Human Anatomy, 3rd edition Prentice Hall, © 2001 The Digestive System Chapter 25.

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Human Anatomy, 3rd edition Prentice Hall, © 2001 The Digestive System Chapter 25

Transcript of Human Anatomy, 3rd edition Prentice Hall, © 2001 The Digestive System Chapter 25.

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Digestive System

Chapter 25

Human Anatomy, 3rd editionPrentice Hall, © 2001

Introduction– Structure of the digestive system

• A tube that extends from mouth to anus

• Accessory organs are attached

– Functions include• Ingestion

• Movement

• Digestion

• Absorption

• Defecation

Human Anatomy, 3rd editionPrentice Hall, © 2001

Overview of Digestive System

Human Anatomy, 3rd editionPrentice Hall, © 2001

Histological Organization– The wall of the digestive tract has the same

basic arrangement of tissues from the esophagus to the anal canal

– Four layers (from innermost to outermost)• Mucosa

• Submucosa

• Muscularis

• Serosa

Human Anatomy, 3rd editionPrentice Hall, © 2001

Layers of the Digestive Tract

Human Anatomy, 3rd editionPrentice Hall, © 2001

Layers of the Digestive Tract

Human Anatomy, 3rd editionPrentice Hall, © 2001

Movement & Mixing of Digestive Materials– Peristalsis

• Coordinated motion of the two muscular layers

• Circular muscles contract, then longitudinal muscles

– Segmentation• Mixing of food

• Circular muscles in two areas contract

• Longitudinal muscles alternately contract & relax

Human Anatomy, 3rd editionPrentice Hall, © 2001

Peristalsis & Segmentation

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Oral Cavity– Functions

• Take in food

• Prepare food for digestion

– Structure• Lined with stratified squamous epithelium

• Lips surround the opening

• Roof is formed from the hard & soft palate

• Tongue dominates the floor

Human Anatomy, 3rd editionPrentice Hall, © 2001

Oral Cavity

Human Anatomy, 3rd editionPrentice Hall, © 2001

Oral Cavity

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The Tongue– Functions

• Maneuvers food

– Structure • Skeletal muscle covered with mucosa

• The lingual frenulum connects the tongue to the floor of the mouth

• Surface– Papillae

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Salivary Glands– Found outside the mouth– Ducts carry saliva to the mouth– Saliva

• Functions– Keeps mucous membranes moist– Lubricates food– Dissolves food– Begins carbohydrate digestion

– 3 pairs• Parotid glands• Submandibular glands• Sublingual glands

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Salivary Glands

Human Anatomy, 3rd editionPrentice Hall, © 2001

Teeth– 2 sets

• Deciduous (20)• Permanent (32)

– Held in sockets– Gingiva surrounds the base of the teeth– Structure

• Crown• Root• Neck

– Composition • Dentin – primary substance in tooth• Enamel – covers crown• Cementum – covers root

– Tooth decay– Wisdom teeth – 3rd molars

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A Tooth

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The Pharynx and Esophagus– Food enters the esophagus from the pharynx– The esophagus is a muscular tube behind the

trachea• Food is moved by peristalsis from the pharynx to

the stomach

• Cardiac sphincter separates esophagus from stomach

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Esophagus

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Stomach– Has the same 4 basic layers– When the stomach is empty, the mucosa lies in

large folds• Rugae

– Pyloric sphincter separates stomach from small intestine

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External Anatomy of the Stomach

Human Anatomy, 3rd editionPrentice Hall, © 2001

Anatomy of the Stomach

Human Anatomy, 3rd editionPrentice Hall, © 2001

Histology of the Stomach– Mucosa is simple columnar epithelium with

goblet cells– Mucosa is folded to form gastric pits

• Gastric glands secrete gastric juice– Several kinds of cells in each gland produce substances

that form the gastric juice

» Mucus cells

» Chief cells

» Parietal cells

» Enteroendocrine cells

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The Stomach Wall

Human Anatomy, 3rd editionPrentice Hall, © 2001

Gastric Gland

Human Anatomy, 3rd editionPrentice Hall, © 2001

Functions of the Stomach– Mechanical digestion

• Food reaches pylorus

– Chemical digestion• Digestion of proteins

– Absorption • No food

• Water, electrolytes

• Some drugs

• Alcohol

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Small Intestine– About 18 feet long– 3 regions

• The duodenum (= “12 fingers’ length”)– About 8 inches long

– Common bile duct & pancreatic duct empty here

• The jejunum (= “empty”)– About 8 feet long

– Most digestion occurs here

• The ileum– About 9.5 feet long

– Most absorption occurs here

– Ends in the ileocecal valve

Human Anatomy, 3rd editionPrentice Hall, © 2001

Regions of the Small Intestine

Human Anatomy, 3rd editionPrentice Hall, © 2001

Histology of the Small Intestine– The lining is folded into circular pleats called

plicae circulares– The mucosal surface is folded into villi– The epithelial cell membranes are highly folded

into microvilli– Intestinal glands are found in the crypts

(“hidden place” – like gastric pits) at the base of villi

• Secrete intestinal juice

Human Anatomy, 3rd editionPrentice Hall, © 2001

Histology of the Small Intestine

Human Anatomy, 3rd editionPrentice Hall, © 2001

A Villus

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Functions of the Small Intestine– Chyme is further broken down

• Proteins

• Carbohydrates

• Fats

– Most absorption is in the small intestine

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Large Intestine– AKA colon

– About 4.5 feet long

– Mesocolon supports

– Begins with the cecum • Appendix is attached

• Ascending colon

• Transverse colon

• Descending colon

• Sigmoid colon

– Colon connects to the rectum

– Rectum connects to the anal canal which empties to the exterior through the anus

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Large Intestine

Human Anatomy, 3rd editionPrentice Hall, © 2001

Histology & Functions of the Large Intestine– Mucosa - simple columnar epithelium (thin)

• Completion of absorption

• Formation of feces

– Lots of mucus glands– Expulsion of feces from the body

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Digestion in the Large Intestine– Mechanical

• Regulated by the ileocecal valve

• Mixing and peristalsis

• Mass peristalsis

– Chemical• Mucus secreted

• No enzymes

• Bacteria – prepare chyme for elimination

Human Anatomy, 3rd editionPrentice Hall, © 2001

Feces Formation & Defecation– Chyme is now solid or semi-solid - feces– Large intestine absorbs any more water and

electrolytes from feces– Defecation

• Mass peristalsis pushes fecal material into rectum

• Rectum stretches– Defecation reflex

Human Anatomy, 3rd editionPrentice Hall, © 2001

Histology of the Large Intestine

Human Anatomy, 3rd editionPrentice Hall, © 2001

Accessory Organs– Liver– Pancreas– Gall bladder

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Liver– Performs many life-sustaining functions,

digestive and other.– Location – under the diaphragm on the left

• Connected to the diaphragm by the falciform ligament

– Divided into lobes• Right lobe

• Left lobe

• Caudate lobe

• Quadrate lobe

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Liver

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Liver

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Histology of the Liver

- Outside is a capsule

- Composed of tiny lobules

– Each lobule is surrounded by liver cells and sinusoids

– Bile ducts run between liver cells

Human Anatomy, 3rd editionPrentice Hall, © 2001

Histology and Blood Supply of the Liver

Human Anatomy, 3rd editionPrentice Hall, © 2001

Functions of the Liver – Produces bile – the primary digestive function

• Composition– Water

– Bile salts

– Cholesterol

– Pigments

» Bilirubin

• Digestive function– Emulsification of fats

Human Anatomy, 3rd editionPrentice Hall, © 2001

Other Functions of the Liver– Absorbs and stores iron, vitamins A, D, E, B7,

K– Detoxifies toxins and hormones– Metabolizes proteins, carbohydrates, and lipids– Removes bacteria from the blood

• Kupffer cells

– Produces plasma proteins– Removes worn-out and damaged red blood

cells

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Gallbladder– Location – underside of the left lobe of the liver– Function – to concentrate and store bile– Gallstones

• Cholesterol in bile crystalizes, crystals fuse.

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The Gallbladder

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Pancreas

- Location – in the curvature of the duodenum– Connected to the duodenum by the pancreatic

duct– Produces pancreatic juic– Functions

• Exocrine - digestion of all the nutrient groups

• Endocrine – production of insulin & glucagon– Control level of blood glucose

Human Anatomy, 3rd editionPrentice Hall, © 2001

The Pancreas