CH 26 Flashcards
Digestive system
Digestive system functions
- Ingestion
- Digestion
- Propulsion
- Secretion
- Absorption
- Elimination
Ingestion
Introduction of solid and liquid materials into the oral cavity (mouth); first process of digesting and absorbing nutrients
Digestion
Breakdown of nutrients into molecules that can be absorbed
Propulsion
Movement of contents through smooth muscle of organs
Secretion
Process of producing and releasing mucin or fluids like acids, bile, or digestive enzymes
Mucin is protective. It mixes with water to produce mucus, which coats the GI wall to protect and lubricate it against acidic secretions and abrasion from passing materials
Absorption
Passive or active transport of electrolytes, digestion products, vitamins, and water across the GI tract epithelium into GI tract blood and lymph vessels
Elimination
Undigestible material that cannot be absorbed becomes waste product and is expelled as feces during the process of defecation
Organs of the digestive system
- Digestive organs
- Accessory digestive organs
Digestive tract/ Gastrointestinal (GI) tract/ alimentary canal
Continuous tube including the oral cavity (mouth), pharynx (throat), esophagus, stomach, small intestine, large intestine, anal canal, and anus
Contraction of muscle in the tract propels material
Tract/ canal
All organs connected in sequence
The entire GI tract is lined by a(n) _________
mucous membrane
Accessory digestive organs
Connected to the GI tract and typically develop as outgrowths of the tract; Assists the GI tract in digestion of materials
- Teeth
- Tongue
- Salivary glands
- Liver
- Gallbladder
- Pancreas
Muscular contractions in the GI tract
- Peristalsis
- Segmentation
Peristalsis
Wave of muscular contraction that moves material through the GI tract
Segmentation
Churning and mixing of materials in the small intestine; disperses the material that is being digested
Digestive processes
- Mechanical
- Chemical
Mechanical digestion
Physically breaks down large food items into smaller pieces
Includes mastication (chewing), segmentation
Chemical digestion
Breakdown of larger molecules into smaller molecules by digestive enzymes
Mouth/ oral cavity
Entrance to the GI tract, initial site of mechanical digestion (via mastication) and chemical digestion (via an enzyme in saliva)
Lining is nonkeratinized stratified squamous - protects against abrasion. Also lines esophagus, oropharynx, and laryngopharynx
2 regions of oral cavity
- Oral cavity proper
- Vestibule
Oral cavity proper
Central to alveolar processes of mandible and maxilla
Vestibule
Space between the teeth and mouth
Structures of the mouth
- Cheeks
- Roof of mouth
- Gums
- Lips
- Fauces
Buccae/ cheeks
Buccinator muscle compresses the cheeks against the teeth to hold solid material in place while chewing
Palate/ roof of mouth
- Hard
- Soft
Hard palate
- Hard and bony
- Anterior 2/3 of palate
- Formed by palatine processes of maxillae and horizontal plates of palatine bones
- Dense CT and nonkeratinized stratified squamous ET
- Has transverse palatine folds/ friction ridges to assist the tongue in manipulating ingested material prior to swallowing
- Separates nasal and oral cavities
Soft palate
- Posterior 1/3
- Soft and muscular
- Mostly skeletal muscle and nonkeratinized stratified squamous ET
- Conical projection: uvula
- Uvula and soft palate elevate when we swallow to close off the posterior entrance to the nasopharynx
Gingivae/ gums
Dense irregular CT with overlaid nonkeratinized stratified squamous ET
Surrounds neck of teeth and cover alveolar processes
Labia/ lips
Form anterior wall of oral cavity
Red color from abundance of superficial blood vessels and reduced amount of keratin within the outer ET layer
Fauces
Opening between the oral cavity and oropharynx
Saliva
Fluid consisting of serous fluid and mucous that assists in initial process of digestion
- Moistens ingested food into bolus
- Moistens, cleans, and lubricates oral cavity
Serous fluid
Watery fluid containing digestive enzymes
Mucous
Helps hold food particles together and makes bolus slippery
Bolus
Clump of food that is easier to swallow
3 major salivary glands
- Parotid
- Sublingual
- Submandibular
Secretes saliva
Minor salivary glands
- Gingival
- Lingual: surface of tongue
- Buccal
- Labial
- Palatal
Parotid salivary gland
- Largest of the salivary glands
- Anterior to ear
- 25-30% of saliva
- Parotid duct secretes into vestibule near upper 2nd molar
- Only serous secretions
Sublingual salivary gland
- Smallest of the salivary glands
- Inferior to tongue
- Sublingual duct secretes to floor of oral cavity
- 3-5% of saliva
- Serous and mucous secretions
Submandibular salivary gland
- Inferior to mandibular body
- Secretes largest percentage of saliva: 60-70%
- Submandibular duct opens lateral to lingual frenulum
- Serous and mucous secretions
Teeth
- Collectively known as dentition
- Responsible for mastication
Regions of teeth
- Crown
- Root
- Cervical region
Crown
Exposed, visible part of tooth
Cervical region/ Neck
Between root and crown, around the gum line
Root
Part of teeth embedded in bone; Anchors tooth to jaw
Tissues of teeth
- Enamel
- Dentin
- Pulp
- Cementum
- Periodontal ligament
Enamel
- Hardest substance in body, composed of calcium phosphate crystals
- Forms crown
Cementum
Ensheaths root of teeth
Dentin
- Most of teeth
- Harder than bone
- Deep to cementum and enamel
Pulp
Connective tissue that is in the center pulp cavity of tooth
Periodontal ligament/ membrane
Collagen fibers that hold the teeth in place; most sensitive part of tooth
Sets of teeth
- 20 deciduous/ primary teeth (6-30 months) – no premolar or 3rd molar
- 32 secondary/ permanent teeth
Types of teeth
- Incisors
- Canine/ cuspid
- Premolars/ bicuspid
- Molar
Incisor
- Most anteriorly placed teeth
- Chisel shaped
- Single root
- Slice or cut into food
Canine/ cuspid
- Pointed tip
- Posterolateral to incisors
- Puncture or tear food
Cusp
Prominent ridges used to crush or grind ingested materials
Premolar/ bicuspids
- Posterolateral to canines
- Flat crown with cusps
- Crush or grind food
- 1 or 2 roots
Molar
- Thickest, most posteriorly placed teeth
- Large, broad, flat crown with cusps
- Crush or grind food
- 3+ roots
Pharynx
Common space used by digestive and respiratory system
Steps of swallowing
Food is broken down mechanically and chemically
1) Bolus formed
2) Bolus is pushed to oropharynx by tongue against hard palate
3) Swallowing reflex is stimulated
4) Nasal cavities, trachea, and oral cavity are closed off by soft palate and uvula
5) Bolus enters oropharynx, larygnopharynx, and esophagus
Layers of alimentary canal from esophagus to large intestine
- Mucosa
- Submucosa
- Muscularis
- Serosa or adventitia
Mucosa/ mucous membrane
Innermost layer of alimentary canal
- Epithelium
- Lamina propria
- Muscularis mucosae
Epithelium of mucosa
Inner superficial layer lining lumen of alimentary canal, usually simple columnar or nonkeratinized stratified squamous
Lamina propria
Underlying areolar CT
Muscularis mucosae
Relatively thin layer of smooth muscle
Submucosa
- Blood vessels
- Glands (secretes mucin)
- Submucosal/ Meissner’s plexus
Tissue of submucosa
Dense irregular or areolar CT
Submucosal/ Meissner plexus
Nerve fibers and associated ganglia (sensory neurons, sympathetic postganglionic axons, parasympathetic ganglia); component of enteric nervous system
Muscularis
- Inner circular layer (smooth muscle)
- Outer longitudinal layer (smooth muscle)
- Myenteric/ Auerbach’s plexus
Myenteric/ Auerbach’s plexus
Controls smooth muscle layers of muscularis
Adventitia/ serosa
Adventitia: fibrous CT/ areolar CT with dispersed collagen and elastic fibers
Serosa: adventitia but covered visceral peritoneum; serous membrane
Esophagus
- Tubular pathway that moves food from the laryngopharynx to stomach by peristalsis
- Passes through the esophageal hiatus in diaphragm to connect to the stomach
- Travels posterior to trachea
Wall of esophagus
- Mucosa : stratified squamous epithelium, lamina propria, muscularis mucosae
- Submucosa: blood vessels, glands, submucosal plexus
- Muscularis: upper 1/3 all skeletal muscle, middle 1/3 skeletal and smooth muscle, lower 1/3 all smooth muscle
- Adventitia
Esophageal sphincter
- Superior esophageal sphincter
- Inferior esophageal/ cardiac sphincter
Superior esophageal sphincter
At junction of laryngopharynx and esophagus; closes during inhalation preventing air from entering the GI tract
Inferior esophageal/ cardiac sphincter
At junction of esophagus and stomach; prevents materials from regurgitating from stomach into esophagus
Stomach
- Left upper quadrant of abdomen
- Continues mechanical and chemical digestion of food (secretes digestive enzyme)
- Some absorption occurs across the stomach lining (water, simple drugs, some drugs)