GI System Flashcards
Ingestion =
Eating
Peristalsis =
Moving food
Digestion =
Chemical or mechanical
Absorption =
Transfer to cardiovascular or lymphatic systems
Defecation =
Elimination of indigestible material
Digestive organs - gastrointestinal tract
Mouth and pharynx
Oesophagus and stomach
Small intestine (duodenum, jejunum, ileum)
Large intestine (colon, rectum)
Digestive organs - accessorie organs
Teeth and tongue
Salivary glands, liver, gallbladder, pancreas
Mucosa
Epithelial layer and connective tissues
Capillaries, enteric neurons, immune cells
Surface area greatly increased by villi/glands
Submucosa
Loose conective tissues and large blood vessels
Contains glands for secretion
Muscle layer
Two layers
Circular/longitudinal
Enteric nervous system
Serosa
Connective tissue
Squamous epithelia
Regulation of salivary secretion
Modulated by ANS
Parasympathetic-
Watery saliva
Rich in amylase and mucous
Sympathetic-
Promotes output of amylase
Reduces blood flow to glands
Overall effects a reduction in secretion
Swallowing, voluntary stage
Tongue pushes bolus backwards to ortho-pharynx
Swallowing - pharyngeal stage
Reflex action controlled by deglutition Centre in Medulla and Pons of CNS
Soft palate and uvula move up to seal off nasopharynx
Larynx is raised and epiglottis covers and seals glottis, breathing suspended for 1-2 seconds
Swallowing- oesophageal phase
Mucous produced to aid swallowing
Food pushed along by peristalsis controlled by medulla of the brain and autonomic nerves
Lower oesophageal sphincter relaxes to allow food to enter stomach
Passage of bolus takes 4-8 seconds
Oesophagus
Tube connecting to stomach
Muscularis layer is striated for first third to assist swallowing
Middle third is mixture of striated and smooth muscle
Lower third is all smooth muscle
Contractile activity in GI tract
Segmentation - Occurs largely in the small intestine to facilitate mixing of food
Peristalsis- concerned mainly with propulsion of food along tract
Hormonal regulation of the GI tract
Around 20 different regulatory peptides act through endocrine/paracrine pathways
Endocrine (hormonal) peptides (eg gastrin) regulate secretions in stomach and pancreas
Paracrine (local) agents (eg histamine) regulate secretion in salivary glands and stomach
Extrinsic innervation
Nerve plexuses linked to CNS via afferent fibres activated by -
- stretch
- chemical stimulation
Receive efferent innervation from the ANS
- Parasympathetic input stimulates gut motility and secretion activity
- sympathetic nerves cause presynaptic inhibition of parasympathetic-induced contraction
Innervation of the GI tract
Enteric nervous system
- found within the wall of the GI tract from oesophagus to anus
- myenteric (auerbach’s) plexus largely motor in function
- submucosal (meissner’s) plexus largely sensory, receiving signals from epithelium and stretch receptors
- release range of substances
- cholecystokinin (CCK), substance P
- VIP, somatostatin, enkephalins
Functions of the stomach
Temporary storage of food
Chemical digestion of proteins
Mechanical digestion by stomach movements
Regulation of passage of chyme into small intestine
Secretion of intrinsic factor - essential for absorption of B¹²
Structure of the stomach
Esophagus Fundus Internal folds - rugae Body Greater curvature Lesser curvature Pyloric antrum Pyloric sphincter Duodenum
Gastric glands
- Stomach mucosa composed of epithelium containing many openings (pits/glands)
- 4 types of cells that together produce gastric juices:
- chief or peptic or zymogenic secrete pepsinogen
- parietal or oxyntic cells secrete HCl and intrinsic factor
- Goblet cells secrete mucous
- enteroendocrine (G-cells) gastrin, VIP, GIP, CCK…
Digestion in the stomach
Mechanical -
Three layers of Muscularis enables food to be churned
Food mixed with gastric juices to produce chyme
Chyme passes through Pyloric sphincter to duodenum