7. Digestive System Part 1 - New Flashcards
Describe the THREE things which contribute to the following statement:
‘You are what you eat’
Digestion
Absorption
Excretion
Name THREE accessory organs of the digestive tract.
Salivary glands
Gallbladder
Pancreas
Liver
Describe the 6 ways that our food is taken in and digested as it goes through the body
Ingestion: Oral intake of substances
Secretion: Release of digestive juices - water, acid, enzymes and juices
Mixing and propulsion: Contraction / relaxation in walls to help mix and propel food
Digestion: Mechanical and chemical processes to break down ingested foods
Absorption: Substances passing through the walls of the GIT into the lymph and blood
Excretion: Excretion of waste and indigestible materials
Name FOUR layers of the gastrointestinal tract.
Mucosa
Submucosa
Muscularis Externa
Peritoneum
The mucosa layer of the GIT is made up of three layers. What are they
Epithelial:
Simple epithelium for protection in the mouth, pharynx, oesophagus an anus.
Columnar epithelium in the stomach and intestines for absorption with
- Microvilli in the small intestines
- Goblet cells
- Enteroendocrine cells
Lamima Propria:
Connective tissue and lots of blood and lymphatic vessels
Contains MALT
Muscularis Mucosa:
Very thin layer of smooth muscle
Creates the villi that increase surface area for absorption
Describe the role of Microvilli
Microvilli are folds in the small intestine that increase surface area and therefore assist with absorption
Describe the role of Goblet cells
Produced by the parietal cells in the peritoneum wall and they produce mucus
Explain what is meant by MALT.
Mucosa Associated Lymphoid Tissue.
It is a collection of immune cells such as lymphocytes and macrophages.
In the gut we call it GALT
Describe the role of GALT.
Gut Associated Lymphoid Tissue.
It is a collection of immune cells such as lymphocytes and macrophages in the GIT.
It is the first line of defence against ingested pathogens
GALT contains 70% of the bodies immune cells.
It is situated in the lamina propria
Name locations of MALT in the body.
It is especially prevalent in tonsils, oesophagus, small intestine, appendix and large intestine but in the GIT it is called GALT.
List TWO functions of involuntary smooth muscle contractions in the digestive tract.
Peristalsis for moving food down the digestive tract
Mixing of food - churning in the stomach with digestive juices
Describe the role of the peritoneum.
The peritoneum is a thin layer of tissue that coats the lining of the abdomen and pelvic cavity.
It is a serous membrane with a visceral layer covering the wall of the abdomen and pelvic cavity. In between the two layers is the peritoneal cavity which has a serous fluid
It has many blood and lymph vessels.
It provides a physical barrier to local spread of infection.
Outline the main difference between ‘ascites’ and ‘peritonitis’ and name ONE cause for each pathology.
Ascites is a build up of fluid (oedema) in the peritoneal cavity. A cause could be heart failure or liver disease leading to fluid backflow. Look pregnant!
Peritonitis is an acute inflammation of the peritoneum and a cause could be appendicitis or bacterial infection.
Name TWO functions of the ‘greater omentum’.
The greater omentum is the largest fold of the peritoneum and drapes like an apron over the transverse colon.
It stores fat. When it stores too much fat it looks like a beer belly and interferes with the endocrine system.
Functions:
1. **Fat storage **
2. Lymph nodes containing macrophages and pkasma cells (which produce antibodies) to combat infections of the GIT
Name ONE role of the ‘lesser omentum’.
A smaller fold in the peritoneum that suspends the stomach and duodenum from the liver.
Functions:
1. Pathway for the blood vessels entering the liver
2. Contains the** hepatic portal vein** which carries blood from the digestive system to the liver
What is the role of the of the PNS and the SNS in the behaviour of the myenteric and submucosal plexus?
PNS
Myenteric plexus: Increases muscle activity - peristalsis
Submucosal plexus: Increases release of digestive juices
SNS
Myenteric plexus: Decreases muscle activity
Submucosal plexus: Decreases release of digestive juices
What are the three types of neurons in the enteric nervous system?
Sensory neurons – incoming signal about the mucosal envirpnment from chemoreceptors and stretch receptors.
What you are sensing, whats coming in.
Motor neurons – outgoing action signal in the submucosal and myenteric plexus.
What action you take
Interneurons – connect the two plexuses.
List TWO ways in which sensory neurons (enteric nervous system) receive information about environmental changes.
Chemoreceptors – sense changes in arterial carbon dioxide, oxygen, and pH
Stretch receptors – sense distension in the stomach
Name TWO veins that drain the digestive system.
Portal Vein drains lower oesophagus, stomach, pancreas, both intestines, upper rectum, spleen
Iliac vein drains lower part of the rectum and anal canal
Name the main artery that supplies the digestive tract with oxygenated blood and nutrients.
Mesenteric Arteries
Name FOUR functions of the oral cavity.
Mastication
Speech
Taste
**Swallowing **- bolus pushed by the tongue into the pharynx closing the nasopharynx - **pharynx reflex action **
Name THREE glands that produce saliva.
Parotid
Sublingual
Submandibular
Describe how saliva production is affected by:
a. Parasympathetic nervous system
b. Sympathetic nervous system
a. Parasympathetic nervous system
Saliva release is stimulated
b. Sympathetic nervous system
Saliva release is inhibited leading to dry mouth
List TWO enzymes found in saliva.
Amylase
Lysozymes
Name ONE immunoglobulin found in saliva.
IgA
Low IgA when stressed which is why the mouth is often compromised when stressed.
Is saliva mildly acidic or mildly alkaline?
Mildy acidic
Mildy acidic
Name FOUR functions of saliva.
Secretion of enzymes
Lubrication
Immune function – defence
Cleansing or oral cavity
Releases bicarbonate as an acid buffer
In relation to the digestive system, what is the role of the ‘epiglottis’?
It is a flap of cartilage that stops food entering the trachea
Describe the function of the lower oesophageal sphincter.
Acts as a seal to prevent acid and the contents of the stomach from entering the oesophagus
Name TWO sphincters in the stomach.
Lower Oesophageal at the top – Entry sphincter
Pyloris at the bottom – Exit sphincter
What is the pH of the stomach?
2-3
Name TWO substances secreted by the parietal cells in the stomach.
- ## Intrinsic Factor to allow B12 to connect and thus be absorbed by the small intestine
- Hydrochloric Acid (HCL) – H and CL and secreted separately in the stomach and then join up. They are too acidic to join together earlier because only the stomach has the capacity to handle such high acid levels.
What role does hydrochloric acid (HCL) play in the following:
a. Protein digestion – activates an enzyme called pepsinogen which is only activated in the presence of HCL where it is converted to pepsin that helps to digest proteins
b. Ingested iron is converted into a soluble form
c. Bile and pancreatic juice flow - HCL is detected by the duodenum and this triggers release Choleycystokinin (CCK) which in turn tells the pancreas to release proteases for digestion
What are the three types of exocrine cells in the stomach and what do they secrete?
Parietal cells secrete Intrinsic Factor and HCL
Goblets cells secrete mucus
Chief cells secrete pepsinogen and Gastric Lipase
Name ONE vitamin and ONE mineral used to make HCL.
Vitamin B6 and Zinc. Therefore if you are deficient in these it could explain low stomach acid.
List FOUR functions of the stomach.
- Chemical and mechanical digestion
- Mixing chamber for churning up food
- Holding reservoir – storage
- Defence due to high acidity – not much survives
- Makes iron and calcium into a form you can better absorb