SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Digestion and Absorption Introduction Aim: the aim of digestive system is to make available the food substances to the cells of body, after being digested and absorbed in alimentary canal. Food is one of the basic requirement of all living organisms The major component of our are carbohydrates, proteins and fats Food provides energy and organic materials for the growth and repair of tissues. The water we take in plays an important role in metabolic processes and also prevents dehydration of the body Biomacromolecules in food cannot be utilized b our body in their original form. They have to be broken down and converted into simple substances in the digestive system Definition of digestion The process of conversion of complex food substances to simple absorbable forms is called digestion and is carried out by our digestive system by mechanical an biochemical methods Additional to Remember Digestion id the process by which complex organic food substances [proteins, fats. Polysaccharide and disaccharide] re broken down in different parts of alimentary canal, in stepby-step manner, with the help of enzymes, by the process of hydrolysis, into simpler absorbable substances [amino acids, fatty acids and glycerol, and monosacchrides respectively] Digestion is universally observed in the whole animal kingdom except Tapeworms, where digestive system is absent, and they absorb digested food of host through their general body surface Since trypsin and amylase enzymes are found in the whole animal kingdom, so they are regarded as universal enzymes [Amalyase is, however absent in Coelenterata] Enzymes pepsin is found in vertebrate only Development of digestive system The lining of whole alimentary canal is developed from endoderm, except the lining of buccal cavity and canal, which is ectodermal The wall of alimentary canal [from oesophagus to rectum] s the developed from endodermal lining and messodermal rest of the structures Liver and pancreas are developed from the lining of duodenum, so are endodermal ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience The human digestive system consists of Alimentary canal and associated glands Alimentary Canal The alimentary canal begins with an anterior opening – the mouth, the it opens out posteriorly through the anus Length: 8-10 meter The wall of alimentary canal from oesophagus to rectum possesses four layers namely Serosa, Muscularis, Sub-mucosa and Mucosa ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Serosa Serosa is the outermost layer It is made up of a thin mesothium (epithelium of visceral organs) with some connective tissues. It is simple squamous epithelium Muscularis Muscularis is formed by smooth muscles usually arrange into an inner circular and an outer longitudinal layers An oblique muscle layer may be present in some region specifically stomach Sub-mucosa The submucosal layer is formed of loose connective tissues containing nedrves, blood and lymph vessels In duodenum, glands are also present in sub- mucosa Brunner’ glands – Mucous secreting multicellular glands Sub mucosa is thickest in oesophagus Mucosa The innermost layers lining the lumen of the alimentary canal are the mucosa. This layers forms irregular folds (rugae) in the stomach small finger-like folding called vili in the small intestine The cells lining the villi produce numerous microscopic projections called microvilli giving a brush border appearance ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Villi and microvilli icrease the surface area enormously Villi are supplied with a network of capillaries and a large lymph vessel called the lacteal Parts of Alimentary Canal The mouth leads to the buccal cavity or oral cavity. Posterior opening of buccal cavity into pharynx is known as Fauces The lining of bucal cavity is made up of striatified non- keratinized squamous epithelium The oral cavity has a number of teeth and a muscular tongue Teeth Man has the codont, heterodont, brachydont, bunodont, hypsodont [upper incisors, which are also known as “similing”], diphyodont [20] and monophyodont [12] teeth Each tooth is embedded in a socket of jaw bone. This type of attachment is called codont joint between root of tooth and socket / alveolous of jaw bone is an immovable joint, known as Gomphosis Majority of mammals including human being forms two sets of teeth during their life ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience A set of temporary milk or deciduous teeth replaced by set permanent or adult teeth. This type of dentition is called diphyodont Additional to Remember Temporary set / Milk set 1st tooth of milk set erupts by the age of 6 month in the form of 1st incisor The last tooth of milk set erupts by the age of 24 months in the form 2nd molar, so the whole milk set is acquired by the age of 2 years Dental formula [the representation of the type and number of teeth, present in half of the upper and lower jaw, in the form of a formula with the sequence of incisors, canine, 2102 premolar and molar] of child 2102 × 2 = 20 Premolars are absent in the milk set, but there is no toothless space between canine and molar because molars have been ereupted at the site of premolars Permanent set / Adult set / Non-deciduous set [32 in number] 1st tooth of permanent set is acquired by the age of 6 years in the form of 1st molar. However, the 1st milk tooth, which is broken, 1st incisor The last tooth of permanent set erupts by the age of 24 year in the form of 3rd molar, which is a vestigial tooth, and is also known a wisdom tooth Dental formula of adult Sequence of eruption of permanent teeth 1st Molar Mummy 1st Incisors Is 2nd Incisors In 1st Premolar Power 2nd Premolar Papa Canine Cannot 2nd Molar Make 3rd Molar Mistake Dental formula of rabbit: 2033 × 1023 2 = 28 ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Since canines are absent in rabbit, so there is toothless space / diastema, present in between incisor and premolars An adult human has 32 permanent teeth which are of four different types (heterodont dentition), namely Incisors (I), Canine(C), Premolars (PM) and Molars (M) Arrangement of teeth in each half of the upper and lower jaw in the order C, PM, M is represented by a dental formula, which in human is 2123 2123 The hard chewing surfaces of the teeth, made up of enamel, helps in the mastication of food Additional to Remembers Tooth is octomesodermally developed structure [like adrenal gland, eye and skin], where enamel is ectodermal and dentine is mesodermal. It is developed as >Mesenchyme>Scleroblast>Ameloblast>Enamel Enamel is present only around crown part, and is developed [from outside to inside] even before the eruption of tooth. Since after the eruption of tooth, the ameoblast cells become inactive so enamel cannot be repaired, if gets damaged Enamel is non living, translucent, whitish, hardest [highest concentration of minerals in the whole body] substance of the body that carries almost 97% of Ca3PO4 and 3% CaF2 and proteins, but fibers are absent in enamel. Due to its mineral content, the enamel is so hard that sparks will be produced if a steel rod is rubbed against itself Dentine It is developed as >Mesenchyme>Scleroblast>Odontoblast>Dentine It is living, whitish major part of tooth, which is developed from inside to outside, and is composed of 70% of Ca3PO4 [remaining is organic matter] Dentine is present not only in crown part but also in the neck [behind gums / gingiva] and root [part embedded into alveolus of jaw bone] The root of the tooth is firmly held in position because of cementum, which is secreted by periodontal membrane [type of periosteum that forms the lining of alveolus of jaw bone] The position of roots is further strengthened by collagenous sharper’s fibers, which run across periodontal membrane to detine of roots through cementum. Thus the root of the tooth and alveolus of jaw bone, together form immovable joint, known as Gomphosis The tip of the root carries an aperture as apical pore that leads to narrow root canal, which becomes wider as pulp cavity in upper part of tooth ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience The apical pore allows the entry and exit of blood vessels and nerves into pulp cavity, the pore remains wider during childhood, and gets constricted after acquiring full growth Teeth give shape to the face They bring about mastication of food They help in speech Tongue The tongue is a freely movable muscular organ It attached to the floor of the oral cavity by the frenulum mucous fold posteriorly, it is attached to hyoid bone, and its anterior end remains free of three types. Some papillae bear taste buds ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Additional to Remember It is made up of striated voluntary muscles, which are immune to be fatigued. They are of 2 types on the basis of their attachment Extrinsic muscles These muscles have their “origin” attached to hyoid and or mandible. The “belly” and “insertion” parts lie freely into fatigue These muscles help to move the tongue Intrinsic muscle These muscles have their “origin”, “belly” and “insertion” parts, all together in tongue These muscles help to change the shape of tongue The upper surface of tongue carries stratified non-keratinised squamous epithelium, and several small projections as papillae of following three types Circumvallate / Vallate papillae These papillae are the largest in size and minimum in number These papillae carry the taste buds concerned with bitter taste Fungiform papillae These are the moderate in size and number These also carry taste buds, which are concerned with sweet and salty [at the tip], and sour [at antero-lateral margin] Filiform papillae These are the smallest and most abundant papillae These are conical-shaped, and are found on the anterior part tongue They have keratinized tip, so are also known as keratinized / cornified papillae Filiform papillae do not have taste buds. Taste buds : these are the group of gustatoreceptors, receptor, located not on the the tongue but also in the hard palate, upper surface of epiglottis and oropharynx The taste sensation from anterior 2/3 part of tongue is carried by VII- cranial nerve / facial nerve, and from posterior 1/3 part of tongue by IX-cranial nerve / Glosopharyngeal nerve Function of tongue It help to mix the food and make the same bolus [ball of food] It helps in taste sensation It helps in speech It helps to cleanse the teeth It help to protect the body by preventing the entry of contaminated decomposed food with the help of taste buds It helps in deglutition / swallowing ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Salivary Glands Saliva is mainly produced by three pairs of salivary glands, as parotid gland, sub-maxillary / submandibullary gland, and sub-lingual gland Parotids (cheek) Sub-maxillary sub-mandibular (lower jaw) Sub-linguals (below the tongue) These glands situated just outside the buccal cavity and so are extrinsic in position other extrinsic glands of digestive system are liver and pancreas. The glands, which are located within the wall of alimentary canal, are known as intrinsic glands, like gastric glands These salivary glands secrete salivary juice into the buccal cavity through ducts Additional to Remember True salivary glands are present only in mammals The salivary glands of man are merocrine in nature Parotid gland These are largest in size, but contribute only 25% of total saliva Located in cheek They have pair of ducts, known as Stensen’s ducts [parosen = paro (parotid) +sen (stensen)] They secrete serous type [watery but rich in enzymes] of saliva ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Sub-maxillary / Sub-mandibullary gland These are moderate in size, but contribute only 70% of total saliva Located on the posterior angle of lower jaw They have a pair of ducts, known as Wharton’s ducts [Sum what = Sum(Sub maxillary) = What (Wharton)] They secrete serous type as well as mucoustype [ thick, viscous, white, saliva, which is poor in enzymes] of alive Sub-lingual gland These are smallest in size and contribute only 5% of total alive Located below tongue They have several ducts, known as ducts of Rivinus / Bartholine’s ducts They secrete mucous type of saliva Control of secretion of saliva : It is neutrally controlled by Parasympathetic nerve Composition of saliva : Quantity :500-1000 ml/day pH : 6.8 [slightly acidic] Inorganic content : HCO3 –CO3 –Cl-K+,Na+ Organic content : Mucin [glycoprotein] / Amylase / Ptyalin / Amylopsin Function of saliva It helps to keep the lining of buccal cavity moist and smooth by mucin It help to mix the food and make the same bolus It help in taste sensation by dissolving the chemicals present in food It is antiseptic / antibacterial because of the presence of lysozyme, and acidic nature of saliva It is excretory as well, because of the presence of urea It helps in speech by keeping the tongue mobile Role of Buccal Cavity in Digestion The process of digestion is accomplished by mechanical and chemical process mechanical process: the buccal cavity performs two major function mastication of food and facilitation of swallowing Mucus in saliva helps in lubricating and adhering the masticated food particles into a bolus. Thu bolus is then conveyed into the pharynx and then into the oesophagus by swallowing or deglutition The bolus further passes down through the oesophagus by successive waves of muscular contraction called peristalsis The gastro-oesophageal sphincter controls the passage of food into the stomach. The saliva secreted into the oral cavity contains Electrolytes (Na+,K+,Cl-,HCO- ) and ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Enzymes salivary amylase and lysozyme Chemical process :the chemical process of digestion is initiated I the oral cavity by the hydrolytic action of the carbohydrate splitting enzyme, the salivary amylase About 30 per cent of starch I hydrolyzed here by this enzyme (optimum pH 6.8) into a disacchride – maltoe 𝑆𝑡𝑎𝑟𝑐ℎ 𝑆𝑎𝑙𝑖𝑣𝑎𝑟𝑦 𝐴𝑚𝑦𝑙𝑎𝑠𝑒 𝑀𝑎𝑙𝑡𝑜𝑠𝑒. 𝑝𝐻6.8 Lysozyme present in saliva acts as an antibacterial agent that prevents infection Deglutition / Swallowing 1. 2. 3. 4. 5. 6. It is the act of pushing the bolus from buccal cavity to stomach It is basically a voluntary action but during eating process, it become involuntary [ and also, when bolus has crossed the fauces], nd is carried out as reflex action through following steps Tongue is raised above, and presses against had palate to push the bolus through fauces Trachea is raised above and its opening [glottis] come below epiglottis to be closed, so as to prevent the entry of any solid or liquid Uvul is raised above, ad separates the oro-pharynx from nso-pharynx Breathing is momentarily stopped The bolus goes down into oesophagus its opening [gullet] The bolus passes through oesophagus by peristalsis, then finally enters into cardiac part [the gastro-oesophageal sphincter controls the passage of food into the stomach] Pharynx,Oesophagous and Stomach Pharynx The oral cavity leads into a short pharynx Pharynx serves as a common passage for food and air The Oesophagous and the trachea (wind pipe) open into the pharynx The cartilaginous flap called epiglottis prevents the entry of food into the glottis – opening of the wind pipe, during swallowing Additional to Remember It is passage of seven openings Lining: Endodermal Muscles : Circular muscle fibres / CMF Glands : Mucous glands only “No enzyme, no digestion” because food does not stay here It is divided into three parts Naso-pharynx Oro-pharynx Laryngo-pharynx ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Oesophagous The oesophagous is thin, long tube, which extends posteriorly passing through the neck, thorax and diaphragm and leads to a ’J’ shaped bag like structure called stomach A muscular sphincter (gastro-oesophagous) regulates the opening of oesophagous into the stomach Stomach The stomach, located in the upper left portion of the abdominal cavity It has three major parts Cardiac portion into which the oesophagous opens Fundic region main part of stomach Phloric portion which opens into the first part of small intestine Duodenum Role of Stomach in Digestion The stomach stores the food for 4-5 hours The food mixes thoroughly with the acidic gastric juice (HCl) of the stomach by the churning movements of its muscular all and is called the chime The mucosa of stomach has gastric glands Gastric glands have three major types of cells in fundic part specifically namely Mucus neck cells Globet cells which secrete mucus ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Peptic or chief cells most abundant cells of gastric glands which secrete the proenzyme pepsinogen and proprenin in infant. Since these are enzymes secreting cells, so are also known as Zymogen cells Parietal or oxyntic cells which secrete HCl and intrinsic factor of castle 9factor essential for absorption of vitamin B12) HCl provides the acidic ph (ph 1.8) optimal for pepsins The proenzyme pepsinogen, on exposure to hydrochloric acid gets converted into the active enzyme pepsin Proenzyme pepsinogen HCl Active enzyme pepsin. Pepsin is the proteolytic enzyme of the stomach. It converts proteins into proteoses and peptones (peptidas). Proteins pepsin Prteoses and peptones. The mucus and bicarbonates, present in the gastric juice play an important role in lubrication and protection of the mucosal epithelium from excoriation by the highly concentrated hydrochloric acid Small amounts of ipases are also secreted by gastric glands Rennin is a proteiolytic enzyme found in gastric juice of infants. It helps in the digestion of milk proteins Stomach / Gaster It is the thickest walled reservoir of alimentary canal Shape : J-shaped Apertures : It has two openings as cardiac orifice [opening for oesopahagus] and pyloric orifice [opening into duodenum]. The openings carry gastro-oesophageal sphincters and pyloric sphincter respectively, so as to prevent the backflow of gut contents Histrologically ,the wall of stomach carries following modifications Oblique Muscle Fibre B [present only in the all of stomach, and is also the thickest of the three muscular layers] along with normal laongitudinal Muscles Fibre and Circular Muscle Fibre Mucosa : It carries lining of simple column epithelium with supportive connective tissue The lining of stomach is thrown into several gastric folds and gastric pits [function as glands] The lining shows the presence of thick layers of mucous with several smaller apertures as faveola to allow the release of gastric juice in the lumen of stomach The lining of stomach shows the presence of some other irregular folds in empty state [which disappear when stomach is full of meal],known as Rugae Gastric glands These are intrinsic [present in the mucosa of wall ] glands, which are merocrine in nature Number: 35 million / 3.5 crore These glands secrete gastric juice from different types of cells, in the following part of stomach ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience 1. 2. Cardiac part It is part of stomach, which lies close to heart with only diaphragm in between The gastric glands of his part carry only goblets cells for the secretion of mucous Fundic part The gastric glands of fundic part secrete maximum gastric juice through following types of cells Peptic cells :these are located deep into gastric glands Parietal cells / oxygentic cels : The cells are located in the neck part of the glands and they secrete cone. HCl and Intrinsic factor of castle Pyloric part It is the distal par of stomach that opens into duodenum The gastric glands of pyloric part carry following cells 1. G-cells : These cells secrete hormone gastrin into blood, which stimulates the gastric glands for the secretion of gastric juice 2. Goblet cells are present only present only in neck part of the gastric glands of whole stomach, and they secrete only mucous Control of the Secretion of Gastric Juice It is neurally controlled by parasympathetic nerve running with Vagus cranial nerve, and chemically by gastrin Composition of Gastric Juice Quantity : 50 ml to 1000 ml/day pH : 1.8,strongly acidic inorganic contents : con. HCl and bicarbonates Organic content : Mucin, glycoprotein, pepsinogen, Pro-rennin, Lipase ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Functions of Gastric Juice It changes the medium of food from slightly acidic to strongly acidic for the action of pepsin It protects the wall of stomach from excoriation by the highly concentrated HCl and gastric enxymes with the help of mucous and bicarbonate ions It secrets intrinsic factor of castle, which is the main function of stomach, which helps to absorb vitamin B12 at the level of distal part of ileum It help to free the iron fee the iron of diet from its conjugated state to be absorbed at the level of duodenum It is antiseptic / antibacterial It brings about the digestion of proteins [all types, except keratin] mainly, and fats to soe extent, in the following manner Small Intestine It is the longest part of alimentary canal Length : 6-7 meter Proximally, itbegins from pyloric orifice, and distally opens into caecum through ileocaecal orifice, which carries the sphincter, to prevent the back flow The lining of small intestine is simple columnar epithelium with microvilli / brush border epithelium, and is thrown into several folds and pits , known as villi and crutes of leiberkuhn respectively Each villus accommodates a capillary network and a lymphatic vessel [which is known as lacteal when it has absorbed fat] ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Small intestine is distinguishable into three regions U-shaped duodenum Long coiled middle portion jejunum Highly coiled ileum The opening of the stomach into the duodenum is guarded by the pyloric sphincter Ileum opens into the large intestine Duodenum It is the U-shaped proximal part of small intestine with a length of 25 cm ony It receives the bile duct of Wirsung [pancreatic duct] as common hepato-pancreatic duct through an ampulla-like opening, known flow of bile juice as well as pancreatic juice The sub-mucosa od duodenum accommodates mucous- secreting Burnner’s gland, which are intrinsic in position The lining of duodenum secretes following four hormones Enterogastrone / Gastric inhibitory peptide Secretin Panceozymin / Pz Cholecystokinin / CCK Duodenum provides the site for the maximum digestion of food Jejunum It is the middle part of small intestine Length: 2.5 meter The crypts the of leiberkuhn in jejunum functions as intestinal gland, [intrinsic gands], which secrete intestinal juice / succus entericus and the zymogen cell of these glands, are known as Paneth cells The lining of jejunum secretes the hormone, Enterocrinin The main function of jejunum is digestion ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience It is the terminal, highly coiled and the longest part of small intestine. Length: 3.5 meter The main function of ileum is absorption, and for that purpose, it carries longest and most abundant villi of the small intestine. The mucosa of ileum [and also of vermiform appendix] carries lymphoid tissue, known as peyer’s patches Role of Small Intestine Small intestine brings about digestion of food in duodenum and jejunum, and then absorption in jejunum and ileum Various types of movements are enerated by the muscularis layers of the of the small intestine. These movements help in a trough mixing up of the food with various secretions in the intestine and thereby facilitate digestion Secretion released into small intestine: Bile juice and Pancreatic juice Bile juice In the absence of bile, fats are not digested properly which results in fatty diarrhoea. Thus bile is essential for digestion though it does not contain any digestive enzymes. The bile is taken by the hepatic duct and is stored in the gall bladder which is situated on the lower surface of the liver. The bile is concentrated and sent to the duodenum through the cystic duct when chyme from the stomach enters the duodenum. Bile contains bile salt, bile ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience pigment, mucin and water. The two pigments present in the bile are called Bilirubin and Biliverdin. These pigments give colour to the faeces and urine. Due to liver damage or obstruction of the bile duct, bilirubin collects in excess quantities in blood and change the colour of the skin and the eyes. There may be changes in the colour of the urine also. This is called Jaundice. Functions of Bile Juice It stimulates the functions of the proteolytic enzymes and Amylase. It dissolves fatty acid, and glycerol. It coordinates with lipase to convert the fat into fatty acids. It helps in the absorption of the fatty acids and glycerol. With the help of other digestive juices it neutralises the acidic nature of food Pancreatic Juice It is regarded as “complete digestive juice” It contains inactive enzymes like: Trysinogen, Chymotrypsinogen, Procarboxypeptidases, Amylases, Lipases, and Nucleases. It also conatins bicarbonates to raise the pH of chime. Activation of inactive trypisnogen. Trypsinogen is activated by an enzyme, Enterokinase,which is secreted by the intestinal mucosa. Enterokinase change Trypsinogen into active Trypsin Trypsinogen(inactive enzyme) Enterkinase Trypsin (active enzyme) Function of enzymes, present in pancreatic juice ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Intestinal juice or succus entericus The intestinal mucoal epithelium has goblet cells, which secrete mucus Intestinal Juice =Secretions of the brush border cells of mucosa + secretions juice of the goblet cells Intestinal juice contains a variety of enzymes like Disaccharidases (e.g. Maltase), Dipeptidases, Lipases, nucleosidades,etc. Function of enzymes of intestinal juice The mucus , along with bicarbonates from the pancreas protects the intestinal mucosa fromacid as well as provide an alkaline medium (pH 7.8) for enzyme activities Sub-mucosal glands (Burnner’s glands0 also help in this The enzymes in the succus entericus act on the end products of chime to form the respective simple absorbable forms These final steps in digestion occurs very close to the mucosal epithelial cells of the intestine Control and Coordination of Digestive System The activities of the gastro-intestinal tract are under neural and hormonal cotro for proper coordination of different parts The sight, smell and or to presence of food in the oral cavity can stimulate the secretion of saliva Gastric and intestinal secretions are also, similarly stimulated b neural signals The muscular activities of different of different parts of the alimentary canal also be moderated by neural mechanisms, both local and through CNs Hormonal control of the secretion of digestive juices is carried out by the local hormones produced by the gastric and intestinal mucosa ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Absorption of food Absorption is the process by which the products of digestion are absorbed by the blood to be supplied to the rest of the body. During absorption, the digested products are transported into the blood or lymph through the mucous membrane. Absorption is achieved by the following mechanisms. 1. 2. 3. 4. Simple diffusion. Active transport Facilitated transport. Passive transport. Simple diffusion Simple diffusion is defined as the movement of solute from the higher concentration to the lower concentration through the membrane. After digestion, a few monosaccharides diffuse into the blood based on the concentration gradient. Example: Glucose, amino acids and ions like chloride. Active transport Active transport may be defined as the process of solute movement from the lower concentration to the higher concentration by the expense of energy.Electrolytes like Na ions are absorbed by active transport into the blood. Facilitated transport ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Facilitated transport is defined as the process of movement of solutes across the biological membrane with the help of specific carrier proteins. Some digested amino acids and glucose are absorbed into the blood by this method. Passive transport Passive transport is defined as the process of solute movement across a cell membrane without a requirement of energy. After digestion, simpler food substances are absorbed into the blood by passive transport. Assimilation Some digested products from fats cannot be absorbed into the blood. Example: Fatty acids and glycerol. These components attach to micelles which are small droplets and form micellecomponent complex. This micelle – component complexes are re-formed into chylomicrons. Chylomicrons are a small protein coated fat globules. Then, chylomicrons move into the lymph vessels and release the digested products into the blood. Finally, the digested and absorbed products reach the tissue to be utilized for their activities. This process is called as assimilation. Role of large intestine Large intestine consists of caecum, colon and rectum Caecum Caecum is a small blind sac It hosts some symbiotic micro-organisms The vermiform appendix which is narrow finger-like tubular projections. It is a vestigial organ, arises the caecum The caecum opens into the colon Colon The colon is divided into three parts An ascending A transverse only part of colon, which is attached to body wall A descending part Colon exhibits the fastest peristalsis, slowest in rectum Rectum The descending part opens into the rectuim which opens out through the anus. The undigested and unabsorbed substances are passed on to the large intestine Function of large intestine Absorption of some water, mineral and certain drugs Secretion of mucus, which helps in adhering the waste [undisgested] particles together and together and lubricating it for an easy passage ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience The undigested, unabsorbed substance called faeces, enters into the caecum of large intestine through ileo-ceacal vcalve. The valve prevents the back flow of the faecel matter The digestive wastes, solidified into coherent faeces in the rectum, where it is temporarily stored till defaecation egestion Rectum initiates a neural reflex causing an urge or desire for its removal The egestion of faeces to the outside through the anal opening (defeacation) is a voluntary process It carried out by a mas peristaltic movement Liver / Hepar Liver is the largest gl and also largest visceral organ of the body Liver weighs about 1.2 to 1.5 kg in adult human In infants, liver constitutes about 5% of body weight due to his higher BMR It is endodermally developed gland from the lining of duodenum It is situated in the abdominal cavity, just below the diaphragm and has two lobe right lobe is almost six times biger than the left lovbe. All lobules are separated from one another by means of a sheath of coolagen fibres known asGlisson’s capsule [mammalian character] The hepatic lobules polygonal / hexagonal chambers are the structural and functional Units of liver These lobules conatin hepatic cells binucleated busiest cels of body arranged in the form of cords. Each lobule is covered b thin connective tissue sheath called the Glisson’s capsule Secretion of bile : The bile secreted by the hepatic cells passes through the hepatic ducts Gall bladder: bile is stored and concentrated by about 10 times as compared to liver bile thin muscular sac called the gall bladder, located on their inferior border of right lobe The lining of gall bladder is simple cubiodal epithelium with microvilli, and it also carries rugae Formation of bile ducts – the duct of gall bladder (crystic duct) along with the hrpatic duct from the liver forms the common bile duct The bile ducts and the pancreatic duct also known as duct of wirsung open together into ampulla of vater of the duodenum as the common hepato-pancreatic duct Hepato-pancreatic ducts is guarded by a sphincter called the sphincter of Oddi ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Additional to Remember Liver has dual blood supply lpure as well as imp hepatic portal wein Hepatic artery brings pure blood and provides nutrition a status of the whole body, where as hepatic portal vein brings absorbed food substances from alimentary canal though it has impure blood ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience FUNCTIONS OF LIVER It is the busiest organt, and it performs as many as 100 duties it is haemopoietic during embryonic period, producing blood corpuscles It is the largest producer of lymph It produces au plasma proteins except igG [produced by plasma cells] The urea cycle / ormithine cycle runs only in liver because of the presence of enzyme Arginase [present only in liver]. it produces at blood clotting factors except factor IV [calcium ions] lt stores fat solubie vitamins [A, D, E and K] and also vitamin B12 It stores iron It detoxify the toxins and alcohol but in doing so, the liver cells also get damaged, however, they are regenerated soon because liver has got the maximum power of regeneration Glycogenesis [formation of glycogen from glucose) is carried out in live under the influence of hormone Insulin, which stimulates the 1st enzyme of the reaction i.e. Hexokinase, and then the whole process is completed through Cascade effect ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience Glycogenolysis (breakdown of glycogenl is also carried out in liver under the influence of hormone Glucagon (only in liverl and Adrenaline [in liver and muscles], which stimulates the enzyme of the reaction i.e. Phosphorylase and then the whole process is completed through Cascade effec since phosphatase is found only in liver, so complete glycogenolysis takes place on in liver and in muscles, the glycogenolysis takes place up to the level of Glucose 6 PO4 from where Glucose 6PO4 enters directly into glycolysis Gluconeogenesis [formation of glucose from non-carbohydrate source like glycerol and amino acids] also takes place in lver, under the influence of hormone Cortisol [released from adrenal cortex] and glucagon, so as to maintain the normal blood glucose level Glyconeogenesis [formation of glycogen from lactic acid] takes place in liver through Glucose Cori cycle Liver secretes hormone Insulin-like growth factor-1 [GF-1]. And angiotensinogen, Growth hormone of anterior pituitary binds to the receptors on the of liver cells, which stimulate the synthesis and release of IGF-1 from them. Many cells have receptors for IGF-1 ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience especially cells in the bone marrow and in the cartilaginous growing regions of tho long bones, where it stimulates the mitosis. Angiotensinogen: It is released into blood as plasma protein and helps in operating RAAS PANCREAS Pancreas is endodermal gland developed from the lining of duodenum The pancreas is a compound (both exocrine and endocrine) elongated organ situated between the limbs of the U shaped duodenum The exaorine portion secretes an alkaline pancreatic juice containing enzymes,and the enzyme secreting zymogen cells of pancreas are known as Pyriform cells The endocrine pancreas consists of 1slets of Langerhans' There is about 1 to 2 million lslets of Langerhans in a normal human pancreas representing only 1 to 2 per cent of the pancreatic tissue The two main types ot kelis im the inlato Lange hans are Alpha cells and Beta cels ∝ cells The ∝ colle secrete a hormone called glucagon Glucagon is a peptide hormone and plays an important role in maintaining the normal blood glucose levels Glucagon acts mainly on the liver cells (hepatoeytee) and stimulates glycogenolysis, resulting in increased blood ougar (hyperglycomi In addition, this hormone stimulales the process of gluconeouemesin which also contributes to hyperglycemia Glucagon reduces the cellular glucose uptake and utilisation Thus, glucagon is a hyperglycemic hormone 𝛽-cells The 𝛽-cells secrete a peptide hormone, which plays a major role in the regulation of glucose homeostasis Insulin acts mainly on hepatocytes and adipocytes (cells of adipose tissue), and enhances cellular glucose uptake and utilisation ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831 SUNSHIELD CLASSES All progress, change, and Success is based on a foundation at convenience As a result, there is a rapid movement of glucose from blood to hepatocytes and adipocytes resulting in decreated blood glucose levels (hypoglycemia) Insuln also stimulates conversion of glucose to glycogen (glycogenesis) in the target cells Diabetes mellitus Prolonged hyperglycemia leads to a complex diaorder called diabetes mellitus, which associated with loan of glucose through urine Glycosuria and formation of harmful compounds, known as ketone bodies Diabetic patients are successfully treated with insulin therapy In addition to a cells and B-cells, the island of Langerhans also accommodate two other endocrine cells as D-cells and F-cells D-cells: These cells secrete hormone Somatostatin, which is STH of Pituitary. Somatostatin hormone also released from hypothalamus the form of somatotropic hormone inhibiting hormone STHIH F-cells: These cells secrete Pancreatic polypeptide /PP hormone which regulates the secretion of other three hormones DISORDER OF DIGESTIVE SYSTEM The inflammation of the intestinal tract is the most common ailment due to bacteri or viral infections. The infections are also caused by the parasites of the intestine like tape worm, round worm, thread worm, hook worm pin worm, etc 1. Vomiting l Emesis: It is the ejection of stomach contents through the mouth. This reflex action controlled by the vomit centie in the medulla. A feeling of nausea uneasiness before vomiting/ ch fraeTHT precedes vomiting 2. Diarrhoea: The abnormal frequency of bowel movement and increased liquidity of the faecal discharge is known as diarrhoea It reduces the absorption of food 3. Constipation:In constipation, the facces are retained within the rectum as the bowel movements occur irregularly 4. Indigestion: ln this condition, the food is not properly digested leading to a feeling of fullness. The causes of indigation are inadequate enzyme anxiety, food poisoning, over eating, and spicy food ADDRESS: INFRONT OF SHRAVAN KANTA PALACE PLOT NO. 10,ABOVE AXIS BANK, AYODHYA BYPASS ROAD, BHOPAL ,Pin code 462022, Cont.No. 07552625412, 7697542831
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