Topic 16: Digestive System Flashcards

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1
Q

Identify the parts in the digestive system and accessory organs

A

The primary structure of the digestive system is the gastrointestinal tract (GI tract) including oral cavity, pharynx, oesophagus, stomach, small and large intestine.

Accessory organs include teeth, tongue, salivary glands, liver, gallbladder, and pancreas.

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2
Q

Identify and describe the layers of GI tract

A

There are 4 layers from oesophagus to the anal canal and there are many tissues layers laying within them.
- Mucosa: in contact with the lumen, the cavity in which food goes through
+ epithelium: a protective layer between internal structure and external environment (lumen)
+ muscularis mucosae: layer of smooth muscle allowing mucosa to fold and increase surface area

  • Submucosa: connective tissue consisting of nerves, blood vessels and glands
  • Muscularis: 2 layers in most of GI tract (stomach has 3)
    + circular muscle: surrounds circumference
    + longitudinal muscle: fibres within, along the tract axis
  • Serosa, if GI tract in contact w/t cavity, or adventitia, if GI tract in contact with other tissues.
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3
Q

Describe the anatomy of oral cavity

A

Oral cavity include accessory organs: teeth, tongue, and 3 salivary glands (parotid, submandibular, sublingual) which are exocrine glands

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4
Q

What are bolus and chyme?

A

Bolus is the ball of food material formed after swallowing.
Chyme is the semi-fluid mass of food that is partly digested by the stomach before being propelled to the small intestine.

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5
Q

Describe the anatomy and general function of pharynx

A

Pharynx, which includes skeletal muscle, moves bolus to oesophagus.

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6
Q

Describe the anatomy and general function of oesophagus

A

Oesophagus changes composition as going down, with the upper part mostly skeletal muscles, lower part mostly smooth muscle and the middle part is a mix.
Oesophagus propels bolus to stomach.

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7
Q

Describe the anatomy and general function of stomach

A

Stomach is J-shaped muscular sack connecting oesophagus to duodenum.
- 4 main regions: cardia (superior opening), fundus (left superior), body, pylorus (connect to duodenum)
- The size of stomach changes continuously depending on the amount of food. When it is empty, the faults, or rugae, become visible.
- There are muscular valves named gatro-oesophageal and pyloris sphincter to ensure 1-way direction of the chyme.
- There are 3 layers in muscularis: longitudinal, circular, and oblique
- Functions:
+ holding reservoir
+ mixing chamber (turning bolus into chyme)
+ gastric juice and gastrin secretion (by specialized cells)

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8
Q

Describe the anatomy and general function of small intestine

A

Small intestine is the longest portion of GI tract with 3 regions: duodenum (shortest), jejunum (major site of function), and ileum.
- Ileoceal sphincter at the ileum connects to the large intestine.
- There are villi, finger-like projections of mucosa, and microvilli, hair-like projections of eterocyte on the villi surface. These help to increase surface area and increase digestion and absorption.
- Functions:
+ receives pancreatic juice and bile
+ secretes intestinal juice
+ major site of digestion and absorption

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9
Q

Describe the anatomy and general function of large intestine

A
  • 4 major regions: caecum (pouch), colon (4 areas), rectum, and anal canal connecting to the external environment via spinchter:
    + internal spinchter: involuntary movement
    + external spinchter: voluntary movement
  • Functions:
    + absorption (mostly water and ions)
    + site of vitamins absorption
    + formation and elimination of faeces
    + house microbes (symbiotic relationship)
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10
Q

Identify and describe functions of the digestive system

A
  • Ingestion: intake of food into mouth
  • Defecation: removal of waste as faeces
  • Protection: mucus and acidic fluid protect GI tract against pathogens
  • Secretion: cells of GI tracts and accessory glands secrete acids, buffers, enzymes, hormones, and mucus.
  • Digestion: turning food into absorbable components by mechanical and chemical digestion
  • Motility: contraction and relaxation of muscle fibres to mix and propel food
  • Absorption: happens mainly in small intestine in which the absorbed molecules pass into blood or lymph
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11
Q

Identify and describe organic compounds we consume and the form they are absorbed

A
  • Carbohydrates: made up of C,H,O (mono-,di-,polysaccharides); absorbed as monosaccharides
  • Proteins: amino acids are building blocks (more complex: di-, tri-polypeptide)
    + proteins are transformed into peptides and then broken down further into amino acids for absorption
  • Lipids: waxes, fats, steroids, fat-soluable vitamins
    + most common form is triglycerides
    + abosrbed as fatty acids
  • Nucleic acids: building blocks are nucleotides (DNA, RNA)
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12
Q

Describe mechanical and chemical digestion

A
  • Mechanical digestion: physical breakdown of food into smaller particles
  • Chemical digestion: alteration of the chemical nature to produce absorbable components
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13
Q

Describe the processes and secretions happening in oral cavity

A
  • Saliva: secreted by parotid, sublingual, and submucosal salivary glands
    + 99.5% water and 0.5% solutes
    + mucus lubricates food
    + immunoglobulin A (IgA) prevents microbes from attaching to epithelium
  • Mechanical digestion via mastication
  • Chemical digestion via 2 enzymes in saliva:
    + salivary amylase: digests strach into maltose
    + lingual lipase: digests triglycerides
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14
Q

Describe the role of oesophagus in motility

A

Oesophagus is responsible for bolus propulsion via peristalsis (continuous waves of contraction and relaxation of muscles in the tract)

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15
Q

Describe the role of stomach in mechanical digestion and motility

A
  • Peristalsis contraction pushed bolus to pylorus (propulsion)
    + the contraction if gentle at cardia and more powerful at pylorus grinding contents
  • Pylorus allows 1/10 of chyme passing through the pyloric valve/each contraction
  • Contractions also close the pyloric valve and remaining contents are propelled back (retropulsion)
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16
Q

Describe the role of stomach in chemical digestion and protection

A

Specialized cells in stomach including parietal, chief, and mucous cells produce secretions which make up gastric juice and G cell secreting gastrin.
- Parietal cell secretes:
+ HCl: kills microbes, denatures proteins, converts pepsinogen to pepsine
+ Intrinsic factors: proteins helping in transportation and absorption of vitamin B12 in ileum

  • Chief cell secretes:
    + Pepsinogen and the active form, pepsine: turning proteins into peptides
    + Gastric lipase: turning triglycerides into fatty acids and monoglycerides
  • Mucous cell secretes bicarbonate-rich mucous: protects stomach wall from protein digestion and corrosion
  • G cell secretes gastrin: stimulates parietal cells to secrete HCl and chief cells to secrete pepsinogen
17
Q

What are some features of the stomach that prevent it from being “digested” and pathogens?

A
  • Tightly packed epilithial cells
  • Damaged cells are shed and replaced.
18
Q

Identify and describe secretions made by small intestine and accessory glands which secrete into small intestine

A
  • The chyme from stomach is acidic due to HCl, so it stimulates the small intestine to secrete intestinal juice.
    + pH 7.4-7.8 (quite alkaline)
    + has water, mucus, enzyme-poor
  • Bile: produced by the liver, consists of:
    + bile salts: emulsifies fat, increase absorption of fat and cholesterol
    + bilirubin: by-product pigment of RBC breakdown (substance that makes faeces brown)
  • Gallbladder: stores and concentrates bile by abosrbing water and ions
  • Pancreas: secretes pancreatic juice, consists of
    + water
    + bicarbonate ions (neutralize HCl)
    + pancreatic proteases released in active form (trypsinogen -> trypsin)
    + pancreatic amylase (digests starch)
    + pancreatic lipases and nucleases (digest nucleic acids)
19
Q

Desccribe the role of small intestine in chemical digestion

A
  • Largely occurs in duodenum
  • All forms of organic compounds are digested here
  • Most enzymes needed at this process is from the pancreas.
  • Brush border enzymes: on plasma membrane of microvilli
20
Q

What makes the digestive activity optimal?

A

The slow, modified delivery of the chyme into the small intestine can optimize the digestive process. It helps to regulate against the hypertonicity of chyme and allows the low pH of chyme to be neutralised.

21
Q

Describe the role of small intestine in motility and absorption

A
  • Peristalsis moves chyme through the tract
  • Segmentation: most common motion in jejunum
    + localised contraction and relaxation making the chyme moving back and forth
    + by forcing the chyme making contact with the epithelium, it increases the mixing and absorption of nutrients and water
  • Absorption:
    + 95% products of carbonhydrates and protein digestion
    + 80% electrolytes (Na+, Cl-, HCO3-)
    + 90% water
    + vitamins
    + water-insoluable products of lipid digestion, fat-soluable vitamins, cholesterol combine with bile salts to produce micelles which will be transferred to absorptive cells (occurs in ileum)
    + without micelles, lipids would float around in chyme
22
Q

Describe the role of large intestine in digestion, absorption and mobility

A
  • Some digestion of resident bacteria via fermentation by turning insoluable carbohydrates into short-chain fatty acids
  • Absorbs remaining water and electrolytes (mainly Na+, Cl-)
  • Absorbs vitamins synthesized by resident bacteria (vitamin B complexes, vitamin K)
  • Haustral contraction in ascending and descending colon
    + slow segmenting movements to increase mixing and water absorption
    + every 30 min
  • Peristalsis: mass movement of faeces to rectum