The Digestive System - People Server at UNCW

PowerPoint® Lecture Slides prepared by Vince Austin, University of Kentucky
The Digestive System
Part A
23
Digestive System: Overview
ƒ The alimentary canal or gastrointestinal (GI) tract
digests and absorbs food
ƒ Alimentary canal – mouth, pharynx, esophagus,
stomach, small intestine, and large intestine
ƒ Accessory digestive organs – teeth, tongue,
gallbladder, salivary glands, liver, and pancreas
Human Anatomy & Physiology, Sixth Edition
Elaine N. Marieb
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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Digestive System: Overview
Digestive Process
ƒ The GI tract is a “disassembly” line
ƒ Nutrients become more available to the body in
each step
ƒ There are six essential activities:
ƒ Ingestion, propulsion, and mechanical digestion
ƒ Chemical digestion, absorption, and defecation
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Figure 23.1
Digestive Process
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Gastrointestinal Tract Activities
ƒ Ingestion – taking food into the digestive tract
ƒ Propulsion – swallowing and peristalsis
ƒ Peristalsis – waves of contraction and relaxation of
muscles in the organ walls
ƒ Mechanical digestion – chewing, mixing, and
churning food
Figure 23.2
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Peristalsis and Segmentation
Gastrointestinal Tract Activities
ƒ Chemical digestion – catabolic breakdown of food
ƒ Absorption – movement of nutrients from the GI
tract to the blood or lymph
ƒ Defecation – elimination of indigestible solid wastes
Figure 23.3
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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
GI Tract
Receptors of the GI Tract
ƒ External environment for the digestive process
ƒ Mechano- and chemoreceptors respond to:
ƒ Regulation of digestion involves:
ƒ Mechanical and chemical stimuli – stretch
receptors, osmolarity, and presence of substrate in
the lumen
ƒ Stretch, osmolarity, and pH
ƒ Presence of substrate, and end products of digestion
ƒ They initiate reflexes that:
ƒ Extrinsic control by CNS centers
ƒ Activate or inhibit digestive glands
ƒ Intrinsic control by local centers
ƒ Mix lumen contents and move them along
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Nervous Control of the GI Tract
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Nervous Control of the GI Tract
ƒ Intrinsic controls
ƒ Nerve plexuses near the GI tract initiate short
reflexes
ƒ Short reflexes are mediated by local enteric
plexuses (gut brain)
ƒ Extrinsic controls
ƒ Long reflexes arising within or outside the GI tract
ƒ Involve CNS centers and extrinsic autonomic
nerves
Figure 23.4
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Peritoneum and Peritoneal Cavity
Peritoneum and Peritoneal Cavity
ƒ Peritoneum – serous membrane of the abdominal
cavity
ƒ Visceral – covers external surface of most digestive
organs
ƒ Parietal – lines the body wall
ƒ Peritoneal cavity
ƒ Lubricates digestive organs
ƒ Allows them to slide across one another
Figure 23.5a
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Peritoneum and Peritoneal Cavity
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Peritoneum and Peritoneal Cavity
ƒ Mesentery – double layer of peritoneum that
provides:
ƒ Vascular and nerve supplies to the viscera
ƒ A means to hold digestive organs in place and store
fat
ƒ Retroperitoneal organs – organs outside the
peritoneum
ƒ Peritoneal organs (intraperitoneal) – organs
surrounded by peritoneum
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Blood Supply: Splanchnic Circulation
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Figure 23.5b
Histology of the Alimentary Canal
ƒ Arteries and the organs they serve include
ƒ The hepatic, splenic, and left gastric: spleen, liver,
and stomach
ƒ Inferior and superior mesenteric: small and large
intestines
ƒ Hepatic portal circulation:
ƒ Collects nutrient-rich venous blood from the
digestive viscera
ƒ From esophagus to the anal canal the walls of the GI
tract have the same four tunics
ƒ From the lumen outward they are the mucosa,
submucosa, muscularis externa, and serosa
ƒ Each tunic has a predominant tissue type and a
specific digestive function
ƒ Delivers this blood to the liver for metabolic
processing and storage
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Histology of the Alimentary Canal
Mucosa
ƒ Moist epithelial layer that lines the lumen of the
alimentary canal
ƒ Its three major functions are:
ƒ Secretion of mucus
ƒ Absorption of the end products of digestion
ƒ Protection against infectious disease
ƒ Consists of three layers: a lining epithelium, lamina
propria, and muscularis mucosae
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Figure 23.6
Mucosa: Epithelial Lining
ƒ Consists of simple columnar epithelium and mucussecreting goblet cells
ƒ The mucus secretions:
ƒ Protect digestive organs from digesting themselves
ƒ Ease food along the tract
ƒ Stomach and small intestine mucosa contain:
ƒ Enzyme-secreting cells
ƒ Hormone-secreting cells (making them endocrine
and digestive organs)
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Mucosa: Other Sublayers
ƒ Submucosa – dense connective tissue containing
elastic fibers, blood and lymphatic vessels, lymph
nodes, and nerves
ƒ Muscularis externa – responsible for segmentation
and peristalsis
ƒ Serosa – the protective visceral peritoneum
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Mucosa: Lamina Propria and Muscularis
Mucosae
ƒ Lamina Propria
ƒ Loose areolar and reticular connective tissue
ƒ Nourishes the epithelium and absorbs nutrients
ƒ Contains lymph nodes (part of MALT) important in
defense against bacteria
ƒ Muscularis mucosae – smooth muscle cells that
produce local movements of mucosa
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Enteric Nervous System
ƒ Composed of two major intrinsic nerve plexuses
ƒ Submucosal nerve plexus – regulates glands and
smooth muscle in the mucosa
ƒ Myenteric nerve plexus – Major nerve supply that
controls GI tract mobility
ƒ Replaced by the fibrous adventitia in the esophagus
ƒ Segmentation and peristalsis are largely automatic
involving local reflex arcs
ƒ Retroperitoneal organs have both an adventitia and
serosa
ƒ Linked to the CNS via long autonomic reflex arc
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Mouth
Anatomy of the Oral Cavity: Mouth
ƒ Oral or buccal cavity:
ƒ Is bounded by lips, cheeks, palate, and tongue
ƒ Has the oral orifice as its anterior opening
ƒ Is continuous with the oropharynx posteriorly
ƒ To withstand abrasions:
ƒ The mouth is lined with stratified squamous
epithelium
ƒ The gums, hard palate, and dorsum of the tongue
are slightly keratinized
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Lips and Cheeks
Figure 23.7a
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Oral Cavity and Pharynx: Anterior View
ƒ Have a core of skeletal muscles
ƒ Lips: orbicularis oris
ƒ Cheeks: buccinators
ƒ Vestibule – bounded by the lips and cheeks
externally, and teeth and gums internally
ƒ Oral cavity proper – area that lies within the teeth
and gums
ƒ Labial frenulum – median fold that joins the internal
aspect of each lip to the gum
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Palate
ƒ Hard palate – underlain by palatine bones and
palatine processes of the maxillae
ƒ Assists the tongue in chewing
ƒ Slightly corrugated on either side of the raphe
(midline ridge)
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Figure 23.7b
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Palate
ƒ Soft palate – mobile fold formed mostly of skeletal
muscle
ƒ Closes off the nasopharynx during swallowing
ƒ Uvula projects downward from its free edge
ƒ Palatoglossal and palatopharyngeal arches form the
borders of the fauces
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Tongue
ƒ Occupies the floor of the mouth and fills the oral
cavity when mouth is closed
ƒ Functions include:
ƒ Gripping and repositioning food during chewing
ƒ Mixing food with saliva and forming the bolus
Tongue
ƒ Intrinsic muscles change the shape of the tongue
ƒ Extrinsic muscles alter the tongue’s position
ƒ Lingual frenulum secures the tongue to the floor of
the mouth
ƒ Initiation of swallowing, and speech
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Tongue
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Tongue
ƒ Superior surface bears three types of papillae
ƒ Filiform – give the tongue roughness and provide
friction
ƒ Fungiform – scattered widely over the tongue and
give it a reddish hue
ƒ Circumvallate – V-shaped row in back of tongue
ƒ Sulcus terminalis – groove that separates the tongue
into two areas:
ƒ Anterior 2/3 residing in the oral cavity
ƒ Posterior third residing in the oropharynx
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Salivary Glands
ƒ Produce and secrete saliva that:
ƒ Cleanses the mouth
ƒ Moistens and dissolves food chemicals
ƒ Aids in bolus formation
ƒ Contains enzymes that break down starch
ƒ Three pairs of extrinsic glands – parotid,
submandibular, and sublingual
ƒ Intrinsic salivary glands (buccal glands) – scattered
throughout the oral mucosa
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Figure 23.8
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Salivary Glands
ƒ Parotid – lies anterior to the ear between the
masseter muscle and skin
ƒ Parotid duct – opens into the vestibule next to the
second upper molar
ƒ Submandibular – lies along the medial aspect of the
mandibular body
ƒ Its ducts open at the base of the lingual frenulum
ƒ Sublingual – lies anterior to the submandibular
gland under the tongue
ƒ It opens via 10-12 ducts into the floor of the mouth
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Salivary Glands
Saliva: Source and Composition
ƒ Secreted from serous and mucous cells of salivary
glands
ƒ A 97-99.5% water, hypo-osmotic, slightly acidic
solution containing
ƒ Electrolytes – Na+, K+, Cl–, PO42–, HCO3–
ƒ Digestive enzyme – salivary amylase
ƒ Proteins – mucin, lysozyme, defensins, and IgA
ƒ Metabolic wastes – urea and uric acid
Figure 23.9a
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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings
Control of Salivation
Teeth
ƒ Intrinsic glands keep the mouth moist
ƒ Primary and permanent dentitions have formed by
age 21
ƒ Extrinsic salivary glands secrete serous, enzymerich saliva in response to:
ƒ Primary – 20 deciduous teeth that erupt at intervals
between 6 and 24 months
ƒ Ingested food which stimulates chemoreceptors and
pressoreceptors
ƒ The thought of food
ƒ Strong sympathetic stimulation inhibits salivation
and results in dry mouth
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ƒ Permanent – enlarge and develop causing the root of
deciduous teeth to be resorbed and fall out between
the ages of 6 and 12 years
ƒ All but the third molars have erupted by the end of
adolescence
ƒ There are usually 32 permanent teeth
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Deciduous Teeth
Permanent Teeth
Figure 23.10.1
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Figure 23.10.2
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Classification of Teeth
Dental Formula: Permanent Teeth
ƒ Teeth are classified according to their shape and
function
ƒ A shorthand way of indicating the number and
relative position of teeth
ƒ Incisors – chisel-shaped teeth adapted for cutting or
nipping
ƒ Written as ratio of upper to lower teeth for the
mouth
ƒ Canines – conical or fanglike teeth that tear or
pierce
ƒ Primary: 2I (incisors), 1C (canine), 2M (molars)
ƒ Premolars (bicuspids) and molars – have broad
crowns with rounded tips and are best suited for
grinding or crushing
ƒ During chewing, upper and lower molars lock
together generating crushing force
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Tooth Structure
ƒ Permanent: 2I, 1C, 2PM (premolars), 3M
2I
1C
2PM
3M
2I
1C
2PM
3M
X
2 (32 teeth)
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Tooth Structure
ƒ Two main regions – crown and the root
ƒ Crown – exposed part of the tooth above the gingiva
(gum)
ƒ Neck – constriction where the crown and root come
together
ƒ Enamel – acellular, brittle material composed of
calcium salts and hydroxyapatite crystals is the
hardest substance in the body
ƒ Cementum – calcified connective tissue
ƒ Encapsules the crown of the tooth
ƒ Covers the root
ƒ Attaches it to the periodontal ligament
ƒ Root – portion of the tooth embedded in the jawbone
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Tooth Structure
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Tooth Structure
ƒ Dentin – bonelike material deep to the enamel cap
that forms the bulk of the tooth
ƒ Periodontal ligament
ƒ Anchors the tooth in the alveolus of the jaw
ƒ Forms the fibrous joint called a gomaphosis
ƒ Gingival sulcus – depression where the gingiva
borders the tooth
ƒ Pulp cavity – cavity surrounded by dentin that
contains pulp
ƒ Pulp – connective tissue, blood vessels, and nerves
ƒ Root canal – portion of the pulp cavity that extends
into the root
ƒ Apical foramen – proximal opening to the root canal
ƒ Odontoblasts – secrete and maintain dentin
throughout life
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Tooth Structure
Tooth and Gum Disease
ƒ Dental caries – gradual demineralization of enamel
and dentin by bacterial action
ƒ Dental plaque, a film of sugar, bacteria, and mouth
debris, adheres to teeth
ƒ Acid produced by the bacteria in the plaque
dissolves calcium salts
ƒ Without these salts, organic matter is digested by
proteolytic enzymes
Figure 23.11
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ƒ Daily flossing and brushing help prevent caries by
removing forming plaque
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Tooth and Gum Disease: Periodontitis
ƒ Gingivitis – as plaque accumulates, it calcifies and
forms calculus, or tartar
ƒ Accumulation of calculus:
ƒ Disrupts the seal between the gingivae and the teeth
ƒ Puts the gums at risk for infection
ƒ Periodontitis – serious gum disease resulting from
an immune response
ƒ Immune system attacks intruders as well as body
tissues, carving pockets around the teeth and
dissolving bone
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