Chapter 16- The Digestive System Flashcards
What is the primary function of the digestive system?
-Transfer nutrients, water and electrolytes from ingested food into body’s internal environment
What are the four general functions of the digestive system?
- Motility
- Secretion
3.Digestion
4.Absorption
What is motility?
Muscular activity to mix and move contents
What are the two types of digestive motility?
- Propulsive movements
- Mixing movements
What are propulsive movements?
Push contents forward through the digestive tract
What are mixing movements?
Have two functions:
1. Mixing food with digestive juices promotes digestion of foods
2. Absorption
What do exocrine glands (neural and hormonal stimulation) secrete into the digestive tract lumen?
Digestive secretions
What are digestive secretions?
-Water
-electrolytes
-specific organic constituents
What happens to digestive secretions once they have participated in digestion?
Reabsorbed in one form or another back into blood
What is digestion?
Biochemical breakdown of structurally complex foodstuffs into smaller, absorbable units
What allows digestion to be accomplished?
Digestive enzymes
What are carbohydrates absorbable unit?
Monosachharides
What are proteins absorbable units?
Amino acids
What are fats absorbable units?
Glycerol and fatty acids
How are most carbohydrates consumed in one’s diet?
As disaccharides or polysaccharides
What are examples of disaccharides or polysaccharides?
Sucrose
Lactose
Maltose
Starch
Glycogen
Cellulose (not digested –
“fibre”)
What kind of carbohydrates are absorbed by the intestinal cells for use in the body?
Monosaccharides
What must Disaccharides and polysaccharides be digested into before they can be absorbed?
Must be digested into monosaccharides
What are carbohydrates?
Simple sugars
C6H12O6
What is the chemical structure of a disaccharide/double sugar?
2 monosaccharides linked together
What is the chemical structure of a polysaccharide?
Many sugar molecules linked together
What are proteins first broken down into?
peptide fragments
What are peptide fragments further digested into?
Free amino acids
What happens to free amino acids during protein digestion?
The free amino acids enter epethial cells to be absorbed along with shorts chains of 2-3 a.a are also absorbed
What are most dietary fats?
Triglycerides
Glycerol + 3 fatty acids
What does the digestion of triglycerides produce?
2 free fatty acids and a monoglyceride
What is absorption?
Occurs in small intestine, small absorbable units along with water, vitamins and electrolytes from digestive tract are transferred into lumen then into blood or lymph.
What are the parts of the digestive tract?
Mouth
Pharynx
Esophagus
Stomach
Small intestine
Duodenum
Jejunum
Ileum
Large intestine
Cecum
Appendix
Colon
Rectum
Anus
What are the accessory digestive organs?
Salivary glands
Exocrine: pancreas
Bilary system: Liver and gallbladder
What are the four major tissue layers of the digestive tract wall? (innermost to outermost)
- Mucosa
- Submucosa
- Muscularis externa
- Serosa
What is the mucosa?
Layer that line the luminal surface
has 3 layers
How does the mucosa increase surface area?
It has a highly folded surface
What are the 3 layers of the mucosa?
- Mucous membrane
- Lamina propria
- Muscularis mucosa
What is the mucosa’s mucous membrane function?
-Protection
-Modified for secretion and absorption
What does the mucosa’s mucous membrane contain?
a. Exocrine gland cells
b. Endocrine gland cells
c. Epithelial cells
What is the function of exocrine gland cells (mucous membrane)?
Secrete digestive juices
What is the function of endocrine gland cells (mucous membrane)?
Secrete blood-borne gastrointestinal hormones
What is the functions of epethielial cells (mucous membrane)?
specialized for absorbing digestive nutrients
What is the function of the mucosa’s lamina propria?
Houses GALT
What is GALT?
Gut-Associated Lymphoid Tissue
-Defend against disease-causing intestinal bacteria
What is the mucosa’s muscularis mucosa?
Sparse layer of smooth muscle
What is the anatomy of the Submucosa?
Thick layer of connective tissue
What is the function of the submucosa?
Provides digestive tract with distensibility and elasticity
What does the submucosa contain?
-Larger blood and lymph vessels
-Nerve network: Submucosal plexus
What is the Muscularis Externa?
Major smooth muscle coat of digestive tube
What are the 2 layers of the Muscularis externa?
- Circular layer
- Longitudinal layer
What is the circular layer of the muscularis externa?
-Inner layer
-Contraction —> decrease diameter of lumen
What is the longitudinal layer of the muscularis externa?
-Outer layer
-Contraction —> shorten the tube
Contractile activity of the muscularis externa produces what?
propulsive and mixing movements
What cells are found between the two muscle layers of the muscularis externa?
Pacemaker cells called Interstitial cells of Cajal
What are Interstitial cells of Cajal?
Origin of rhythmic electrical activity (BER)
-Basic Electrical Rhythm
What nerve network lies between the two muscle layers of the muscularis externa?
Myenteric plexus
What is the function of the serosa?
Secrete serous fluid
What does serous fluid do?
Lubricates and prevents friction between digestive organs and surrounding viscera
What is the serosa continuous with throughout most of the tract?
Continous with the mesentery
What does the attachment of the serosa and mesentery do?
Provides relative fixation
Supports digestive organs (during mixing/propulsive movements)
What is digestive motility and secretion regulated by?
-Autonomous smooth muscle functions
-Intrinsic nerve plexuses
-Extrinsic nerves
-Gastrointestinal hormones
What autonomous smooth muscle functions help regulate digestive system functions?
Interstitial cells of Cajal (BER)
What are the intrinsic nerve plexuses that help regulate digestive system functions?
Enteric NS= Myenteric + submucosal plexuses
Other sensory and motor functions
What extrinsic nerves help regulate digestive system functions?
Nerves from the ANS
What gastrointestinal hormones help regulate digestive system functions?
a. Gastrin
b. Other hormones from the brain
What parts of the digestive tract do the things regulating digestive system functions act on?
- Smooth muscle
- Exocrine gland cells
- Endocrine gland cells
What are the parts of the oral cavity?
-Lips
-Palate
-Tongue
-Pharynx
-Teeth
What is the function of the lips?
-Forms an opening
-Helps procure, guide and contains food in the mouth
-Important for speech
-Tactile sensation
What is the function of the tongue?
-Forms floor of oral cavity
-Movements of skeletal muscle aid in chewing and swallowing
-Important for speech
-Taste buds
What is the function of the palate?
-Forms the roof of the oral cavity
-Contains uvula: seals off nasal passages during swallowing
What is the function of the pharynx?
-Passageway for digestive and respiratory systems
-Contains tonsils (lymphoid tissue)
What is the function of teeth?
CHEWING:
-Grind, break food into small pieces
-Mix food with saliva
-Stimulate taste buds
Why is it important that teeth break food into smaller pieces?
- Make swallowing easier
- Increase surface area for salivary enzymes to act on
What are the 3 pairs of salivary glands?
- Parotid
- Sublingual
- Submandibualr
How do the salivary glands secrete?
Secretion occurs when there’s a large increase in blood flow
-Per gram, have the largest secretion of any exocrine gland
What is Saliva composed of?
99.5% H2O
0.5% electrolytes and protein
What is the 0.5% of saliva composed of specifically?
Amylase
Mucous
Lysozyme
What does amylase do?
Begins digestion of carbs
Polysaccharides —> Disaccharides
What does mucus (in saliva) do?
Provides lubrication
What does lysozyme do?
-Antibacterial action by destroying bacteria
What antibacterial action does saliva have other than lysozyme?
Saliva rinses away material that could be a food source for bacteria
How does saliva stimulate taste buds?
Is a solvent for molecules that stimulate taste buds
What other functions does saliva have?
-Moistens food making it easier to swallow
-Makes movements of lips/tongue easier for speech
-helps keep mouth and teeth clean
-Rich in bicarbonate buffers
What stimulates saliva secretion?
- Presssure receptors and chemoreceptors in the mouth
- Thinking, seeing and smelling food signals the cerebral cortex
-triggers salivary centre in medulla
What is swallowing?
Motility associated with pharynx and esophagus
What kind of reflex is swallowing?
Sequentially programmed all-or-none reflex
-Most complex reflex
How is swallowing initiated?
When bolus is voluntarily forced by tongue to rear of mouth into pharynx
-Once initiated cannot be stopped
What is the esophagus?
Fairly straight muscular tube extending between the pharynx and stomach
What does the esophagus have at each end?
Sphincters
What are the two sphincters of the esophagus?
- Pharyngoesophageal sphincter
- Gastroesophageal sphincter
What is the function of the Pharyngoesophageal sphincter?
Prevents large volumes of air from entering esophagus and stomach during breathing
What is the Gastroesophageal sphincter?
Prevents reflux of gastric contents
What pushes food through the esophagus?
Peristaltic waves
How is the esophagus protected?
Mucus secretions
What is the stomach?
J-shaped sac-like chamber lying between esophagus and small intestine
What are the 3 sections the stomach is divided into?
- Fundus
- Body
- Antrum
What are the two areas of the mucosa of the stomach?
- Oxyntic
- Pyloric gland area
What re the 3 main functions of the stomach?
- Store food before it goes into S.I
2.Secrete HCl and enzymes to digest proteins - Mixing movements to make chyme
What are the four aspects of gastric motility?
- Filling
- Storage
- Mixing
- Emptying
What volume can the stomach fill up to?
50ml- 1L
How does the stomach accommodate extra volume of food without rising stomach pressure?
Receptive relaxation
What part of the stomach is responsible for storage?
Body
What part of the stomach is responsible for mixing?
Antrum
-Because its a thicker muscle
How is emptying of the stomach controlled?
- Largely by factors in duodenum
- Stomach peristalsis
What are the factors in the duodenum?
- Acid
- Hypertonicity
- Distention
How is acid a factor in the duodenum?
acid in duodenum inhibits further emptying of acidic gastric contents
How is hypertonicity a factor in the duodenum?
Gastric emptying is reflexly inhibited when osmolarity of duodenal contents starts to rise
How is distention a factor in the duodenum?
Too much chyme in duodenum inhibits emptying of even more gastric contents
What can the factors in the duodenum trigger?
- Neural response
- Hormonal response
What is the neural response triggered by factors in the duodenum?
Enterogastric reflex
What collectively mediates the enterogastric reflex?
Mediated through both:
1. intrinsic nerve plexuses (short
reflex)
2. autonomic nerves (long reflex)
What is the hormonal response triggered by factors in the duodenum?
Enterogastrones hormones released from duodenal mucosa
What are enterogastrones?
Secretin
Cholecystokinin (CCK)
What additional factors can influence gastric motility?
a. Emotions
b.Intense pain
How do emotions influence gastric motility?
Sadness and fear – tend to decrease motility
Anger and aggression – tend to increase motility
How does intense pain influence gastric motility?
Inhibits motility via the SNS
What do the two area of gastric mucosa secrete?
Gastric juice
What does the Oxyntic mucosa of the stomach line?
Lines the body and fundus
What does the pyloric gland area of the stomach mucosa line?
Line the antrum
What are at the bases of gastric glands?
Gastric pits
What 3 gastric exocrine secretory cells does the Oxyntic mucosa have?
- Parietal oxyntic cells
- Chief cells
- Mucous cells
What do parietal oxyntic cells secrete?
- HCl
- Intrinsic factor (B12 absorption)
What do Chief cells (oxyntic) secrete?
Enzyme precursor: Pepsinogen
What do mucous cells (oxyntic) secrete?
Thin, watery mucous
What do mucous cells line?
Gastric pits and entrance of glands
What is the purpose of the mucous cells secretion?
-Covers gastric mucosal barrier
-Lubricant
-Prevents mechanical injury
-Protects against self-digestion via HCl and pepsin
What are the functions of Hydrochloric acid?
- Pepsinogen—>Pepsin
- Breakdown connective tissues+muscle fibres
3.Denatures proteins via pepsin - Antibacterial properties
What does Pepsin do?
Splits certain amino acid linkages in proteins into small a.a chains
What does the Pyloric gland area secrete?
Hormones/paracrine substances
1. Gastrin
2. Somatostatin
What can gastrin stimulate to release from ECL cells?
Histamine
What are the 3 phases of Gastric secretion?
- Cephalic phase
- Gastric phase
- Intestinal phase
What is the Cephalic phase of gastric secretion?
Increased secretion of HCl and pepsinogen that occurs in response to stimuli acting in the head before food reaches stomach
What is the Gastric phase of gastric secretion?
Begins when food reaches stomach
-Presence of protein increases gastric secretion
What is the Intestinal phase of gastric secretion?
aka Inhibitory phase
Shuts off flow of gastric juices as chyme begins to empty into small intestine
What is the pancreas?
Elongated gland begins and below stomach containing exocrine and endocrine tissue
What is the endocrine function of the pancreas?
Islets of Langerhans
What is the exocrine function of the pancreas?
Secrete pancreatic juice
What does pancreatic juice consist of?
3 different types of enzymes
Aqueous alkaline solution
(NaHCO3 + HCl → CO2 + NaCl + H2O)
What cells secrete enzymes in the exocrine pancreas?
Acinar cells
What cells secrete an aqueous alkaline solution in the pancreas?
Duct cells
(line pancreatic ducts)
What are the 3 enzymes acinar cells secrete?
- proteolytic
- Pancreatic amylase
- Pancreatic lipase
What are proteolytic enzymes?
Digest protein
What are 3 proteolytic enzymes (inactive forms)?
Trypsinogen
Chymotrypsinogen
Procarboxypeptidase
What are the 3 proteolytic enzymes called when converted to their active form?
Trypsinogen —-> Tripsin
Chymotrypsinogen —-> Chymotripsin
Procarboxypeptidase —-> Carboxypeptidase
What is the function of pancreatic amylase?
Converts polysaccharides —> Disaccharide maltose
What is the function of pancreatic lipase?
Only enzyme in digestive system that can digest fat
What is the function of the Aqueous NaHCO3 solution secreted by pancreatic duct cells?
Secretes into the duodenal lumen to neutralise acid
What is the liver?
Largest and most important metabolic organ in the body
-Body’s major biochemical factory
How is the liver important to the digestive system?
Secretes bile salts via gallbladder and ducts
What is bile?
Stubstance secreted by liver, diverted to gallbladder between meals
What does the gallbladder do?
Stores and concentrates bile
50mL capacity
What are bile salts?
Derivatives of cholesterol that play a role in digestion and absorption of fats
What does bile consist of?
- Bile salts
- Cholesterol
- Lecithin (phospholipid)
- Bilirubin
After a meal where does bile go?
It enters the duodenum
What do bile salts convert?
Convert large fat globules into a liquid emulsion
What are the functions of bile salts?
- Break up large fat droplets with intestinal mixing
- Increase surface area for lipase
What is a Micelle?
Water soluble structure that is a loosely bound aggregation of several tens or hundreds of atoms
What happens to bile salts and lecithin in micelle formation?
Aggregate into small clusters where the fat soluble part shuttle together to form a hydrophobic core
What is the function of micelles?
-Fat absorption
-Transport digested fats
What digested fats do Micelle’s transport?
-Monoglycerides
-Free fatty acids
-Also fat soluble vitamins e.g; Vitamin K
Where are monoglycerides + fatty acids located in a micelle?
At the centre
How does the gallbladder concentrate bile?
Salt is actively transported out, and water follows osmotically
What is the small intestine?
Site where most digestion and absorption take place
What are the 3 segments of the small intestine?
- Duodenum
- Jejunum
- Ileum
What does small intestine motility include?
-Segmentation
-Migrating motility complex
What is segmentation?
Primary method of motility
-Consists of ring-like contractions along length of small intestine
What is the action of segmentation?
Within seconds, contracted segments relax and previously relaxed areas contract to mix chyme throughout small intestine
What cells initiate segmentation in the small intestine?
Pacemaker cells that produce basic electrical rhythm (BER)
What are the frequencies of BER in the duodenum and ileum?
Duodenum ~12/min
Ileum ~9/min
What is the function of segmentation?
- Mix chyme with small intestine digestive juices
- Expose chyme to absorptive surfaces of mucosa
- Slowly move chyme through digestive tract
What happens to S.I motility when most of a meal has been absorped?
Segmentation contractions stop and migrating motility complex starts
What is migrating motility complex (MMC)?
Peristaltic wave sweeps intestines clean between meals
What does the small intestine secrete?
A juice without digestive enzymes
What is the purpose of small intestine secretion?
- Lubrication
- Salt solution
What synthesised enzymes act within brush-border membrane of epithelial cells of the small intestine?
- Enterokinase
- Disaccharidases
- Aminopeptidases
What does enterokinase do?
converts trypsinogen to trypsin
What does disaccharidase do?
converts disaccharides to monosaccharides
What are some examples of disaccharidases?
maltase, sucrase, lactase
What does aminopeptidase do?
converts peptide fragments to amino acids
What is the function of brush-border enzymes?
Complete digestion of carbohydrates and protein after pancreatic enzymes
Where is fat entirely digested by pancreatic lipase?
Within the small intestine lumen
What does the small intestine absorb?
Almost everything (in the ingested liquids and solids) presented to it
Where in the small intestine does most absorption occur?
Duodenum and jejunum
Where is Vit B12 and bile salts absorbed in the small intestine?
ileum
How does the small intestine adapt to increase surface area?
a. Inner surface has circular folds
b. Villi
c. Brush border microvilli
What are found at the base of villi that play a role in absorption? (small intestine)
Crypt
What do crypt secrete?
Water solution and new epithelial cells
How often is the lining of the S.I replaced?
Every 3 days
What molecules are reabsorbed in the S.I that is similar to a nephron?
Na+ and H2O
How is fat able to passively absorbed in the S.I?
undergo transformations
How are carbohydrates digested?
Broken down into monosaccharides via brush-border enzymes
How is glucose and galactose transported into epithelial cells?
Via Na-dependent transporters
How is fructose transported into epithelial cells?
Via Facilitated diffusion
Once inside epithelial cells, how do monosaccharides and amino acids move out of a cell to be diffused into blood?
Via carriers
How are amino acids transported into epithelial cells?
Via Na-dependent transporters
What structures help transport eructs of fat digestion (triglycerides)?
Micelles
How are fats transported to epithelial cells?
Passively
Inside epithelial cells what happens to components of triglycerides?
They reform to make intact triglycerides
What happens to the reformed triglycerides?
Packaged into larger particles called Chylomicrons
Where do Chylomicrons enter?
Centreal lacteal of the lymphatic vessel of villus
What is the large intestine?
Primarily a drying and storage organ
What are the parts of the large intestine?
Colon
Cecum
Appendix
Rectum
What are the contents that the large intestine receives from the S.I?
- Indigestible food residues
- Unabsorbed binary components
- Remaining fluid
What is the colon?
Extracts more water and salt from contents
Forms feces
What 2 structures does the large intestine have?
Teniae coli
Haustra
What are teniae coli?
Longitudinal bands of muscle
What are Haustra?
Pouches or sacs that actively change location as a result of contraction of circular smooth muscle layer
What are haustra contractions?
Main motility (slow)
Intimated by autonomous rhythmicity of colonic smooth muscle cells
What are mass movements of the large intestine?
Massive contractions that move colonic contents into distal part of large intestine
-2 reflexes
What are the 2 reflexes contributing to mass movements or the large intestine?
- Gastrocolic reflex
- Defecation reflex
What is the Gastrocolic reflex?
Stimulate from stomach to colon by gastrin and by autonomic nerves
-most evident after first meal of the day
-often followed by urge to defecate
What stimulates the defecation relflex?
Stretch receptors in the rectal wall stimulated by distention
What does the stimulation of the defecation reflex cause?
Causes internal anal (smooth muscle) sphincter to relax and rectum and sigmoid colon to contract more via Parasympathetic NS
When does defecation occur?
If external anal sphincter is voluntarily also relaxed
(Micturition)
What does the large intestine secrete?
-Alkaline mucous solution
-Has good bacteria
NO DIGESTIVE ENZYMES
What does the Colon normally absorb?
Salt and water
What are some issues related to the colon?
A. Constipation
B. Diarrhea (not always a colon issue)
What is constipation?
Large amount of dry feces
Blockages causing discomfort
Decreased motility due to age, low-bulk diet
What is diarrhoea?
Loss of watery material – colon cannot absorb it all
Fluid bulk – not increased motility
Increased secretion
eg cholera: NaCl loss (therefore H2O), K+ and HCO3 - (metabolic acidosis)
What is gastrin stimulated by?
Presence of protein in stomach
What is gastrin secretion inhibited by?
When acid in stomach accumulates
What are the functions of gastrin?
- Increase HCl and pepsinogen secretion
- Enhances gastric motility
- Stimulates ideal motility
- Relaxes ileocecal sphincter
- Induces mass movements in the colon
- Helps maintain viable digestive tract lining
What stimulates the secretion of Secretin?
Presence of acid in duodenum
What are the functions of secretin?
- Stops gastric emptying from entering duodenum, until acid already in duodenum is neutralised
- Inhibits gastric secretion to reduce amount of acid produced
- Stimulates duct cells to secrete NaHCO3
- Stimulates liver to secrete NaCO3 rich bile for neutralization
5.Trophic to exocrine pancreas (along with CCK)
What are the functions of CCK?
- Inhibits gastric motility and secretion
- Stimulates acinar cells to increase enzyme secretion
- Contracts gallbladder
- Relaxes sprinter of oddi
5.Trophic to pancreas - Long-term adaptive changes to prolonged diet changes
- Regulator of food intake