MC 1A - 14 Digestive System
MC 1A - 14 Digestive System
Jon 1
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
Food passes from the mouth posteriorly into Scanty smooth muscle layer
the: o Lines the cavity (known as the
o Oropharynx—posterior to oral lumen)
cavity
o Laryngopharynx—below the 2. Submucosa
oropharynx and continuous with the Just beneath the mucosa
esophagus Soft connective tissue with blood vessels,
Food is propelled to the esophagus by two nerve endings, mucosa-associated
skeletal muscle layers in the pharynx lymphoid tissue, and lymphatic vessels
o Longitudinal outer layer
o Circular inner layer 3. Muscularis externa
Alternating contractions of the muscle layers smooth muscle
(peristalsis) propel the food Inner circular layer
Outer longitudinal layer
Esophagus
Anatomy 4. Serosa
o About 10 inches long outermost layer of the wall; contains fluid-
o Runs from pharynx to stomach producing cells
through the diaphragm Visceral peritoneum—innermost layer that
is continuous with the outermost layer
Physiology Parietal peritoneum—outermost layer that
o Conducts food by peristalsis (slow lines the abdominopelvic cavity by way of
the mesentery
rhythmic squeezing) to the stomach
o Passageway for food only
Alimentary Canal Nerve Plexuses
(respiratory system branches off
Alimentary canal wall contains two intrinsic
after the pharynx)\
nerve plexuses that are part of the
autonomic nervous system
Layers of Tissue in the Alimentary Canal
o Submucosal nerve plexus
Organs
o Myenteric nerve plexus
Summary of the four layers from innermost
to outermost, from esophagus to the large Regulate mobility and secretory activity of
intestine (detailed next) the GI tract organs
o Mucosa
Stomach
o Submucosa
C-shaped organ located on the left side of
o Muscularis externa
the abdominal cavity
o Serosa Food enters at the cardioesophageal
sphincter from the esophagus
Food empties into the small intestine at the
pyloric sphincter (valve)
1. Mucosa
Innermost, moist membrane consisting of:
o Surface epithelium that is mostly
simple columnar epithelium (except
for esophagus—stratified squamous
epithelium)
o Small amount of connective tissue
(lamina propria)
Jon 2
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
Jon 3
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
Extends from the ileocecal valve to the anus
Anal Canal
Anal canal ends at the anus
Anus—opening of the large intestine
o External anal sphincter—formed by
skeletal muscle and is voluntary
o Internal anal sphincter—formed by
smooth muscle and is involuntary
Peyer’s patches o These sphincters are normally
o Collections of lymphatic tissue closed except during defecation
o Located in submucosa The large intestine delivers indigestible food
o Increase in number toward the end residues to the body’s exterior
of the small intestine
o More are needed there because Goblet cells produce alkaline mucus to
remaining food residue contains lubricate the passage of feces
much bacteria Muscularis externa layer is reduced to three
bands of muscle, called teniae coli
Large Intestine These bands of muscle cause the wall to
Larger in diameter, but shorter in length at pucker into haustra (pocketlike sacs)
1.5 m, than the small intestine
Jon 4
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
Accessory Digestive Organs 1. Crown
Teeth exposed part of tooth above the gingiva
Salivary glands (gum)
Pancreas o Enamel—covers the crown
Liver o Dentin—found deep to the enamel
Gallbladder and forms the bulk of the tooth,
surrounds the pulp cavity
Teeth o Pulp cavity—contains connective
Teeth masticate (chew) food into smaller tissue, blood vessels, and nerve
fragments fibers (pulp)
Humans have two sets of teeth during a o Root canal—where the pulp cavity
lifetime extends into the root
1. Deciduous (baby or milk) teeth
o A baby has 20 teeth by age 2 2. Root
o First teeth to appear are the lower Cement—covers outer surface and attaches
central incisors the tooth to the periodontal membrane
2. Permanent teeth (ligament)
o Replace deciduous teeth between Periodontal membrane holds tooth in place
ages 6 and 12 in the bony jaw
o A full set is 32 teeth (with the Note: The neck is a connector between the
wisdom teeth) crown and root
Region in contact with the gum
Teeth are classified according to shape and
function Salivary Glands
o Incisors—cutting Three pairs of salivary glands empty
o Canines (eyeteeth)—tearing or secretions into the mouth
piercing 1. Parotid glands
o Premolars (bicuspids)—grinding o Found anterior to the ears
o Molars—grinding o Mumps affect these salivary glands
2. Submandibular glands
3. Sublingual glands
o Both submandibular and sublingual
glands empty saliva into the floor of
the mouth through small ducts
Saliva
Mixture of mucus and serous fluids
Helps to moisten and bind food together into
a mass called a bolus
Contains:
o Salivary amylase—begins starch
digestion
o Lysozymes and antibodies—inhibit
bacteria
Dissolves chemicals so they can be tasted
Pancreas
Soft, pink triangular gland
Found posterior to the parietal peritoneum
Mostly retroperitoneal
Extends across the abdomen from spleen to
Two major regions of a tooth duodenum
1. Crown Produces a wide spectrum of digestive
2. Root enzymes that break down all categories of
food
Secretes enzymes into the duodenum
Jon 5
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
Alkaline fluid introduced with enzymes We will cover six more specific processes
neutralizes acidic chyme coming from next
stomach
Hormones produced by the pancreas Overview of Gastrointestinal Processes and
o Insulin Controls
o Glucagon Essential processes of the GI tract
1. Ingestion—placing of food into the mouth
Liver
Largest gland in the body 2. Propulsion—movement of foods from one
Located on the right side of the body under region of the digestive system to another
the diaphragm o Peristalsis—alternating waves of
Consists of four lobes suspended from the contraction and relaxation that
diaphragm and abdominal wall by the squeeze food along the GI tract
falciform ligament o Segmentation—movement of
Digestive role is to produce bile materials back and forth to foster
o Bile leaves the liver through the mixing in the small intestine
common hepatic duct and enters
duodenum through the bile duct 3. Food breakdown: mechanical breakdown
o Bile is yellow-green, watery solution o Examples
containing: Mixing of food in the mouth
Bile salts and bile pigments (mostly bilirubin by the tongue
from the breakdown of hemoglobin) Churning of food in the
Cholesterol, phospholipids, and electrolytes stomach
o Bile emulsifies (breaks down) fats Segmentation in the small
intestine
Gallbladder o Mechanical digestion prepares food
Green sac found in a shallow fossa in the for further degradation by enzymes
inferior surface of the liver
o When no digestion is occurring, bile 4. Food breakdown: digestion
backs up the cystic duct for storage o Digestion occurs when enzymes
in the gallbladder chemically break down large
o While in the gallbladder, bile is molecules into their building blocks
concentrated by the removal of o Each major food group uses
water different enzymes
o When fatty food enters the Carbohydrates are broken
duodenum, the gallbladder spurts down to monosaccharides
out stored bile (simple sugars)
Proteins are broken down to
amino acids
Fats are broken down to fatty
acids and glycerol
5. Absorption
o End products of digestion are
absorbed in the blood or lymph
o Food must enter mucosal cells and
then move into blood or lymph
capillaries
6. Defecation
o Elimination of indigestible
substances from the GI tract in the
Functions of the Digestive System form of feces
Overview of gastrointestinal processes and
controls Activities Occurring in the Mouth, Pharynx, and
o Digestion Esophagus
o Absorption Food ingestion and breakdown
Jon 6
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
o Food is placed into the mouth o Activates pepsinogen to pepsin for
Physically broken down by protein digestion
chewing o Provides a hostile environment for
Mixed with saliva, which is microorganisms
released in response to
mechanical pressure and Protein-digestion enzymes
psychic stimuli o Pepsin—an active protein-digesting
Salivary amylase begins enzyme
starch digestion o Rennin—works on digesting milk
o Essentially, no food absorption protein in infants; not produced in
occurs in the mouth adults
Alcohol and aspirin are virtually the only
Food propulsion—swallowing and items absorbed in the stomach
peristalsis
o Pharynx and esophagus have no
digestive function
Serve as passageways to the
stomach Food propulsion
Pharynx functions in swallowing 1. Peristalsis:
(deglutition) o waves of peristalsis occur from the
o Two phases of swallowing fundus to the pylorus, forcing food
Buccal phase past the pyloric sphincter
Pharyngeal-esophageal 2. Grinding:
phase o the pylorus meters out chyme into
the small intestine (3 ml at a time)
1. Buccal phase 3. Retropulsion:
o Voluntary o peristaltic waves close the pyloric
o Occurs in the mouth sphincter, forcing contents back into
o Food is formed into a bolus the stomach; the stomach empties in
o The bolus is forced into the pharynx 4–6 hours
by the tongue
Activities of the Small Intestine
2. Pharyngeal-esophageal phase Chyme breakdown and absorption
o Involuntary transport of the bolus by Intestinal enzymes from the brush border
peristalsis function to:
o Nasal and respiratory passageways o Break double sugars into simple
are blocked sugars
o Peristalsis moves the bolus toward o Complete some protein digestion
the stomach Intestinal enzymes and pancreatic enzymes
o The cardioesophageal sphincter is help to complete digestion of all food groups
opened when food presses against it
Pancreatic enzymes play the major role in
Activities in the Stomach the digestion of fats, proteins, and
Food breakdown carbohydrates
Gastric juice is regulated by neural and Alkaline content neutralizes acidic chyme
hormonal factors and provides the proper environment for the
Presence of food or rising pH causes the pancreatic enzymes to operate
release of the hormone gastrin
Gastrin causes stomach glands to produce: Release of pancreatic juice from the
o Protein-digesting enzymes pancreas into the duodenum is stimulated
o Mucus by:
o Hydrochloric acid o Vagus nerves
o Local hormones that travel via the
Hydrochloric acid makes the stomach blood to influence the release of
contents very acidic pancreatic juice (and bile)
Acidic pH Secretin
Jon 7
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
Cholecystokinin (CCK) the voluntary (external) anal
sphincter
Hormones (secretin and CCK) also target
the liver and gallbladder to release bile
o Bile
Acts as a fat emulsifier
Needed for fat absorption Nutrition and Metabolism
and absorption of fat-soluble Most foods are used as metabolic fuel
vitamins (K, D, E, and A) o Foods are oxidized and transformed
Water is absorbed along the length of the into adenosine triphosphate (ATP)
small intestine o ATP is chemical energy that drives
End products of digestion cellular activities
o Most substances are absorbed by Energy value of food is measured in
active transport through cell kilocalories (kcal) or Calories (C)
membranes
o Lipids are absorbed by diffusion
Substances are transported to the liver by
the hepatic portal vein or lymph
Chyme propulsion
Peristalsis is the major means of moving Nutrition
food Nutrient—substance used by the body for
Segmental movements growth, maintenance, and repair
o Mix chyme with digestive juices
o Aid in propelling food Major nutrients
o Carbohydrates
Nutrient breakdown and absorption o Lipids
No digestive enzymes are produced o Proteins
Resident bacteria digest remaining nutrients o Water
o Produce some vitamin K and some
B vitamins Minor nutrients
o Release gases o Vitamins
Water, vitamins, ions, and remaining water o Minerals
are absorbed
Remaining materials are eliminated via A diet consisting of foods from the five food
feces groups normally guarantees adequate
amounts of all the needed nutrients
Feces contains:
o Undigested food residues Dietary Recommendations
o Mucus Healthy Eating Pyramid
o Bacteria o Issued in 1992
o Water o Six major food groups arranged
horizontally
Propulsion of food residue and defecation MyPlate
Sluggish peristalsis begins when food o Issued in 2011 by the USDA
residue arrives o Five food groups are arranged by a
Haustral contractions are the movements round plate
occurring most frequently in the large
intestine
Mass movements are slow, powerful
movements that occur three to four times
per day
Jon 8
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
adenosine triphosphate (ATP)
Anabolism
o larger molecules are built from
smaller ones
Carbohydrate Metabolism
Carbohydrates are the body’s preferred
source to produce cellular energy (ATP)
Glucose (blood sugar)
o Major breakdown product of
carbohydrate digestion
o Fuel used to make ATP
Cellular respiration
Dietary Sources of the Major Nutrients o As glucose is oxidized, carbon
Carbohydrates dioxide, water, and ATP are formed
Dietary carbohydrates are sugars and
starches Events of three main metabolic pathways of
Most are derived from plants such as fruits cellular respiration
and vegetables 1. Glycolysis
Exceptions: lactose from milk and small o Occurs in the cytosol
amounts of glycogens from meats o Energizes a glucose molecule so it
can be split into two pyruvic acid
Lipids molecules and yield ATP
Saturated fats from animal products (meats) 2. Citric acid cycle (Krebs cycle)
Unsaturated fats from nuts, seeds, and o Occurs in the mitochondrion
vegetable oils o Produces virtually all the carbon
Cholesterol from egg yolk, meats, and milk dioxide and water resulting from
products (dairy products) cellular respiration
o Yields a small amount of ATP
Jon 9
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
o Build some cell structures glycogen
(membranes and myelin sheaths) o Gluconeogenesis— “formation of
o Provide reserve energy new sugar”
Excess dietary fat is stored in Glucose is produced from
subcutaneous tissue and fats and proteins
other fat depots
Fats and fatty acids are picked up by the
When carbohydrates are in limited supply, liver
more fats are oxidized to produce ATP o Some are oxidized to provide energy
o Excessive fat breakdown causes for liver cells
blood to become acidic (acidosis or o The rest are either stored or broken
ketoacidosis) down into simpler compounds and
Breath has a fruity odor released into the blood
Common with:
“No carbohydrate” Blood proteins made by the liver are
diets assembled from amino acids
Uncontrolled diabetes o Albumin is the most abundant
mellitus protein in blood
Starvation o Clotting proteins
Liver cells detoxify ammonia
Protein Metabolism o Ammonia is combined with carbon
Proteins form the bulk of cell structure and dioxide to form urea, which is
most functional molecules flushed from the body in urine
Proteins are carefully conserved by body
cells Cholesterol metabolism and transport
Amino acids are actively taken up from Cholesterol is not used to make ATP
blood by body cells Functions of cholesterol:
Amino acids are oxidized to form ATP o Structural basis of steroid hormones
mainly when other fuel sources are not and vitamin D
available o Building block of plasma membranes
Ammonia, released as amino acids are Most cholesterol (85%) is produced in the
catabolized, is detoxified by liver cells that liver; only 15% is from the diet
combine it with carbon dioxide to form urea
Cholesterol and fatty acids cannot freely
The Central Role of the Liver in Metabolism circulate in the bloodstream
Liver is the body’s key metabolic organ They are transported by lipoproteins (lipid-
Roles in digestion protein complexes) known as LDLs and
o Manufactures bile HDLs
o Detoxifies drugs and alcohol
o Degrades hormones Low-density lipoproteins (LDLs) transport
o Produces cholesterol, blood proteins cholesterol to body cells
(albumin and clotting proteins) o Rated “bad lipoproteins” since they
o Plays a central role in metabolism can lead to atherosclerosis
Liver can regenerate if part of it is damaged High-density lipoproteins (HDLs) transport
or removed cholesterol from body cells to the liver
o Rated “good lipoproteins” since
To maintain homeostasis of blood glucose cholesterol is destined for
levels, the liver performs: breakdown and elimination
o Glycogenesis— “glycogen
formation” Body Energy Balance
Glucose molecules are Energy intake = Total energy output
converted to glycogen and o heat + work + energy storage
stored in the liver o Energy intake is the energy liberated
o Glycogenolysis— “glycogen during food oxidation
splitting” Energy produced during
Glucose is released from the glycolysis, citric acid cycle,
liver after conversion from
Jon 10
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
and the electron transport
chain The body’s thermostat is in the
o Energy output hypothalamus
Energy we lose as heat Hypothalamus initiates mechanisms to
(60%) maintain body temperature
Energy stored as fat or o Heat loss mechanisms involve
glycogen radiation of heat from skin and
evaporation of sweat
Interference with the body’s energy balance o Heat-promoting mechanisms involve
leads to: vasoconstriction of skin blood
o Obesity vessels and shivering
o Malnutrition (leading to body
wasting) Fever—controlled hyperthermia
o Results from infection, cancer,
Regulation of food intake allergic reactions, CNS injuries
Body weight is usually relatively stable o If the body thermostat is set too
o Energy intake and output remain high, body proteins may be
about equal denatured, and permanent brain
Mechanisms that may regulate food intake damage may occur
o Levels of nutrients in the blood
o Hormones
o Body temperature Developmental Aspects of the Digestive System
o Psychological factors and Metabolism
The alimentary canal is a continuous, hollow
Metabolic rate and body heat production tube present by the fifth week of
Nutrients yield different amounts of energy development
Energy value is measured in kilocalories Digestive glands bud from the mucosa of
(kcal) the alimentary tube
o Carbohydrates and proteins yield 4 The developing fetus receives all nutrients
kcal/gram through the placenta
o Fats yield 9 kcal/gram In newborns, feeding must be frequent,
peristalsis is inefficient, and vomiting is
common
Basic metabolic rate (BMR)—amount of
heat produced by the body per unit of time
Newborn reflexes
at rest
o Rooting reflex helps the infant find
Average BMR is about 60 to 72 kcal/hour
for an average 70-kg (154-lb) adult the nipple
o Sucking reflex helps the infant hold
Factors that influence BMR on to the nipple and swallow
Surface area—a small body usually has a Teething begins around age 6 months
higher BMR
Gender—males tend to have higher BMRs Problems of the digestive system
Age—children and adolescents have higher Gastroenteritis
BMRs o inflammation of the gastrointestinal
The amount of thyroxine produced is the tract; can occur at any time
most important control factor Appendicitis
o More thyroxine means a higher o inflammation of the appendix;
metabolic rate common in adolescents
Metabolism decreases with old age
Body temperature regulation Middle-age digestive problems
When foods are oxidized, more than 60% of o Ulcers
energy escapes as heat, warming the body o Gallbladder problems
The body has a narrow range of
homeostatic temperature Later middle-age problems
Must remain between 35.6ºC and 37.8ºC o Obesity
(96ºF and 100ºF) o Diabetes mellitus
Jon 11
MC 1A Lecture – Anatomy and Physiology
014 – The Digestive System and Body Metabolism
Activity of the digestive tract in old age
o Fewer digestive juices
o Peristalsis slows
o Diverticulosis and gastrointestinal
cancers are more common
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