
Bacterial digestion 
• Ferment carbohydrates 
• Protein/amino acid 
breakdown 
– Absorbs 
•More water 
•Vitamins 
– B 
– K 
– Concentrate/eliminate 
wastes
Feces Formation and Defecation 
• Chyme dehydrated to 
form feces 
• Feces composition 
29 
– Water 
– Inorganic salts 
– Epithelial cells 
– Bacteria 
– Byproducts of digestion 
• Defecation 
– Peristalsis pushes feces 
into rectum 
– Rectal walls stretch 
• Control 
– Parasympathetic 
– Voluntary
30 
Liver 
• Location 
– R. Hypochondrium 
– Epigastric region 
• 4 Lobes 
– Left 
– Quadrate 
– Caudate 
– Right 
• Each lobe has lobules – Contains hepatocytes – 
Surround sinusoids – Feed into central vein
31 
Liver 
• Functions 
– Makes bile 
• Detergent – emulsifies 
fats 
• Release promoted by: 
– Vagus n. 
– CCK 
– Secretin 
• Contains 
– Water 
– Bile salts 
– Bile pigments 
– Electrolytes 
– Cholesterol 
– Lecithin
32 
Liver 
– Detoxifies/removes 
• Drugs 
• Alcohol 
– Stores 
• Gycolgen 
• Vitamins (A, D, E, K) 
• Fe and other minerals 
• Cholesterol 
– Activates vitamin D 
– Fetal RBC production 
– Phagocytosis 
– Metabolizes absorbed food 
molecules 
• Carbohydrates 
• Proteins 
• Lipids
33 
Liver 
• Dual blood supply 
– Hepatic portal vein 
• Direct input from small 
intestine 
– Hepatic artery/vein 
• Direct links to heart
The Duodenum and Related 
34 
Organs
The Organs and Positions in the 
35 
Abdominal Cavity
Structures of the Alimentary 
36 
Canal

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Digestive system

  • 2. 2 Digestion • Processing of food • Types – Mechanical (physical) • Chew • Tear • Grind • Mash • Mix – Chemical • Catabolic reactions • Enzymatic hydrolysis – Carbohydrate – Protein – Lipid
  • 3. 3 Digestion • Phases – Ingestion – Movement – Digestion – Absorption – Further digestion
  • 4. Digestive System Organization • Gastrointestinal (Gl) tract (Alimentary canal) 4 – Tube within a tube – Direct link/path between organs – Structures • Mouth • Oral Cavity • Pharynx • Esophagus • Stomach • Duedenum • Jejenum • kIleum • Cecum • Ascending colon • Transverse colon
  • 5. Digestive System Organization 5 • Descending colon • Sigmoid colon • Rectum • Anus • Accessory structures – Not in tube path – Organs • Teeth • Tongue • Salivary glands • Liver • Gall bladder • Pancreas
  • 6. Anatomy of the Mouth and 6 Throat
  • 7. Human Deciduous and Permanent Teeth 7
  • 8. Dorsal Surface of the Tongue 8
  • 10. Deglutition (swallowing) 10 • Sequence – Voluntary stage • Push food to back of mouth – Pharyngeal stage • Raise – Soft palate – Larynx + hyoid – Tongue to soft palate – Esophageal stage • Contract pharyngeal muscles • Open esophagus • Start peristalsis
  • 11. Deglutition (swallowing) 11 • Control – Nerves • Glossopharyngeal • Vagus • Accessory – Brain stem • Deglutition center – Medulla oblongata – Pons – Disorders • Dysphagia • Aphagia
  • 12. 12 Esophagus • Usually collapsed (closed) • 3 constrictions – Aortic arch – Left primary bronchus – Diaphragm • Surrounded by – SNS plexus – Blood vessels • Functions – Secrete mucous – Transport food
  • 14. 14 Esophagus • Sphincters – Upper – Lower • Abnormalities – Achalasia – Atresia – Hernia – Barret’s esophagus – Esophageal varices
  • 15. 15 Stomach • Usually “J” shaped • Left side, anterior to the spleen • Mucous membrane – G cells – make gastrin – Goblet cells – make mucous – Gastric pit – Oxyntic gland – Parietal cells – Make HCl – Chief cells – Zymogenic cells • Pepsin • Gastric lipase
  • 16. Anatomy of the Stomach 16
  • 17. 17 Stomach • 3 muscle layers – Oblique – Circular – Longitudinal • Regions – Cardiac sphincter – Fundus – Antrum (pylorus) – Pyloric sphincter • Vascular • Inner surface thrown into folds – Rugae • Contains enzymes that work best at pH 1-2
  • 18. 18 Stomach • Functions – Mix food – Reservoir – Start digestion of • Protein • Nucleic acids • Fats – Activates some enzymes – Destroy some bacteria – Makes intrinsic factor – B 12 absorption – Destroys some bacteria – Absorbs • Alcohol • Water • Lipophilic acid • B 12
  • 19. 19 Small Intestine • Extends from pyloric sphincter  ileocecal valve • Regions – Duodenum – Jejenum – Ileum • Movements – Segmentation – Peristalsis
  • 20. 20 Small Intestine • Histology – Intestinal glands – Intestinal enzymes – Duodenal glands – Alkaline mucous – Paneth cells – Lysozyme – Microvilli – Lacteals – Plica circularis – Smooth muscle – Lymphatic tissue – GALT – Vascular
  • 21. 21 Small Intestine • Absorbs – 80% ingested water – Electrolytes – Vitamins – Minerals – Carbonates • Active/facilitated transport • Monosaccharides – Proteins • Di-/tripeptides • Amino acids – Lipids • Monoglycerides • Fatty acids • Micelles • Chylomicrons
  • 22. Structure of the Villi in the 22 Small Intestine
  • 23. 23 Small Intestine • Secretes digestive enzymes – Peptidases • Amino- • Di- • Tri- – Sucrases – Maltase – Lactase – Saccharidases • Di- • Tri- – Lipase – Nucleases
  • 24. 24 Small Intestine • Control • Requires pancreatic enzymes & bile to complete digestion
  • 25. 25 Large Intestine • Extends from ileocecal valve to anus • Regions – Cecum – Appendix – Colon • Ascending • Transverse • Descending – Rectum – Anal canal
  • 26. Anatomy of the Large Intestine 26
  • 27. 27 Large Intestine • Histology – No villi – No permanent circular folds – Smooth muscle • Taeniae coli • Haustra – Epiploic appendages – Otherwise like rest of Gl tract
  • 28. 28 Large Intestine • Functions – Mechanical digestion • Haustral churning • Peristalsis • Reflexes – Gastroileal – Gastrocolic – Chemical digestion – Bacterial digestion • Ferment carbohydrates • Protein/amino acid breakdown – Absorbs •More water •Vitamins – B – K – Concentrate/eliminate wastes
  • 29. Feces Formation and Defecation • Chyme dehydrated to form feces • Feces composition 29 – Water – Inorganic salts – Epithelial cells – Bacteria – Byproducts of digestion • Defecation – Peristalsis pushes feces into rectum – Rectal walls stretch • Control – Parasympathetic – Voluntary
  • 30. 30 Liver • Location – R. Hypochondrium – Epigastric region • 4 Lobes – Left – Quadrate – Caudate – Right • Each lobe has lobules – Contains hepatocytes – Surround sinusoids – Feed into central vein
  • 31. 31 Liver • Functions – Makes bile • Detergent – emulsifies fats • Release promoted by: – Vagus n. – CCK – Secretin • Contains – Water – Bile salts – Bile pigments – Electrolytes – Cholesterol – Lecithin
  • 32. 32 Liver – Detoxifies/removes • Drugs • Alcohol – Stores • Gycolgen • Vitamins (A, D, E, K) • Fe and other minerals • Cholesterol – Activates vitamin D – Fetal RBC production – Phagocytosis – Metabolizes absorbed food molecules • Carbohydrates • Proteins • Lipids
  • 33. 33 Liver • Dual blood supply – Hepatic portal vein • Direct input from small intestine – Hepatic artery/vein • Direct links to heart
  • 34. The Duodenum and Related 34 Organs
  • 35. The Organs and Positions in the 35 Abdominal Cavity
  • 36. Structures of the Alimentary 36 Canal