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Chapter 24
The Digestive System
85
Anatomy
Undergraduate 2
02/16/2018

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Term
digestive tract is made up of:
Definition
oral cavity, pharynx, esophagus, stomach, small intestine, and large intestine
Term
Functions of the digestive system:
Definition
1.Ingestion-when materials enter the oral cavity
2. Mechanical processing-tearing and mashing by the teeth, mixing and churning by the stomach and intestines
3. Digestion- the chemical breakdown of food into small organic fragments suitable for absorption by the digestive epithelium.
4. Secretion-the release of water, acids, buffers, and salts
5. Absorption-the movement of organic molecules, electrolytes, vitamins, and water across the digestive epithelium and into the interstitial fluid of the digestive tract.
6. Excretion-the removal of wastes from the body.
Term
peritoneal cavity
Definition
lined by a serous membrane, the visceral peritoneum, and the parietal peritoneum
Term
Mesenteries
Definition
Double sheets of peritoneal membrane
-stabilize the position of the attached organs
-prevent the intestines from becoming entangled during digestive movements or sudden changes in body position
Term
Lesser omentum
Definition
stabilizes the position of the stomach and provides an access route for blood vessels and other structures entering or leaving the liver
Term
Greater omentum
Definition
an enormous pouch that extends inferiorly between the body wall and the anterior surface of the small intestine
Term
4 layers of the digestive tract
Definition
1. the mucosa
2. the submucosa
3. the muscularis externa
4, the serosa
Term
Mucosa
Definition
the inner lining of the digestive tract
consists of an epithelium and a lamina propria of areolar tisue
Term
Lamina propria
Definition
A layer of areolar tissue that also contains blood vessels, sensory nerve endings, lymphatic vessels, smooth muscle cells, and scattered lymphatic tissue.
Term
Muscularis mucosae
Definition
2 layers of smooth muscle cells
inner layer is the circular muscle
outer layer is the longitudinal layer
Term
Submucosa
Definition
A layer of dense irregular connective tissue that binds the mucosa to the muscularis externa
Term
Muscularis externa
Definition
smooth muscle cells dominate
Term
the Serosa
Definition
A serous membrane which covers the muscularis externa along most portions of the digestive tract inside the peritoneal cavity.
Term
Peristalsis
Definition
Waves of muscular contractions that propel a bolus along the length of the digestive tract.
Term
Functions of the lining of the digestive tract
Definition
Safeguards surrounding tissues against 1.the corrosive effects of digestive acids and enzymes
2. mechanical stresses, such as abrasian
3. bacteria
Term
Visceral peritoneum (serosa):
Definition
covers organs within peritoneal cavity
Term
Parietal peritoneum
Definition
lines inner surfaces of body wall
Term
Falciform Ligament
Definition
Helps stabilize position of liver
Term
Adipose tissue in greater omentum:
Definition
Conforms to shapes of surrounding organs
Pads and protects surfaces of abdomen
Provides insulation to reduce heat loss
Stores lipid energy reserves
Term
Submucosal Plexus (plexus of Meissner)
Definition
Innervates the mucosa and submucosa
Contains: sensory neurons, parasympathetic ganglionic neurons, sympathetic postganglionic fibers
Term
Serosa- visceral peritoneum:
Definition
serous membrane covering muscularis externa
Except in oral cavity, pharynx, esophagus, and rectum: where adventitia, a dense sheath of collagen fibers, firmly attaches the digestive tract to adjacent structures
Term
Segmentation
Definition
cycles of contraction churn and fragment the bolus & mix contents with intestinal secretions
Does not push materials in any one direction
Term
Functions of the oral cavity
Definition
1.Sensory analysis of material before swallowing
2.Mechanical processing through actions of teeth, tongue, and palatal surfaces
3.Lubrication-Mixing with mucus and salivary gland secretions
4.Limited digestion of carbohydrates and lipids
Term
The oral cavity is lined with:
Definition
Stratified squamous epithelium
Term
Functions of the tongue
Definition
1. Mechanical processing by compression, abrasion, and distortion
2. Manipulation to assist in chewing and to prepare food for swallowing
3. Sensory analysis by touch, temperature, and taste receptors
4. Secretion of mucins and the enzyme lingual lipase
Term
lingual lipase
Definition
an enzyme that starts to digest lipids immediately in the mouth
Term
Parotid salivary gland
Definition
Produces a serous secretion, the enzyme salivary amylase, which breaks down starches (complex carbohydrates).
Term
Sublingual salivary glands
Definition
Produce a mucous secretion that acts as a buffer and lubricant
Term
Submandibular salivary glands
Definition
Secrete a mixture of buffers, glycoproteins called mucins, and salivary amylase
Term
Functions of saliva
Definition
1. lubricate the mouth
2. moistening and lubricating food in the mouth
3. dissolving chemicals that can stimulate the taste buds and provide sensory information about the food
Term
pharyngeal constrictor muscles
Definition
Push the bolus toward and into the esophagus
Term
Palatopharyngeus and stylopharyngeus muscles
Definition
Elevate the larynx
Term
Palatal muscles
Definition
Elevate the soft palate and adjacent portions of the pharyngeal wall
Term
Esophagus
Definition
A hollow muscular tube that conveys solid food and liquids to the stomach.
Term
The swallowing process
Definition
1. The buccal phase
2. The pharyngeal phase
3. The esophageal phase
4. The bolus enters stomach
Term
4 functions of the stomach
Definition
1. storage of ingested food
2. mechanical breakdown of ingested food
3. disruption in chemical bonds in food through the action of acid and enzymes
4. production of intrinsic factor
Term
Intrinsic factor
Definition
A glycoprotein needed for the absorption of B12 in the small intestine
Term
Cardia
Definition
smallest part of the stomach
Abundant mucous glands, secretions coat connection with esophagus, protect from stomach acid
Term
Gastric pits
Definition
shallow depressions that open onto the gastric surface
Mucous cells at the base or neck of each gastric pit, actively divide, replacing superficial cells
Term
Ruggae
Definition
prominent folds in the stomach mucosa
allow the gastric lumen to expand
Term
Pyloric glands
Definition
Produce a mucous secretion
enteroendocrine cells produce gastrin
Term
Parietal Cells:
Definition
Secrete intrinsic factor & hydrochloric acid (H++ Cl-)
Term
Chief Cells:
Definition
Secrete pepsinogen (inactive proenzyme)
Term
pyloric glands
Definition
*Ghrelin- rises before meal, signals hunger, falls signal fullness
Obestatin- decreases appetite
Leptin- induces satiety
Term
Regulation of Gastric Activity
Definition
Production of acid and enzymes by the gastric mucosa can be
Controlled by the CNS
Regulated by short reflexes of ENS
Regulated by hormones of digestive tract
Term
Cephalic phase of gastric activity
Definition
Gastric secretions begin- smell, taste, think of food
Prepares stomach to receive food

Parasympathetic stimulation of mucus, chief, parietal cells

Emotional states can inhibit or exaggerate this phase

Lose hunger- upset, stressed
Secrete gastric juices angry, stressed- ulcer
Term
Gastric phase of gastric activity
Definition
Food arrives in stomach

Presence of protein stimulate mixing, secretion of gastrin, pH drops

Lasts 3-4 hrs
Term
Intestinal phase of gastric activity
Definition
chyme arrives in small intestine

Controls rate of gastric emptying to ensure digestion & absorption coordinated

Lasts hrs
Term
hormonal responses
Definition
Distention of duodenum by chyme stimulates stretch receptor triggers the enterogastric reflex.
Temporarily inhibits gastrin production & stimulation- preventing further discharge of chyme- gives duodenum time to secrete mucus & neutralize acid, protects lining.
Lipids & carbs stimulate CCK, GIP- allowing time for fats to be absorbed.
pH drop below 4.5 stimulates the secretion of secretin
Term
duodenum
Definition
the first segment of the small intestine, a mixing bowl
Term
intestinal villi
Definition
fingerlike projections in the mucosa of the small intestine
-brush border
Term
circular folds (plicae circulares)
Definition
permanent features in the intestinal lining
Term
Lacteal
Definition
a lymphatic capillary that transports materials that cannot enter blood capillaries, for example, chylomicrons
Term
Chylomicron
Definition
protein-lipid "packages"
Term
Functions of the duodenum
Definition
To receive chyme from stomach
To neutralize acids before they can damage the absorptive surfaces of the small intestine
Duodenal glands- submucosal glands- produce lots of mucus when chyme arrives
Term
Peyer's patches
Definition
lymphoid nodules protect from large intestine’s bacteria
Term
Intestinal glands - Crypts of Lieberkühn
Definition
Openings from intestinal glands to intestinal lumen at bases of villi
Stem cells reproducing at base of glands
Entrances for brush border enzymes
Enteropeptidase- enzyme activates trypsinogen
Term
Regions of the pancreas
Definition
Head- broad, in loop of duodenum
Body – slender, extends toward spleen
Tail- short and rounded
Term
pancreas
Definition
primarily an exocrine organ
-produces digestive enzymes and buffers
Term
Pancreatic duct (duct of Wirsung)
Definition
Delivers digestive enzymes and buffers to the duodenum
Term
The endocrine cells of the pancreatic islets secrete:
Definition
insulin and glucagon
Term
The exocrine cells secrete:
Definition
pancreatic juice
Term
Exocrine cells:
Definition
Acinar cells and epithelial cells of duct system secrete pancreatic juice into small intestine
Pancreatic juice- alkaline mixture of digestive enzymes, water, ions
Term
Pancreatic secretions
Definition
1000 mL (1 qt) pancreatic juice per day
Controlled by hormones from duodenum
Secretin triggers pancreatic secretion (bicarbonate, phosphate buffers elevate pH of chyme)
CCK- stimulates production of pancreatic enzymes
Contain pancreatic enzymes
Term
Pancreatic enzymes
Definition
Pancreatic alpha-amylase- carbohydrase- enzymes that breaks down starches, similar to salivary amylase
Pancreatic lipase- breaks down complex lipids
Releases products (e.g., fatty acids) that are easily absorbed
Nucleases- break down nucleic acids
Proteolytic enzymes- break certain proteins apart, include
Proteases break large protein complexes
Peptidases break small peptides into amino acids
Term
Proenzymes secreted by pancreas are
Definition
Trypsinogen
Chymotrypsinogen
Procarboxypeptidase
Proelastase
Term
Once inside the duodenum, enteropeptidase located in brush border triggers conversion of trypsinogen to trypsin
Trypsin produces:
Definition
Chymotrypsin
Carboxypeptidase
Elastase
Term
Jejunum
Definition
the 2nd section of the small intestine, the bulk of chemical digestion and nutrient absorption occurs here
Term
Ileum
Definition
last portion of the small intestine, ends at the ileocecal valve
Term
intestinal juice functions
Definition
-moistens chyme
-helps buffer acids
-keeps both digestive enzymes and the products of digestion in solution
Term
intestinal glands (crypts of Lieberkuhn)
Definition
Glandular pockets that extend deep into the underlying lamina propria
Term
Duodenal glands
Definition
-help protect the duodenal epithelium -increase their secretions in response to: local reflexes release of enterocrinin by the enteroendocrine cells of the duodenum parasympathetic stimulation through the vagus nerves
Term
gastroenteric reflex
Definition
stimulates motility and secretion along the entire small intestine
Term
gastroileal reflex
Definition
Triggers the opening of the ileocecal valve
Term
Pancreatic duct (duct of Wirsung)
Definition
delivers secretions to the duodenum
Term
Pancreatic enzymes
Definition
-Pancreatic alpha-amylase: breaks down certain starches (similar to salivary amylase)
-Pancreatic lipase: breaks down certain compound lipids
-nucleases: break down RNA or DNA
-Proteolytic enzymes: break apart certain proteins.
Term
cholecystokinin
Definition
Stimulates the production and secretion of pancreatic enzymes.
Also stimulation by the vagus nerve increases secretion of pancreatic enzymes.
Term
Secretin
Definition
Triggers the pancreatic secretion of a watery buffer solution with a pH of 7.5-8.8.
Term
Liver
Definition
Largest visceral organ
Term
falciform ligament
Definition
marks the division between the left and right lobes of the liver
Term
Round ligament
Definition
marks the path of the fetal umbilical vein
Term
Each portal area contains:
Definition
-a branch of the hepatic portal vein
-a branch of the hepatic artery proper
-a small branch of the bile duct
Term
Functions of the liver
Definition
1. Metabolic regulation
2. Hematological regulation
3. Bile production
Term
Gall bladder
Definition
Stores and concentrates bile
Term
3 parts of the large intestine
Definition
Cecum
Colon
Rectum
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