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chapter 17
digestive
115
Anatomy
Undergraduate 1
12/05/2012

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Term
Digestion
Definition
is the mechanical and chemical breakdown of foods into forms that cell membranes can absorb.
Term
mechanical digestion
Definition
breaks large pieces into smaller ones without altering their chemical composition.
Term
chemical digestion
Definition
breaks down food into simpler chemicals
Term
digestion system
Definition
the organs of this system carry out these processes as well as ingestion, propulsion, absorption, and defecation.
Term
alimentary canal
Definition

the digestive system consists of this canal which extends from the mouth to the anus, and several organs release secreations into the canal.

 

it includes: the mouth, pharynx, esophagus, stomach, small intestine, large intestine, and anal canal.  the accessory organs are salivary glands, liver, gallbladder, and pancreas.

Term
the digestive system origninates from
Definition
the inner layer endoderm of the embryo, which folds to form the tube of the alimentary canal. the accessory organs develop as buds from the tube.
Term
How long is the alimentary canal?
Definition
it is a muscular tube about 8 meters long that passes through the bodys thoracic and adominopelvic cavities.
Term
structure of alimentary canal
Definition

the wall consists of 4 layers developed to different degrees from region to region

 

mucosa membrane

submucosa

muscular layer

serosa layer

 

Term
mucosa membrane
Definition

this layer is formed of surface epithelium, underlying connective tissue and a small amount of smooth mucle. in some regions, the muscosa is folded with tiny projections that extend into passageway or lumen of digestive tube.

 

the mucosa also has glands that are tubular invaginations which the lining cells secrete mucus and digestive enzymes.

 

epithelium, connective tissue, smooth muscle-protection, secreation, absorption

 

mucosea protects the tissues beneath it and carries on secreation and absorbtion.

Term
submucosa
Definition

contains considerable loose connective tissue as well as glands, blood vessels, lymphatic vessels, and nerves. its vessels nourish the surrounding tissues and carry away absorbed material.

 

loose connective tissue, blood vessels, lymphatic vessels, nerves-noursies surrounding tissues, transports absorbed materials

Term
muscular layer
Definition

provides movements of the tube, consits of two coats of smooth muscle  tissue. The fibers of the inner coat encircle the tube. when the circular fibers contract, the diameter of the tube decreases.

 

the fibers of the outer muscular coat run lengthwise. when theses longitudinal fibers contract the tube shortens.

 

smooth muscle fibers in circular and longitudinal groups-movements of the tube and its contents

Term
serosa or serous layer
Definition

outer covering of the tube, is composed of viceral peritoneum, formed of epithelium on the outside of connective tissue benath.

 

protect underlying tissue and secreate serous fluid, which moistens and lubricates the tubes outer surface so that the organs in the abdominal cavity slide freely against one another.

 

epitelium, connective tissue- protection, lubrication

Term
The two main movements of alimentary canal?
Definition

mixing movements and proelling movements

 

mizing ocurs when smooth muscle is small segments of the tube contract rhymically. ex- when stomach is full waves of muscular contraction move along its wall from one end to the other. these waves occur every 20 seconds or so, andmix food with digestive juices that mucosa secreates. Segmentation occurs

 

 

propeliing includes wavelike motion called peristalis,

Term
segmentation
Definition
small intestine, movmeents that aids mixing by alternately contracting and relaxing the smooth muscle in nonadjacent segments of the organ. it doesnt follow a set patter so materials are not moved along the tract in one direction
Term
peristalsis
Definition
propelling movements include a wavelike motion in which a ringof contraction occurs in the wall of the tube. at the same time the muscular wall just ahead of the ring relaxes which is called receptive relaxation. As the wave moves along the tube it pusehs  the content of the tube ahead of it.  It begins when food expands the tube and causes sounds that can be heard withstehscoe.
Term
What extensively innervate the alimentary canal?
Definition
branches of symathetic and arasympathetic divisions of the autonomic nervous system
Term
nerve fibers associated with muscular layer do what?
Definition
maintain muscle tone and regulate the strength, rate, and velocity of muscular contractions.
Term
Many of the postganglionic fibers are organized into
Definition

a network of nerve plexus within the wall of the canal. the submucosal plexus is important in controlling secreations by the gastrointestinal tract.

 

the myentric plexus of the muscular layer controls gastrointestinal motility. the plexuses also include sensory neurons

Term
parasymathetic impulses genneraly increase
Definition

the activities of the digestive system . some of these impulses originate in the brain and are conducted through branches of the vagus nerve to the seophags, stomach, pancreas,gallbladder, small intestine, and proximal half of large intestine.

 

other parasympathetic impulses arise in sacral region of the spinal cord and supply the distal half of the large intestine.

Term
in
Definition
Term
sympathetic nerve impulses
Definition
effects on digestiveactions usually oppose those of the parasympathetic division. sympathetic impulses inhibit certain digestive actions. such impulses inhibit mixing and proelling movmenets but stimulate contraction of the shincter muscles in the wall of the alimentary canal, blocking movementsof materials through the tube.
Term
what is said to have a second brain?
Definition
nerve plexuses of the gastrointestinal tract. smal lintestine has 100 million nerouns, nuroglia and nurotransmiters, neuropeptides, andgrowth factors.
Term
Mouth
Definition

the first portion of the alimentary canal, receives food and begins digestion by mechanically breaking up solid particles into smaller pieces and mixing them with saliva. This action is called mastication.

 

the mouth also functions as an organ of speech and sensory reception. it is surrounded by lips, cheeks, tongues calle oral cavity, as well as anarrow space between the teeth cheeks and lips called vestibule.

Term
cheeks
Definition
form the lateral walls of the mouth. they consist of outer layers of skin, ads of subcutaneous fat, muscles associated with expression and chewing, and inner linings of moist, stratified squamous epithelium.
Term
lips
Definition
mobile structures that surround the mouth openings. They contain skeletal muscles and sensory recepors useful in judging the temperature and texture of foods. their normal reddish color is due to the many blood vessels near their surfaces. the external boreders ofthelips mark the boundaries between the skin of the face and the mucous membrane that lines the alimentary canal
Term
Tongue
Definition

thick muscular organ that occupies the floor of mouth and filles oral cavity. mucous membrane covers the tongue, and a membranous fold called lingual frenulu connects themidline of the dtongue to the floor of the mouth.

 

body of the tongue is composed of skeletal muscle fibers that run in several directions. These musles mix food with saliva during chewing. Helps move food underneath the teeth for chewing

Term
surface of the tongue has rough projections called
Definition
paillae which provide friction which hels handle food. other paillae contain most of the taste buds
Term
The posterior region or root of the tongue is anchored to
Definition
the hyoid bone. it is coered with rounded masses of lymphatic tisesue called lingual tonsils
Term
Palate
Definition

forms the roof of the oral cavity andconsists of a hard anterior part and a soft posterior part.

 

hard palate isformed by the palatine processes of the maxillary bones in front and the horizontal portions of the palatine bones in back

 

the soft palate forms a muscular arch, which extends posteriorlly and downward as a cone shaed projection called uvula.

Term
during swallowing muscles do what
Definition
draw the soft palate and the uvula upward. the action closes the opeing between the nasal cavity and the pharynx preventing food from entering the nasal cavity.
Term
What is in the back of the mouth on each side of the tongue and is closely associated with the palate
Definition
masses of lympahtic tissue called palatine tonsils. They lie beneath the epithelial linging of the mouth and help protect the body against infections.
Term
what are on the posteior wall of the pharnyx above the border of the soft palate
Definition
pharyngeal tonsils or adenoids. the adenoids enlarge and block the passage between the nasal cavity and pharynx, can be surgically removed.
Term
Teeth
Definition
hardest structures in the body. they are not considered part of the skeltal system because they have at least two types of proteins that are not found in bone and structure is different.
Term
Where do teeth develop
Definition
in socets inthe alveolar process of the mandibular and maxillary bones.
Term
First set of teeth
Definition

primary teeth or decidous teeth usually erupt through the gums at regular intervals bewtween 6 months and two to four years.

 

the ten primary teeth are anchored in each jaw from the midline toward the sides in sequence: central incisor, lateral insior, canine, first molar, and second molar.

 

primary teeth usually shed in same order they erupted

Term
secondary teeth
Definition

set consists of thirty two teeth, sixteen in each jaw and are arranged as: central incisor, lateral insisor, canine, first premolar, second premolar, first molar, second molar, third molar. secondary teeth erupt around age 6.

set may not be completed until the third molars emerge between age 17 and 25 years. Wisdom teeth are the third molars.

Term
Main function of teeth
Definition
help break food into smaller piece which begins mechanical digestion. chewing increases the surface area of the ofod particles enablingenxymes to ineract more effectively.
Term
teeth are adapted to handle food in different wayssuch as
Definition

incisors-chissel shaped andsharp edges bite off large pieces of food.

canines are cone shaped and grasp and tear food

 

premolars and molars have flatened surfaces and specialiezed for grinding food particles.

 

Term
each tooth consits of two main portions
Definition

the crown which projects beyond the gum

 

and

root anchored to the alveolar process of the jaw

 

the regions where these protions meet is cvalled the neck of the tooth.

Term
What covers the crown
Definition
enamel. it consists of calcium salts and is the hardest substance in the body. if abrasive action or injury damages enamel. it is notreplaced. enamel may wear way with age.
Term
The bulk of the tooth beneath the enamel is composed of
Definition

living cellular tissue called dentin, a substance musch like bone, but somewhat harder.

dentin surrounds the tooths central cavity which contains a combination of blood vessels, nerves, and connective tissue, collectively called pulp.

 

blood vessels and nerves reach this cavity through tubular root canals, extending into the root.

Term
tooth loss is most associated with
Definition
dieases of the gums gingivitis anddental uplp endontitis.
Term
what encloses the root
Definition
a thin layer of bone like material called cementum surrounded by a periodntal ligament.  The ligament composed of collagen passes between the cementum and te bone of the alveolar process, firmly attaching the tooth to the jaw.  The ligament also contains blood vessels and nervesnear the surface of the cementm covered root.
Term
Salivary glands
Definition
secrete saliva. this fluid moistens food particles and helps bind them and begins the chemical digestion of carbohydrates.
Term
What is a solvent?
Definition
saliva which helps dissolve food so that they can e tasted and it helps cleanse the mouth and teeth.
Term
Bicarbonate ions in saliva help?
Definition
help buffer the acid concentration so that the ph of saliva usually remains near neutral, between 6.5 and 7.5. this is a favorable range for the action of the salivary enzyme and protects the teeth from exposure to acid in foods.
Term
Where are minor salivary glands?
Definition
many minor salivary glands are scattered throughout the mucosa of the tongue, palate, and cheeks. They continuosly secrete fluid, keeping the lining of the mouth moist. The three pairs of major salivary glands are the parotid glands, submandibular glands, and sublingual glands.
Term
two types of secretory cells?
Definition

serous cells and mucous cells. Serous cells produce a watery fluid that containsthe digestive enzyme salivary amylase. This enzyme splits starch and glycogen molecules into disaccrides-the first step in chcemical digestion off carbs.

 

Mucus cells secrete a thick liquid called mucus which binds food particles and acts as a lubricant during swallowing.

Term
salivary glands are innervated by branches of?
Definition

sympathetic and parasympathetic nerves. impulses arriving on sympathetic fibers tiumulate the gland cells to secrete a small volume of viscous saliva.

 

Parasympathetic impulses elict the secretion of a large volume of watery saliva. such parassympathetic impulses are activated reflexly when a erson sees, smells tastes, or thinks about foods.

 

If food looks smells or tastes unpleasant parasympathetic is inhibited so less saliva is produced making swallowing difficult.

Term
Major salivary glands
Definition

Parotid glands

submandibular

sublingual glands

Term
parotid glands
Definition

largest of the maor salivary glands. Each gland lies anterior to and somewhat inferior to each ear, between theskin of the cheek and masseter muscle.

 

A partodid duct passes from the gland inward through the buccinator muscle, entering the mouth just opposite of the upper second molar on either side of the jaw.

The parotdid glands secrete a clear watery fluid rich in salivary amylase

Term
submandibular glands
Definition
are in the floor of the mouth on the inside surface of the lower jaw. the secretory cells of these glands are about equally serous and mucus.  The submandibular glands secrete a more viscous fluid than the arotid glands. the ducts open inferior to the tongue near the lingual frenulum.
Term
sublingual glands
Definition
are the smallest of the major salivary glands. they are on the floor of the mouth inferior to the tongue. their cells are primarily the mucous type so their secretions, which enter the outh through many separate ducts are thich and stringy.
Term
What do the Pharynx and esophoagus do?
Definition
dont digest food but are passage ways for food
Term
pharynx
Definition

connects the nasal and oral cavities with the larynx and esophagus it can be divided into the following parts

1. nasopharynx

2. oroharynx

3. larngopharynx

 

Term
nasopharyx
Definition
superior to the soft palate. it communicates with the nasal cavity and provides a passageway for air during breathing. the auditory tubes, which connectthe pharynx with the middle ears, open through the walls of the nasoharynx.
Term
oropharynx
Definition
posterior to the mouth. it is posterior to the soft palate and inferior to the nasopharynx projecting downward to the upper border of the epiglottis. this portion is a passageway for food moving downward from the mouth and for air moving to and from the nasal cavity.
Term
laryngopharynx
Definition
is inferior to the oropharynx. it extends from the upper border of the epiglottis downward to the lower border of the cricoid cartilage of the layrnx and is a passageway to the esophagus.
Term
the musles in the wall of the pharyx
Definition

form inner circular and outer longitudinal groupls. the circular muscles called constrictor muscles pull the walls inward during swalloing.

 

the supeior constrictor muscles attached to the bony processes of the skull and mandible curve around the upper art of the pharynx.

 

the middle constrictor muscles araise from projections on the hyoid bone andfan around the middle of the pharynx.

 

the inferior constrictor muscles originate from cartilage of the larynx and pass around the lower portion of the pharyngeal cavity. some of the lower inferior constrictor muscle fibers contract most of the time, which prevents air from entering the esopphagus during breathing.

Term
pharngeal muscles are what kind of muscles?
Definition
skeletal muscles. they are under voluntary control in swalloing and can be voluntarily initiated
Term
swallowing can be divided into three stages
Definition

first stage is voluntary, food is chewed and mixed with saliva, then the tongue rolls the mixture into a mass or bolus and forces it into the pharynx.

 

second stage begins as food reaces the pharyx and stimulates sensory recepors around the pharygeal opening. this triggers the swalloinw reflex.

 

third stage- the swallowing reflex inhibits breathing but third stage is peristalisis transports the food in the esophagus and stomach.

Term
swallowing reflex actions
Definition

1. soft palate and uvula raises, preventing food from entering the nasal cavity.

2. the hyoid bone and larynx are elevated. a flaplike structure attached to the laryx called the epiglottis closes off the top of the trachea so that food is less likely to enter the trachea.

3. the tongue is pressed against the soft palate and uvulla sealing off the oral vavity from the nasal cavity.

4. the longitudinal muscles in the pharyngeal wall contract, pulling the pharyx upward toward the food.

5. the lower portion of the inferior constrictor muscles relaxes opening the esophagus.

5. the superior constrictor muscles contract stimulated peristalic waves to veher pharngeal muscles. this wave forces the food into the esophagus.

Term
esophagus
Definition
straight collapsible tube about 25 centimeters long. it provides a passageway for food, and its muscular wall roples food from the pharynx to the stomach. The esophagus decends through the thorax posterior to the trachea, passing through the mediastinum. it penetrates the diaphragm through an opening, the esophageal hiatus, and is continous with the stomach on the abdominal side of the diaphragm.
Term
hiatal hernia
Definition

 

part of the stomach protrudes through a weakened ara of the diaphragm, through the esopogeal hiatus and into the thorax. 

regurgation of gastric jucice into the esophagus may inflame the esophogeal mucosa, causing heartbearn, difficulty in swallowing, or ulceration, and blood loss.

 

destrucive action of gastic juice columnar epithelium may replace sqamous epithelium that normally lines the esophagus. this is called baretts esophagus which develop the risk of esophogeal cancer

Term
what glands are scattered throughout the submucoasa of the esophagus?
Definition

mucous glands . their secretions moisten and lubricate the inner lining of the tube.

 

just superior to the point where the esophagus joins the stomach, some of the circular muscle fibers have increased sympathetic muscle tone, forming the lower esophageal sphincter, or cardiac sphincter. these fibers usually remain conracted and they close the entrance to the stomach. This will help revent regurgation of the stomach into the esophagus. when peristalic waves reach the stomach muscle fiers relax and swallowed food enteres.

Term
Stomach
Definition

is a j-shaped pouchlike organ, about 25-30 centimeters long, which hangs inferior to the diaphragm in the upper left portion of the abdominal cavity.  The stomach has a capacity of about one liter or more. Its inner lining has thick gastric fols of the mucosal and submucosal layers that disappear when the wall is distended.

 

the stomach revieves food from the esophagus, mixes it with gastric juice, initiates the digestion of proteins, carries on limited absorption, and moves food into the small intestine.

Term
In addition to two layers of smooth muscle in stomach what other layers are there?
Definition
an inner curcular layer and an outer longiudinal layer-also in other regions of the alimentary canal, some arts of the stomach have an additional inner layer of oblique fibers, which strengthen the stomach wall and help the mixing and churning. the third inner most layer is most hight developed near the opening aof the esophagus and in the body of the stomach.
Term
Stomach can be divided into
Definition

cardia, fundus, body, and pylorus.

 

cardia-is a small area near the esophageal opening

fundus-balloons superior to the cardia is temorary storage area and sometimes fills with swallowed air.

this produces a gastiric air bubble which cann be found in radiograph of abdomen.

Body- the main part of the stomachis between the fundus and pylorus.

 

pyloric antrum-funnel shaped portion that narrows and becomes pyloric canal as it approaches the small intestine. At the end of the canal circulur layer of fibers in its muscular wall thickens, forming a powerful muscle, the pyloric sphincter. This muscle is a valve that controls gastric emptying.

 

Term
hypertrophic pyloric stenosis
Definition
birth defect in which muscle overgrowth blocks the pyoric canal, the newborn vomits with increasing foce. surgical splitting of the muscle blocking the passageway from stomach to small intestine is  necessary to enable the infant to eat normally. pyloric stinosis can occur later in life as a result of ulcers or cancer
Term
mucous membrane that forms the inner lining of the stomach is?
Definition
thick. its surface is studded with many small openings called gastric pits., located at the ends of tubular gastric glands.
Term
gastric glands
Definition
contain three types of secreetory cells, one type-mucus cell which is found in the necks of the glands near the openings of the gastric pits. the other type-chief cells and parietal cells reside in the deeper parts of the glands. The chief cells secrete digestive enzymes, and the parital cells release a solution containg hydrochloric acid.
Term
the roducts of mucous cells, chief cells, and parietal cells form?
Definition
gastric juice
Term
gastric juice
Definition

pepsin is by far most important digestive enzyme. the cheif cells secrete pepsin aas an inactive nonerosive enzyme precursor ccalled pepsinogen. when esiongen contracts hydrocholoric acid from parietal cells, it breaks down rapidly forming pepsin. pepsin in turn can break down pepsinogen to release more pepsin.

 

pepsin begins the digestion of nearly all types of dietary proteins into polypeptides. this enzyme is most active in an acididc enviornment, which is provided by the hydrocholoric acid in gastric juice.

Term
gastric juice contains small quantities of what enzyme?
Definition
fat-slitting enzyme, gastric lipase. its action is weak due tin part to the low ph of gastric juice . gastric lipase acts mainly on butterfat.
Term
alexis st martin
Definition
1822 shot himself in the stomach with extensive injuries eventually healed but a hole called a fistula was left.
Term
helicobater pylori
Definition
bateria which trhives under acidic conditions causes many gastritis andpeptic ulcers.
Term
the mucous cells of the gastric glands and muscous cells associated with stomachs inner surface relase
Definition
viscous alkaline secretion that coats the inside of the stomach wall. this coating is especially important because pepsin can digest the proteins of stomach tissues, as well as those in foods. the coating normally prevents the stomach from digesting itself.
Term
intrinsic factor
Definition
another component of gastric juice. the parital cells of the gastric glands secrete intrinsic factor required for bitamin b12 absorption from the small intestine.
Term
List of major components of gastric juice
Definition

1. pepsinogen- chief cells of gastric glands- inactive form of pepsin

2. pepsin-formed from pepsinogen in the presense of hydrocholoric acid-protein splitting enzyme that digests nearly all types of dietary protein

3. hydrocholoric acid-parietal cells of the gastric glands-provides the acid enviorment needed for production and action of pepsin

4. mucus-mucous cells-provides a viscoups alkaline protective layer on the stomachs inner surface

5. intrinsic factor- parietal cells of the gastirc glands-aids in Vitamin b12 absorption

Term
what is produced continuosly
Definition
gastric juice, but the rate varies and is controlled by neurally and hormones.
Term
somatostatin
Definition
in the gastric glands, secialized cells closely associatedwith the pariteal cells secrete somatostatin, whihinhibits acid secretion. Ach released from nerve endings in response to parasymathetic impulses arriving on the Vagus nerves supresses the secreation of somatostatin and stimulates the gastric glands to secrete abundant gastric juice, which is rich in hydrohcolric acid and pepsinogen .
Term
gastrin
Definition
these parasympathetic impulses also stimulate certain stomach cells, mainly in the pyloric region, to release a petide hormone called gastrin, which increases the secretory activity of gastric glands. parasympathetic impulses and gastrin promote release of histamine from gastric mucosal cells, which in turn stimulates additional gastric secretion.
Term
gastrin stimulates
Definition
cell growth in the mucosa of the stomach and intestines, except where gastrin is produced. this effect hels replace muscosal cells damaged by normal stomach function, disease, or medical treatments.
Term
gastric secretion occurs in three stages?
Definition

the cephalic

gastric

and intestinal phase

 

cephalic- beings before food reaches the stomach and even before eating. parasympathetic relfexes operating through the vagus nerves stimulate gastric secreation at the taste, smell, sight, or thought of food. the greater the hunger the greater the gastric secreation.  accounts for 30-50% of secretory response to a meal.

Term
gastric phase
Definition

accounts for 40-50 percent of secretory activity. starts when food enters the stomach. the presense of food and the distention of the stomach wall trigger the stomach to release gastrin, which stimulates production of more gastric juice.

 

when food enters the stomach and mixes with gastric juice the ph of the contesnts rises which enhances gastrin secreation, as esults the ph of the stomach contents drops.  when ph is around 3 secreation of gastrin is inhibited. at 1.5 gastrin stops.

alkaline tide occurs- hydrogen ions are removed from the blood to secrete hclacid, and an equal nnumber of alkaline bicarbonate  ions are released into the blood. after a meal, the blood concentration of bicarbonate ions increases, and urine excretes excess bicarbonate ions.

Term
intestinal phase
Definition

5% of total secretory response to a meal. begins when food leaves the stomach and enters the small intestine. when food first enters intestinal wall, it stimulates intestinal cells to realease a hormone called intestinal gastrin, that enhances gastric gland secreationn.

 

as food moves into small intestine a sympathetic reflex tirggered by acid in the uper part of small intestine inhbitis secreation of gatric juices from stomach the intestine stimulates the release of peptide homrone cholecystokinin, from intestinal wall, which decreases gastric motility. overall these actions decrease gastric secreation and motility as the small intestine fills with food.

Term
Phases of Gastric secreation table
Definition

Cephalic phase- the sight,taste, smell or thought of food triggers parasympathetic refleexes, gastric juice is secreted in response

gastric phase- food in stomach chemically and mechanically stimulates releases of gastrin, which in trun, stimulates secreation of gastric juice, reflex responses also stimulate gastric juice secretion

intestinal phase- as food enters the small intestine, it stimulates intestinal cells to release intestinal gastrin, which in turn promotes the secretion of gastric juice from the stomach wall.

Term
nutrients are absorbed in? and alchol is absorbed i?
Definition
nutrients are absorbed in smal intestine. alchol is absorbed both in the small intestine and stomach.
Term
chyme
Definition
following a meal the mixing movements of the stomach wall aid in producing a semifluid paste of food particles and gastric juice called chyme. peristalic waves push the chyme toward the pylorus of the stomach and as chyme accumulates near the pyloric sphincter, the muscle beings to relax.  stomach muscles push chyme a litle at at time into the small intestine. these stomach contraction waves push most of the chyme backward into the stomach, mixing it further. the lower esophogeal sphincter prevents reflux of stomach into esophagus.
Term
rate at which stomach empties depends on
Definition
the fluidity of the chyme and they type of food. liquids usually pass through the stomach rapidly, but solids remain until they are well mixed with gastric juice. fatty foods may remain in the stomach three to six hours. foods high in proteins move through more quickly. carbs pass through more reapidly than fats or proteins.
Term
enterogastric reflex
Definition
as chyme fills the duodenum, internnal pressure on the organ increases, stretching the intestinal wall. these actions stimulate sensory receptors in the wall triggering enterogastric reflex . it describes the orgin and termination of reflex impulses. the enterogastric reflex begins in the small intestine and ends in the stomach. as a result fewer parasymathetic impusles areive at the stomach, inhibiting peristalis and intestianl filling slows.
Term
chyme
Definition
if chyme entering the intestines is fatty, the intestinal wall releases the hormone cholecystokinin, which further inhbits peristalis.
Term
vomiting
Definition

results from a complex reflex that empties the stomach in the reverse of the normal direction. irritation or distension in the stomach can trigger vomiting.

 

sensory impulses travel from the site of stimulation to the vomitting enter in the medulla oblongata and motor responses follow. these include taking a deep breath, raising the soft palate, and closing the nasal cavity, closing the opening to the trachea, relaxing the circular muscle fibers at the base of the esophagus, contracting the diaphragm so it presses down over stomach and contracting the abdominal wall muscles to increase pressure inside the abdominal cavity. As a result the stomach is squezed from all sides forcing its contents upward and out through the esophagus pharynx and outh.

Term
what stimulates the activity in the vomiting center?
Definition

drugs, toxins in contaminated foods, rapid changes in body motion stimulate activity in the vomiting center. with changes in motion sensory impulses from the labyrinths of the inner ear each the vomiting center cn also be activated by stimulation of higher brain centers through sights sound sodors, tastes, emtoions, or mechanical stimulation.

 

Nausea emantes from activity in the v omiting center or in nerve centers near it. During nausea, stomach movements usually are diminished or absent, and duodenal contents may move back into the stomach.

Term
Pancreas
Definition
discussed as an endocrine gland but also has an exocrine function-secretion of digestive fluid called pancreatic juice.
Term
structure of the pancreas
Definition
it is closely associated with thesmall intestine and is posterior to the parietal peritoneum. itextends horizontally across the posterior abdominal wall, with its head in the c shaped curve of the duodenum and its tail against the spleen.
Term
the cells that produce pancreatic juice are called?
Definition

pancreatic acinar cells- make up a bulk of the pancreaas. the cells form clusters of acini around tiny tubes into which they release their secretions. the smaller tubes unite to form larger ones which give rise to pancreatic duct extending the length of the pancreas and ransporting pancreatic juice to the smalll intestine. the pancreatic duct usuall connects with the duodenum at the same place where the bile duct from the liver and gallbladder joins the duodenum.

 

pancreatic and bile ducts jin at a short tube called hepatopancreatic ampulla. a band of smooth muscle called hepatopancreatic sphinctersurrounds this ampulla.

Term
Pancreatic juice contains enzymes that digest
Definition

carbohydrates, fats, proteins, and nucleic acids. The carbohydrate digesting enxyme, pancreatic amylae, splits molecules of starch or glycogen into disaccarides.

 

fat digesting enzyme-panccreatic lipase breaks tirglyceride molecules into fatty acids and monoglycerides.

 

protein splittling enzymes are trypsin, chymotrypsin, carboxypetidase.

Term
pancreatis results from the blockage in the
Definition
realease of pancreatic juice. trypsin actived as pancreatic juice builds up digests parts of the pancreats.
Term
liver
Definition

largest internal organ located upper right quad of abdoinal cavity inferior to the diaphragm.

 

a fibrous casule encloses the liver and connective tissue divides the organ into a largeright lobe and smaller left lobe.

 

liver carries on many important  metabolic functions.it maintains concentration of blood glucose within normal range. responds to horones such as insulin and glucagon lower the blood glucose level , effects on lipid metablolism include oxidizing fatty acids at hight rate, syntehsizing lipporoteins, phospholipids, and cholesterol, and converting portions of carboydrates and protein moelcuesinto fat molecules.

 

the blood transports fats synthesized in the liver to adipose tissue for storage.

 

most vital is amino acids, forming urea, synthesizing plasma proteins for clotting, sotres gycogen, iron, vitamins a, d, and b12 . extra iron from blood combines with protein in liver cells forming ferritin.

 

liver cells destryog damaged red blood cells and phagocitize foreign antigens.

 

removes toxic substances.

blood reserver storing 200 to 400 millilters of blood.

role in digestion is to serete bile.

Term
Bile
Definition

yellow green liquid that hepatic cells secrete. in addition to water it containes bile salts bile pigments, cholesterol and electroyltes.

 

jaundice results in excess depostion of bile pigements.

Term
hepatitis
Definition
inflammation of the liver
Term
gall bladder
Definition

pear shaped sac in a depression on the inferior surface of the liver. it is connected to the cystic duct. 

capacity of 20-50 ml and lined with columnar epitheila cells.  it stores bile between meals, concentrates bile by reaabosorbing water and contracts to release bile into the duodenum when stimulated by cholescystokinin from small intestine

Term
Hormones of digestive tract chart
Definition

gastrin- gastric cells, in response to food-increases secretory activity of gastric glands

intestinal gastrin- cells of small intestine in response to chyme-increase secretory activity of gastric glands

somatostatin-gastric cells-inhibits secreation of acid by pareital cells

intestinal somatostatin-intestinal wall cells in response to fats-inhigibts secreation of acid by parietal cells

cholecytokinin-intestinal wall cells in response to proteins and fats in the small intestine-decreases secretory activity of gastric glands and inhbits gastric motality, stimulates pancreas to secrete fluid with high digestinve enxyme concentration, stimulates gallbladder to contract and release bile

secretin- cells in the duodenal wall in resopnose to acidic chyme entering the small intestine-stimulates pancreas to secrete fluid with a high bicarbonate ion concetnration

Term
small intestine
Definition

tubular organ that extends from the pylori csphincter to the begging of large intestine.. many loops and coiles fills most of abdominal cavity.

 

recieves secretions from pancreas and liver and comletes digestion of nutrients in chyme , absorbes the products in digestion, and transports the remaining residue to the large intestine.

 

three portions: duodenum, jejunum,,  ileum

Term
duodenum
Definition
25 cm long and 5 cm in diamter, lies posterior to the parietal eritoneum. shortest and most fixed portion of the small intestine. the duodenum follows a c-shaped path as it passes anterior to the right kidney and upper three lumbar vertebrae.
Term
jejunum
Definition

2/5 of small intestine, and remainder is ileum.

no distinct separation of the two. but diamter of jujunum is greater and its wall is thicker.

Term
pacreatic emzymes
Definition

pancreatic amlyase-pancreas-breaks down starch and glycogen into disaccharides

pancreatic lipase-pancreas-breaks down fats into fatty acids and glycerol

trypsin, chymotrypisin-pancreas-breaks down proteins or partially digested proteins into peptieds

carboxypeptidase-pancreas-breaks down peptides into amino acids

nucleases-pancreas-breaks down nucleic acids into nucleoties

Term
intestinal enzymes
Definition

peptidase-mucosal cells-breaks down peptides into amino acids

sucrase, maltase, lactase-mucosal cells-breaks down disaccarides into monosaccarides

intestinal lipase-mucosal cells-breaks down fats into fatty acids and glycerol

enterokinase-mucosal cells-shortens trypsinogen into trypsin

Term
intestinal absorption of nutrients
Definition

monosaccarides-facilitated diffusion and active transport-blood in capillaries

amino acids- active transport- blood in capillaries

fatty acids and gycerol-facilitated diffusion of glycerol, diffusion of fatty acids into cells.

a. most fatty acids are resynthesized into fats and incoporated in chylomicrons for transort- lymph in lacteals

b. some fatty acids with relaviely short carbon chains are transorted wiout being canged back into fats- blood in capilarries

electrolytes- diffusion and active transport-blood in capillaries

water-osmosis-blood in capillaries.

Term
large intestine
Definition

diagmer is greater than small intestine. 1.4 meters long. lower right side of abdominal cavity where ileum joins the cecum. 

absorbs ingested water and elctryolytes remainting in alemintary canal. reabsorbs and recycles water and remants of digestive secretions. forms and stores feces.

 

consists of cemcum, colon, rectum, and anal canal .

 

cecum-beiging of large intested and dialed, appendix projects downward from it and is a narrow tube with a closed end. the appendix has no digestive function. but contains lymp tissue.

colon- divided into four parts-ascending, transverse, decending, sigmoid colon

rectum-lies next to the sacrum and follows curvatue.

anal canal- formed by last 2.5-4.0 centimeters of large intestine.

anus- distal end canal opens to the ouside as an anus which has two sphincter muscles- internal anal and external anal sphincter .

 

little to no giesive function

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