Ch. 9: The Digestive System Flashcards

1
Q

defn: intracellular digestion (+ what process is this a part of)

A

part of metabolism

involves the oxidation of glucose and fatty acids for energy

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2
Q

defn + loc: extracellular digestion

A

the process by which nutrients such as glucose and fatty acids are obtained from food

occurs within the lumen of the alimentary canal

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3
Q

why is the lumen of the alimentary canal technically outside of the body?

A

because the lumen of the GI tract communicates directly with the outside world

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4
Q

def: alimentary canal

A

runs from the mouth to the anus, sectioned off by sphincters

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5
Q

defn: sphincter

A

circular smooth muscles around the canal that can contract to allow compartmentalization of function

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6
Q

defn: digestion vs. absorption

A

DIGESTION = the breakdown of food into its constituent organic molecules

ABSORPTION = the transport of products of digestion from the digestive tract into the circulatory system for distribution to the body’s tissues and cells

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7
Q

what are the constituent organic molecules that digestion can break food into? + what specific part of food do they come from? (3)

A
  1. starches and other carbs into monosaccharides
  2. lipids (fats) into free fatty acids and glycerol
  3. proteins into amino acids
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8
Q

defn: mechanical digestion

A

the physical breakdown of large food particles into smaller food particles (no breaking of chemical bonds)

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9
Q

defn: chemical digestion

A

the enzymatic cleavage of chemical bonds (i.e. the peptide bonds of protein or the glycosidic bonds of starches)

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10
Q

pathway: the digestive tract (7) + what are the 4 other body parts that help to provide the enzymes and lubrication necessary to aid in digestion?

A
  1. oral cavity (mouth)
  2. pharynx
  3. esophagus
  4. stomach
  5. small intestine
  6. large intestine
  7. rectum

FOUR OTHERS
1. salivary glands
2. pancreas
3. liver
4. gallbladder

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11
Q

defn: pharynx

A

a shared pathway for both food entering the digestive system and air entering the respiratory system

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12
Q

func: rectum

A

waste products of digestion enter here

where feces are stored until an appropriate time of release

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13
Q

defn: enteric nervous system

A

a collection of one hundred million neurons that govern the function of the GI system

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14
Q

func + loc: neurons of the enteric nervous system

A

LOC: walls of the digestive tract

FUNC: trigger peristalsis

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15
Q

defn: peristalsis

A

rhythmic contractions of the gut tube in order to move materials through the system

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16
Q

can the enteric nervous system function independently of the brain and spinal cord?

A

yes, but its heavily regulated by the autonomic nervous system

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17
Q

what is the impact of the parasympathetic nervous system on the digestive system? (2)

A
  1. stimulation of digestive activities, increasing secretions from exocrine glands and promoting peristalsis
  2. sleepy and lethargic after eating a big meal
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18
Q

what is the impact of the sympathetic nervous system on the digestive system (2)?

A
  1. inhibition of digestion, peristalsis
  2. bloodflow decreased to digestive tract
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19
Q

what impact do ADH and aldosterone have on ingestion?

A

they trigger the sensation of thirst –> encourages the behavior of fluid consumption

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20
Q

what impact do glucagon and ghrelin have on ingestion?

A

stimulate feelings of hunger

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21
Q

what sections of the digestive system does digestion occur through?

A
  1. oral cavity
  2. stomach
  3. duodenum
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22
Q

does the oral cavity play a role in mechanical or chemical digestion of food?

A

both!

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23
Q

defn: mastication

A

chewing

mechanical digestion in the mouth involving the breaking up of large food particles into smaller particles using the teeth, tongue, and liips

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24
Q

how does chewing increase enzymatic digestion?

A

chewing helps to increase the surface area-to-volume ratio of the food, creating more surface area for enzymatic digestion

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25
Q

what is the role of saliva in mechanical and chemical digestion?

A

CHEMICALLY –> the breakdown of chemical bonds in the macromolecules relies on enzymes from saliva

MECHANICALLY –> adds mechanical digestion by moistening and lubricating food

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26
Q

how is saliva production stimulated (2)?

A
  1. presence of food in the oral cavity triggers a neural circuit that ultimately leads to increased parasympathetic stimulation of the salivary glands
  2. signals that food is near (smell, sight)
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27
Q

func + aka + where is this: salivary amylase

A

aka: ptyalin

where is this: saliva

hydrolyzes starch into smaller sugars (maltose and dextrins)

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28
Q

func + where is this: lipase

A

where is this: saliva

catalyzes the hydrolysis of lipids

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29
Q

defn: bolus

A

food forms into a bolus by our muscular tongue

forced back to the pharynx and swallowed

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30
Q

defn: pharynx

A

the cavity that leads from the mouth and posterior nasal cavity to the esophagus and also connects to the larynx

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31
Q

what are the 3 parts of the pharynx + where are they located?

A
  1. nasopharynx (behind the nasal cavity)
  2. oropharynx (at the back of the mouth)
  3. laryngopharynx (above the vocal cords)
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32
Q

defn + func + what happens if it doesnt work: epiglottis

A

a cartilaginous stricture that folds down to cover the laryngeal inlet

prevents food from entering the larynx during swallowing

failure: aspiration of food and choking

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33
Q

defn: esophagus

A

a muscular tube that connects the pharynx to the stomach

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34
Q

what type of muscle is the esophagus composed of?

A

top third: skeletal muscle
bottom third: smooth muscle
middle third: mix of both

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35
Q

how does the types of muscle that the esophagus is composed of impact nervous control?

A

top of esophagus: under somatic (voluntary) motor control
bottom: under autonomic (involuntary) nervous control

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36
Q

defn: peristalsis

A

the rhythmic contraction of smooth muscle that propels food toward the stomach

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37
Q

what is vomiting in relation to peristalsi?

A

the opposite! reversal of peristalsis

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38
Q

what are 4 things that can lead to vomiting?

A
  1. exposure to chemicals
  2. infectious agents
  3. physical stimulation in the posterior pharynx
  4. cognitive stimulation
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39
Q

where is swallowing initiated?

A

the upper esophageal sphincter (the muscles of the oropharynx)

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40
Q

func: lower esophageal sphincter

A

as the bolus approaches a stomach, this muscular ring relaxes and opens to allow the passage of the food

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41
Q

where is the chemical digestion of carbohydrates and fats initiated?

A

in the mouth

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42
Q

does any digestion take place in the esophagus?

A

not really! except for the continued enzymatic activity initiated in the mouth by salivary enzymes

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43
Q

defn: stomach

A

a highly muscular organ with a capacity of approx. 2 liters that uses hydrochloric acid and enzymes to digest food (creating a harsh environment)

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44
Q

why is the mucosa of the stomach thick?

A

to prevent autodigestion

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45
Q

what are the four main anatomical divisions of the stomach and what kind of glands do they contain?

A

contain gastric glands: 1. fundus 2. body

contain pyloric glands: 3. antrum 4. pylorus

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46
Q

which is the lesser and greater curvature of the stomach?

A

internal: lesser

external: greater

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47
Q

defn: rugae

A

folds of the stomach that holds the lining of the stomach

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48
Q

func: gastric glands

A

respond to signals from the vagus nerve of the parasympathetic nervous system which is activated by the brain in response to the sight, taste, and smell of food

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49
Q

what are the three different cell types that gastric glands have?

A
  1. mucous cells
  2. chief cells
  3. parietal cells
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50
Q

func: mucous cells

A

produce the bicarbonate-rich mucus that protects the muscular wall from the harshly acidic and proteolytic environment of the stomach

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51
Q

defn: gastric juice

A

a combination of secretions from two cell types in the gastric glands: chief cells and parietal cells

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52
Q

func: chief cells

A

secrete pepsinogen

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53
Q

defn: pepsinogen

A

the inactive, zymogen form of pepsin (a proteolytic enzyme)

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54
Q

func (2): parietal cells

A

secrete hydrogen ions in the form of hydrochloric acid which cleave pepsinogen into pepsin

secrete intrinsic factor

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55
Q

func: pepsin

A

digests proteins by cleaving peptide bonds near aromatic amino acids, resulting in short peptide segments

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56
Q

what pH are most human enzymes activated at? what pH is pepsin activated at?

A

most human enzymes: physiological pH

pepsin: low pH (activated by an acidic environment)

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57
Q

what is the one harmful bacteria that stomach acid does NOT kill? and what are the effects of this bacteria?

A

H. pylori

usually asymptomatic, can cause inflammation, ulcers, and certain gastric cancers

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58
Q

defn: intrinsic factor

A

a glycoprotein involved in the proper absorption of vitamin B12

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59
Q

what are the six products that the stomach secretes and what are their main functions?

A
  1. HCl –> kills microbes, denatures proteins, and converts pepsinogen into pepsin
  2. Pepsinogen –> cleaved in the stomach to pepsin; an enzyme that partially digests proteins
  3. mucus –> protects mucosa
  4. bicarbonate –> protects mucosa
  5. water –> dissolves and dilutes ingested material
  6. intrinsic factor –> required for normal absorption of vitamin B12
60
Q

func + loc: G-cells

A

loc: pyloric glands
func: secrete gastrin

61
Q

defn + func: gastrin

A

a peptide hormone

induces the parietal cells in the stomach to secrete more HCl and signals the stomach to contract, mixing its contents

62
Q

defn: chyme

A

an acidic, semifluid mixture that results from the digestion of solid food in the stomach

63
Q

what allows for maximal absorption of nutrients from chyme in the small intestine?

A

the combined mechanical and chemical digestive activities of the stomach results in a significant increase in the surface area of the food particles

64
Q

char (2): small intestine

A
  1. 3 segments (duodenum, jejunum, ileum)
  2. long (up to 7 m)
65
Q

where does the majority of chemical digestion occur in the small intestine? where does the majority of absorption occur in the small intestine?

A

DIGESTION: duodenum

ABSORPTION: jejunum and ileum

66
Q

where does the food go after it leaves the stomach?

A

it leaves the stomach through the pyloric sphincter and enters the duodenum

67
Q

what causes the release of brush-border enzymes in the duodenum?

A

the presence of chyme in the duodenum

68
Q

what are 2 groups + 5 specific brush-border enzymes?

A
  1. disaccharides (maltase, isomaltase, lactase, sucrase)
  2. peptidases (dipeptidase)
69
Q

func + location: brush-border enzymes

A

present on the luminal surface of cells lining the duodenum

break down dimers and trimers of biomolecules into absorbable monomers

70
Q

what 2 other things does the duodenum secrete + what do they do?

A
  1. enteropeptidase (involved in the activation of other digestive enzymes from the accessory organs of digestion)
  2. hormones like secretin and cholecystokinin (CCK) into the bloodstream
71
Q

func + 4 specifics: disaccharidases

A

DIGEST disaccharides

maltase digests maltose

isomaltase digests isomaltose

lactase digests lactose

sucrase digests sucrose

72
Q

what happens after disaccharides are broken down?

A

bacteria in the intestines are able to hydrolyze that disaccharide, producing methane gas as a byproduct

73
Q

what impact do undigested disaccharides have?

A

an osmotic effect, pulling water into the stool and causing diarrhea

this is why people who are lactose intolerant have symptoms of bloating, flatulence, and diarrhea after ingesting dairy products

74
Q

func: peptidases

A

break down proteins (or peptides)

75
Q

defn + func: aminopeptidase

A

a peptidase secreted by glands in the duodenum that removes the N-terminal amino acid from a peptide

76
Q

func: dipeptidases

A

cleave the peptide bonds of dipeptides to release free amino acids

77
Q

what is a difference in how carbohydrates and proteins are broken down?

A

carbs must be broken down into MONOsaccharides for absorption

proteins can be broken down into di and tripeptides and can be absorbed

78
Q

defn + secondary func: enteropeptidase

A

an enzyme critical for the activation of trypsinogen, a pancreatic protease, to trypsin

can also activate procarboxypeptidases A and B to their active forms

79
Q

func: tryspin

A

initiates an activation cascade

80
Q

defn + secondary func: secretin

A

a peptide hormone that causes pancreatic enzymes to be released into the duodenum

also regulates the pH of the digestive tract by reducing HCl secretion from parietal cells and increasing bicarbonate secretion from the pancrease

81
Q

defn + example: enterogastrone

A

a hormone that slows motility through the digestive tract

secretin is an example

82
Q

what is the benefit of slowing motility through the digestive tract?

A

allows increased time for the digestive enzymes to act on chyme (especially fats)

83
Q

why is CCK secreted + func (2): cholecystokinin (CCK)

A

secreted in response to the entry of chyme (amino acids and fat in the chyme) into the duodenum

stimulates the release of bile and pancreatic juices and also acts in the brain, promoting satiety

84
Q

defn: bile

A

a complex fluid composed of bile salts, pigments, and cholesterol

85
Q

defn + origin + func: bile salts

A

derived from cholesterol

they are NOT enzymes, but amphipathic molecules that can emulsify fat in the digestive system

serve an important role in the mechanical digestion of fats and ultimately facilitate the chemical digestion of lipids

86
Q

why are bile salts able to serve as a bridge between aqueous and lipid environments?

A

their hydrophobic and hydrophilic regions

87
Q

why are bile salts similar to soaps?

A

in the small intestine, bile salts emulsify fats and cholesterol into micelles

88
Q

what would happen without bile?

A

fats would spontaneously separate out of the aqueous mixture in the duodenum and would not be accessible to pancreatic lipase, which is water-soluble

89
Q

why do micelles improve the work of lipase?

A

micelles increase the surface area of the fats, increasing the rate at which lipase can act

90
Q

summary: how proper fat digestion depends on both bile and lipase

A

BILE gets the fats into the solution and increases their surface area by placing them in micelles (mechanical digestion)

then LIPASE can come in to hydrolyze the ester bonds holding the lipids together (chemical digestion)

91
Q

defn + func: pancreatic juices

A

a complex mixture of several enzymes in a bicarbonate-rich alkaline solution

func: 1. this bicarb helps to neutralize acidic chyme and 2. provides an ideal working environment for digestive enzymes (which are most active around pH 8.5)
3. contain enzymes that can digest all 3 types of nutrients (carbs, fats, and proteins)

92
Q

what are the 3 accessory organs of digestion and where do they all derive from?

A
  1. pancreas
  2. liver
  3. gallbladder

all originate as outgrowths of endoderm from the gut tube during development

93
Q

endocrine func: pancreas

A

release of insulin, glucagon, and somatostatin (peptide hormones necessary for the maintenance of proper blood sugar levels)

94
Q

where is the hormonal function of the pancreas limited to?

A

cells residing in islets of Langerhans scattered throughout the organ

95
Q

defn: acinar cells

A

exocrine cells that make up the bulk of the pancreas and produce pancreatic juices

96
Q

func: pancreatic amylase

A

breaks down large polysaccharides into small disaccharides and is thus responsible for carbohydrate digestion

97
Q

func + 4 names: pancreatic peptidases

A

released in their zymogen form, but once activated are responsible for protein digestion

  1. trypsinogen
  2. chymotrypsinogen
  3. carboxypeptidases A and 4. B
98
Q

why is enteropeptidase the master switch?

A

it converts trypsinogen to trypsin, which can then activate the other zymogens and also activates procarboxypeptidases A and B

99
Q

func: pancreatic lipase

A

capable of breaking down fats into free fatty acids and glycerol

100
Q

where do all exocrine cells secrete their products into?

101
Q

where to pancreatic juices go?

A

they are transferred to the duodenum via a duct system that runs along the middle of the pancreas

these ducts then empty into the duodenum through the major and minor duodenal papillae

102
Q

diagram: pancreas anatomy

103
Q

summary (5): liver functions

A
  1. processing and synthesis of nutrients (glycogenesis and glycogenolysis, storage and mobilization of fats, gluconeogenesis)
  2. production of urea
  3. detoxification of chemicals
  4. production of bile
  5. synthesis of albumin and clotting factors
104
Q

what are the 2 unique structures that the liver has for communicating with the digestive system?

A
  1. bile ducts
  2. hepatic portal vein
105
Q

func: bile ducts

A
  1. connect the liver with the gallbladder and the small intestine
  2. bile is produced in the liver and travels down these bile ducts where it may be stored in the gallbladder or secreted into the duodenum
106
Q

func: hepatic portal vein

A

the liver receives all blood draining from the abdominal portion of the digestive tract through the hepatic portal vein

107
Q

explain how nutrient-rich blood can be processed by the liver before draining into the inferior vena cava

A
  1. the liver takes up excess sugar to create glycogen, the storage form of glucose
  2. the liver stores fats as triacylglycerols
  3. the liver can also reverse these processes, producing glucose for the rest of the body through glycogenolysis and gluconeogenesis and mobilizing fats in lipoproteins
108
Q

what does the liver detoxify (2 categories + examples of each)

A
  1. endogenous compounds (those made in the body)
    - ex: liver converts ammonia (a toxic waste product of amino acid metabolism) to urea (which can be excreted by the kidneys)
  2. exogenous compounds (those brought in from the environment)
    - ex: alcohol and medications
109
Q

defn + origin: bilirubin

A

the major pigment in bile

a byproduct of the breakdown of hemoglobin

110
Q

what happens to bilirubin when it travels to the liver?

A

it is conjugated (attached to a protein) and secreted into the bile for excretion

111
Q

what happens if the liver is not able to process or excrete bilirubin?

A

jaundice may occur

112
Q

what 2 important proteins does the liver synthesize + what are the funcs of these proteins?

A

ALBUMIN = maintains plasma oncotic pressure and serves as a carrier for many drugs and hormones

CLOTTING FACTORS = used during blood coagulation

113
Q

location + func: gallbladder

A

located just beneath the liver

both stores and concentrates liver

114
Q

what happens to the gallbladder upon release of CCK? (2)

A
  1. the gallbladder contracts and pushes bile out into the biliary tree
  2. the bile duct system merges with the pancreatic duct before emptying into the duodenum
115
Q

defn: stone formation

A

precipitation of a solid once its concentration has reached the Ksp of the compound

116
Q

why is stone formation praricularly common in the gallbladder?

A

because bile is concentrated there

117
Q

char (3): stone formation in the gallbladder

A
  1. usually cholesterol or bilirubin stones
  2. causes gallbladder inflammation
  3. the stones may travel into the ducts and get stuck in the biliary tree
118
Q

cause: pancreatitis

A

stones from the gallbladder can get caught just before entering the duodenum, resulting in blockage of the biliary tree and the pancreatic duct

119
Q

diagram: summary of digestive processes

120
Q

table: function of various digestive enzymes and bile (p. 358)

121
Q

defn: villi

A

small, finger-like projections from the epithelial lining that line the small intestine

122
Q

func (3) + diagram: microvilli

A

on each villus

  1. drastically increases the surface area available for absorption
  2. capillary bed at the middle of each villus for absorption of water-soluble nutrients
  3. lacteal in the middle of each villus (a lymphatic channel that takes up fats for transport into the lymphatic system)
123
Q

how are simple sugars (glucose, fructose, galactose, and amino acids) absorbed?

A
  1. by secondary active transport and facilitated diffusion into the epithelial cells lining the small intestine
  2. they then move across the epithelial cell membrane into the intestinal capillaries
  3. blood constantly passing by the epithelial cells carries the carbs and amino acids away
  4. carbs and amino acids diffuse from the epithelial cells into the capillaries
  5. the absorbed molecules then go to the liver via the hepatic portal circulation
124
Q

what effect does the following have: blood constantly passing by the epithelial cells carries the carbs and amino acids away

A

this creates a concentration gradient such that the blood always has a lower concentration of monosaccharides and amino acids than inside the epithelial cells

125
Q

how are short-chain fatty acids absorbed?

A

they follow the same process as carbs and amino acids by diffusing directly into the intestinal capillaries

they do not require transporters because they are nonpolar, so they can easily traverse the cellular membrane

126
Q

how are larger fats, glycerol, and cholesterol absorbed? (4 steps)

A
  1. they move separately into the intestinal cells but then reform into triglycerides
  2. the triglycerides and esterified cholesterol molecules are packaged into chylomicrons
  3. chylomicrons enter the lymphatic circulation through lacteals (small vessels that form the beginning of the lymphatic system) instead of entering the bloodstream
  4. these lacteals converge and enter the venous circulation at the thoracic duct in the base of the neck, which empties into the left subclavian vein
127
Q

what part of the digestive tract are vitamins absorbed by?

A

the small intestine

128
Q

what are the 4 fat-soluble vitamins? what are the water-soluble vitamins?

A

fat-soluble: A, D, E and K

water-soluble: all other (B complex and C)

129
Q

how are fat-soluble vitamins absorbed?

A

they dissolve directly into chylomicrons to enter the lymphatic circulation

130
Q

how are water-soluble vitamins absorbed?

A

they are taken up, along with water, amino acids, and carbohydrates, across the endothelial cells of the small intestine, passing directly into the plasma

131
Q

what is the last thing other than fats, carbs, amino acids, and vitamins that the small intestine absorbs?

132
Q

char (4): secretions (water)

A
  1. much of the water in chyme is a result of these
  2. secretions into the upper GI tract may total up to 7 liters of fluid per day
  3. much of this must be reabsorbed by osmosis in order to maintain proper fluid levels within the body
  4. as solutes are absorbed int the bloodstream, water is drawn with them, eventually reaching the capillaries
133
Q

what are the 2 ways that water passes to reach the blood?

A

transcellularly (across the cell membrane)

paracellularly (squeezing between the cells)

134
Q

main func: large intestine

A

water absorption

135
Q

in what ways is the large intestine larger than the small intestine? in what ways is it not?

A

larger diameter
shorter length

136
Q

what are the 3 major sections of the large intestine?

A
  1. cecum
  2. colon
  3. rectum
137
Q

defn: cecum

A

an outpocketing that accepts fluid exiting the small intestine through the ileocecal valve

138
Q

defn + func: appendix

A

a small finger-like projection that was once thought to be vestigial and is attached to the cecum

may have a role in warding off certain bacterial infections and repopulating the large intestine with normal flora after diarrhea

139
Q

main func: colon

A

to absorb water and salts from the undigested material left over from the small intestine

concentrates the remaining material to form feces

140
Q

what causes diarrhea or constipation?

A

too little or too much water absorption, respectively

141
Q

function: rectum

A

storage site for feces

142
Q

what is feces composed of?

A

indigestible material, water, bacteria, and certain digestive secretions that are not reabsorbed (enzymes, bile)

143
Q

defn: anus

A

the opening through which wastes are eliminated and consists of the internal and external anal sphincters

144
Q

func: external vs. internal anal sphincter

A

external: under voluntary control (somatic)

internal: under involuntary control (autonomic)

145
Q

are most bacteria in the large intestine anaerobes or aerobes?

A

most are anaerobes, but there are many aerobes in the cecum

146
Q

explain: the symbiotic relationship of the presence of bacteria in the colon

A

the bacteria are provided with a steady food source and the byproducts of bacteria are beneficial to humans