Acts as a disassembly line to break down nutrients into forms that can be used by the body
Gastroenterology
The study of the digestive tract and the diagnosis and treatment of its disorders
Digestive Function
The organ system that processes food, extracts nutrients, and eliminates residue
Five stages of digestion
1. Ingestion: selective intake of food
2. Digestion: mechanical and chemical breakdown of food into a form usable by the body
3. Absorption: uptake of nutrients molecules into the epithelial cells of the digestive tract and then into the blood and lymph
4. Compaction: absorbing water and consolidating the indigestible residue into feces
5. Defecation: elimination of feces
Mechanical digestion
The physical breakdown of food into smaller particles
Mechanical digestion
Cutting and grinding action of the teeth
Churning action of stomach and small intestines
Chemical digestion
A series of hydrolysis reactions that breaks dietary macromolecules into their monomers
Digestive enzymes
Salivary amylase
Lingual lipase
Pepsin
Trypsin
Chymotrypsin
Carboxypeptidase
Pancreatic amylase
Pancreatic lipase
Ribonuclease
Deoxyribonuclease
Some nutrients are present in a useable form in ingested food and can be directly absorbed
Directly absorbable nutrients
Vitamins
Amino acids
Minerals
Cholesterol
Water
Digestive tract
Open to environment at both ends, 30ft long muscular tube extending from mouth to anus
Parts of the digestive tract
Mouth
Pharynx
Esophagus
Stomach
Small intestine
Large intestine
Accessory organs
Teeth
Tongue
Salivary glands
Liver
Gallbladder
Pancreas
Mucosa
Lining of the digestive tract lumen, consisting of inner epithelium, lamina propria, and muscularis mucosa
Submucosa
Thicker layer of loose connective tissue
Muscularis externa
Consists of usually two layers of muscle near the other surface
Serosa
Composed of a thin layer of areolar tissue topped by simple squamous mesothelium
Regulation of the digestive tract
Both nervous and endocrine
Regulation of the digestive tract
1. When food is seen, smelled, tasted: Vagus Nerve stimulates gastric secretion
2. When food reaches stomach: Myenteric and Vagovagel reflex stimulate gastric secretion, Histamine and Gastrin stimulate gastric secretion
3. When Chyme arrives at small intestine: Intestinal gastrin stimulates stomach, Enterogastric reflex, secretin and cholecystokinin (CKK) inhibit gastric secretion and motility
Mouth
Also known as the oral or buccal cavity
Functions of the mouth
Ingestion (food intake)
Mechanical (Chewing) and chemical digestion (salivary enzymes: salivary amylase and lingual lipase)
Pharynx
Muscular funnel connecting oral cavity to esophagus and nasal cavity to larynx
Esophagus
Straight muscular tube 25-30 cm long, extends from pharynx to cardial orifice of stomach passing through esophageal hiatus in diaphragm
Lower esophageal sphincter
Food pauses here because of constriction, prevents stomach contents from regurgitating into the esophagus
Swallowing
1. Oral Phase: under voluntary control
2. Pharyngeal phase: involuntary
3. Esophageal phase- peristalsis: involuntary wave of muscular contraction that pushes the bolus ahead of it
Stomach
A muscular sac in upper left abdominal cavity immediately inferior to the diaphragm, mechanically breaks up food, liquefies it, and begins chemical digestion of protein and fat
Chyme
Soupy or pasty mixture of semi-digested food in the stomach
Most digestion occurs after the chyme passes on to the small intestine
Gastric rugae
Longitudinal wrinkles in the mucosa and submucosa when the stomach is empty
Layers of the muscularis externa of the stomach
Outer longitudinal
Middle Circular
Inner Oblique Layers
Gastric pits
Depressions in the gastric mucosa, lined with simple columnar epithelium and open to tubular gastric glands
Gastric juice
3 L per day produced by gastric glands, mainly a mixture of water, hydrochloric acid, and pepsin
Pepsin
Digests dietary proteins into shorter peptides
Hydrochloric acid
Activates pepsin and lingual lipase
Gastric motility is controlled by enteric pacemaker cells in the longitudinal layer of the muscularis externa, creating a ring of constriction every 20 seconds to churn the food, mix it with gastric juice, and promote its physical breakdown and chemical digestion
Vomiting
Forceful ejection of the stomach and intestinal content from the mouth
Liver
Reddish brown gland located immediately inferior to the diaphragm, the body's largest gland weighing about 1.4 kg (3lbs)
Gallbladder
Adheres to a depression on the inferior surface of the liver, right between the right and quadrate lobes, serves to store and concentrate bile
Bile
Yellow green fluid containing minerals, cholesterol, neutral fats, phospholipids, bile pigments, and bile acids, aids in fat digestion and absorption