stomach and pancreas

1. ivyanatomy.com
SECTION 2, CHAPTER 17
THE DIGESTIVE SYSTEM

2. The Pharynx
• The pharynx is a cavity that connects the oral cavity to the esophagus
• Nasopharynx
•Superior to the soft palate
•Passage for air during breathing
• Oropharynx
• Posterior to the mouth
• Passage for food during swallowing
and air during breathing.
• Laryngopharynx
• Begins at the epiglottis
• Extends to the esophagus.

3. Muscles of the Pharynx
• Muscles of the pharyngeal wall form an inner circular and outer longitudinal groups.
Pharyngeal muscles are skeletal muscles that contract during swallowing (deglutition).
3 Constrictor Muscles – pulls walls inward
• Superior constrictor muscle
• Middle constrictor muscle
• Inferior constrictor muscle
• Inferior constrictor forms much of the Upper esophageal sphincter (UES)
• The UES prevents air from entering stomach
Longitudinal muscles - elevate the pharynx when swallowing

4. Figure 17.13 Muscles of the pharyngeal wall, posterior view.

5. The Swallowing Mechanism
• Swallowing can be divided into three stages:
• Voluntary stage - saliva is mixed with chewed food
• Swallowing begins the swallowing reflex
• Peristalsis transports food through the esophagus to the stomach
The voluntary stage
• Food is chewed and mixed with saliva
• Mass of food and saliva is called a bolus
• The tongue forces food into the oropharynx

6. The Swallowing Mechanism
Swallowing Reflex
• The soft palate raises, preventing food from entering the nasopharynx
• Longitudinal muscles elevate the hyoid bone and larynx
• The tongue presses back, and the epiglottis closes
• Inferior constrictor muscles relax, opening the esophagus.

7. The Swallowing Mechanism
Swallowing Reflex continued
• Superior constrictor muscles contract
• Initiates a peristaltic wave that forces food into the esophagus.
Peristalsis – peristaltic waves move food through the esophagus.

8. The Esophagus
The esophagus is a 25cm long tube joining the laryngopharynx to the stomach.
Mucosal layer – stratified squamous epithelium with mucous glands
Esophageal Hiatus – opening in the diaphragm, passage for esophagus.
• Hiatal hernia – part of the stomach protrudes through the hiatus.
Lower Esophageal (Cardiac) sphincter – prevents regurgitation from the stomach.

9. The Stomach
The stomach is a J-shaped, pouch-like organ, about 25-30 centimeters long
Location: It’s inferior to the diaphragm in the upper-left abdominal quadrant.
The stomach has two layers of smooth muscle:
• An inner circular layer
• An outer longitudinal layer
• (There may be a third inner layer of oblique fibers.)
Figure 17.17. Some parts of the stomach have three layers of muscle fibers.

10. Parts of the Stomach
The stomach can be divided into 4 regions
Cardia – entrance
Fundus – superior portion
Body– main part of the stomach. Pyloris – funnel-shaped portion near the distal end
Rugae – gastric folds line the stomach
Pyloric sphincter – controls the
rate of gastric emptying.

11. Lining of the Stomach
The stomach is lined with simple columnar epithelium along its gastric folds.
Deep pits (gastric pits) form gastric glands in the stomach’s mucosa.
Gastric Glands contain 3 types
of secretory cells:
Mucous Cells – secrete mucus
Chief Cells– secrete pepsinogen
Parietal Cells– secrete HCl
Secretions from these cells form
gastric juice.
Figure 17.19 Lining of the stomach. Gastric glands
include mucous cells, parietal cells, and chief cells.

12. Gastric Secretions
Pepsin – important digestive enzyme that breaks down proteins.
Pepsin is formed when the pepsinogen secreted by chief
cells mixes with HCl secreted by parietal cells.
inactive
pepsinogen
HCl
active
pepsin
Mucus secreted by mucous cells protects the stomach from pepsin and HCl.
Intrinsic factor – secreted from the parietal cells
• Is required for vitamin B12 absorption

13. Regulation of Gastric Secretions
The rate of gastric juice secretion is controlled both neurally and hormonally.
Hormonal Inhibition: Endocrine cells in the stomach secrete
somatostatin, which inhibits gastric juice secretions.
Somatostatin acts as a “brake”, preventing
unnecessary gastric juice secretions.
Neural Stimulus:
Parasympathetic impulses (from the vagus nerve)
release acetylcholine
Acetylcholine has three actions:
• Suppresses the secretion of somatostatin
• Stimulates the secretion of gastric juices.
• Stimulates the secretion of gastrin
Hormonal Stimulus: Gastrin is a hormone that further increases the
secretory activity of gastric glands.

14. Figure 17.20 The secretion of gastric juice is regulated in part by
parasympathetic impulses that stimulate the release of gastric juice and gastrin.

15. 3 Phases of Gastric Secretions
Celiac Phase – begins before food enters the stomach
• Prepares for digestion “get ready”
• The vagus nerve stimulates gastric secretions in response to the
taste, smell, sight, or the thought of food.
Gastric Phase– Starts when food enters the stomach
• Accounts for most of the secretory activity “go for it”
• Food distends the stomach wall, triggering gastric juice secretions.
• Gastrin secretion ceases as the stomach pH approaches 1.5
Intestinal Phase– Begins when food enters the small intestine.
• Acidic chyme in the duodenum stimulates sympathetic
impulses, which inhibit gastric juice secretion “slow down”.
• Fats stimulate the release of intestinal somatostatin – inhibits gastric juice release.
• Fats and proteins promote the release of cholecystokinin – decreases motility.

17. Gastric Absorption
• Gastric enzymes begin breaking down proteins, but the
stomach is not well-adapted to absorb digestive products
• The stomach absorbs very little nutrients.
• The stomach does absorb:
• Some water
• Certain salts
• Certain lipid-soluble drugs
• Alcohol

18. Mixing and Emptying of the Stomach
• The stomach mixes food with gastric juice, forming chyme.
• Rhythmic muscle contractions push chyme through the
pyloric sphincter into the duodenum a little at a time.
• Chyme entering the duodenum stretches the
intestinal wall, stimulating an enterogastric reflex.
Enterogastric reflex –
• Begins in the intestine (entero) and ends in stomach (gastric)
• As chyme fills the small intestine, sensory impulses conducted
to the CNS reduce parasympathetic activity of the stomach.
• As a result, peristalsis in the stomach is inhibited, and intestinal
filling slows.

19. Figure 17.22 The enterogastric reflex
partially regulates the rate at which
chyme leaves the stomach.

20. The Pancreas
• The pancreas functions as both an endocrine and exocrine gland
• Its exocrine function is to secrete pancreatic juice

21. Anatomy of the Pancreas
The head of the pancreas rests in the curvature of the duodenum.
Acinar cells – produce pancreatic juice
• Acini – clusters of acinar cells
• Acini surround small tubules that merge into a pancreatic duct.
• The pancreatic duct empties into the duodenum.

22. Figure 17.23 The pancreas is closely associated with the duodenum.

23. Anatomy of the Pancreas
The pancreatic duct joins with the bile duct forming the
hepatopancreatic ampulla.
Hepatopancratic sphincter – band of smooth muscle that
regulates secretions into the duodenum.

24. Pancreatic Juice
Pancreatic juice contains enzymes and bicarbonate ions:
Enzymes
• Pancreatic amylase – splits glycogen into disaccharides
• Pancreatic lipase – breaks down triglycerides (lipids)
• Trypsin, chymotrypsin, and carboxylpeptidase – digest proteins
• Nucleases – digest nucleic acids
Alkaline Juice
• Bicarbonate ions – neutralizes acidic chyme in the duodenum.

25. Activation of Pancreatic Enzymes
• The pancreas secretes enzymes in the inactive form and must
be activated by other enzymes within the small intestine.
Activating enzyme
Trypsinogen (inactive)
Secreted by pancreas
+ Enterokinase
secreted by
small intestine
Trypsin has two functions:
• Digests proteins
• Activates chymotrypsin & carboxylpeptidase.
Trypsin (active)
Splits proteins

26. Regulations of Pancreatic Juice Secretions
The nervous and endocrine systems regulate the release of pancreatic juice.
Nervous Regulation
Parasympathetic impulses stimulate the secretions of digestive enzymes
Endocrine Regulation
Secretin
• Stimulates the secretion of alkaline pancreatic juice with few enzymes.
• Secretin is released when acidic chyme enters the duodenum.
• Bicarbonate ions in the pancreatic juice neutralize the chyme.
Cholecystokinin (CCK)
• CCK stimulates the secretion of pancreatic juice rich in digestive enzymes.
• It also stimulates the release of bile from the gall bladder.
• CCK is released when chyme containing fats and proteins enters the
small intestine.

27. Figure 17.24 Acidic chyme entering the duodenum from the stomach stimulates the
release of secretin, which, in turn, stimulates the release of pancreatic juice.
END OF SECTION 2, CHAPTER 17