Week 1 Flashcards

1
Q

What is digestion?

A

A bodily process of breaking down foods into molecules that are small enough to enter body cells.

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2
Q

What is the digestion system?

A

A tubular system extending from mouth to anus, forming an extensive surface area in contact with the external environment, essential for processing the food we eat to be absorbed and used by body cells. It is closely associated with the cardio system.

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3
Q

Functions of the digestive system

A

Ingestion: take food into mouth
Secretion: release water, acid, buffers, enzymes into lumen of GIT to aid breakdown of food (7 L/day)
Mixing and propulsion: churn and move food through GIT via (smooth) muscular contractions from oesophagus to anus (motility)
Digestion: mechanical & chemical breakdown of food
Absorption: passage of digested products from GIT into blood & lymph via epithelial cells of lumen
Defecation: eliminate feces from GIT. Wastes, indigestible substances, bacteria, cells sloughed from GIT lining

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4
Q

Organs of GIT

A

mouth, pharynx, oesophagus, stomach, small intestine, large intestine

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5
Q

Accessory digestive organs

A

teeth, tongue, salivary glands (parotid gland, submandibular gland, sublingual gland), liver, gallbladder, pancreas. (Only teeth and tongue come into direct contact with food.)

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6
Q

Two groups of organs composing digestive system

A

Gastrointestinal tract (GIT) (alimentary canal) and accessory digestive organs

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7
Q

Gastrointestinal tract

A

A continuous tube extending from mouth to anus though the thoracic and abdominopelvic cavities.
5-7 meters long in a living person, when muscles along GIT organ walls are in a state of tonus (sustained contraction).

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8
Q

Mechanical and chemical digestion

A

Mechanical: Food cut and ground by teeth, swallowed. Smooth muscles of stomach and small intestine churn food. Food molecules dissolve and mix with digestive enzymes from salivary glands, tongue, stomach, pancreas, sm int.

Chemical: large carb, lipid, protein and nucleic acid molecules in food split catalysed by hydrolysis. Vitamins, ions, cholesterol & water absorbed without chemical digestion.

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9
Q

Layers of GIT

A
Esophagus (may vary) to anal canal, deep to superficial:
Mucosa
Submucosa
Muscularis
Serosa (adventitia)
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10
Q

Mucosa layer of GIT

A

Mucous membrane forming inner lining of GIT:
Epithelium: in contact with food
Lamina propria: connective tissue
Muscularis mucosae: thin smooth muscle

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11
Q

Epithelium of GIT mucosa layer

A

Nonkeratinized stratified squamous: mouth, pharynx, oesophagus, anal canal
- protective function

Simple columnar: stomach and intestine lining. Tight junctions restrict leakage. renew every 5-7 days. Contains
exocrine cells (secrete mucus & fluid into lumen) and endocrine cells (enteroendocrine cells) (secrete hormones)
- secretion/absorption function
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12
Q

Lamina Propria of GIT mucosa layer

A
  • Thin, flat plate of areolar CT
  • Contains many blood and lymphatic vessels - routes for absorbed nutrients
    Contains cells of MALT - nodules protect against disease (present along all GIT esp tonsils, sm. int, appendix, lge int.)
  • Supports epithelium; binds to muscularis mucosae
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13
Q

Muscularis mucosa of GIT mucosa layer

A
  • Thin layer of smooth muscle fibres
  • Throws stomach and small intestine membrane into small folds, increasing surface area for digestion and absorption.
  • Movements ensure all absorptive cells are fully exposed to GIT contents
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14
Q

Submucosa of GIT

A
  • areolar CT that binds the mucosa to muscular
  • contains
    • many blood and lymphatic vessels - receive absorbed molecules
    • submucosal plexus - extensive network of neutrons (secretion role)
    • glands & lymphatic tissue
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15
Q

Muscularis of GIT

A

Skeletal muscle - mouth, pharynx, upper/middle esophagus, anus
- controls swallowing and defecation (voluntary)

Smooth muscle - rest of GIT
- in 2 sheets - inner circular fibers, outer longitudinal fibers

Mixes, crushes, propels food (peristalsis)

Contains myenteric plexus (neuronal network) in between layers

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16
Q

Serosa of GIT

A

Superficial serous membrane layer covers GIT portions suspended in abdominal cavity.
CT covered with simple squamous mesothelium
Covers all cavity organs/walls not open to external
Secretes slippery fluid to reduce friction
Esophagus has not series

17
Q

GIT regulation

A

Regulated by

  • enteric nervous system (intrinsic nerves)
  • autonomic nervous system (extrinsic nerves)

Sensory receptors in GIT walls

  • chemoreceptors - respond to chemicals in food in lumen
  • mechanoreceptors - stretch receptors activated when food distends GI organ wall
18
Q

ENS

A
  • Brain of gut
  • arranged in 2 plexuses:
    • myenteric plexus (plexus of Auerbach)
    • submucosal plexus
      consist of motor neurone, interneurons, sensory neurons
  • interneurons interconnect myenteric & submucosal plexus neurons
  • sensory neurone supply mucosal epithelium & contain receptors that detect stimuli in GIT lumen
19
Q

Myenteric plexus

plexus of Auerbach

A
  • located between longitudinal & circular smooth muscle layers of muscularis
  • motor neurone supply muscularis
    mostly controls GIT motility (movement), esp frequency & strength of contraction of muscularis
20
Q

Submucosal plexus

plexus of Meissner

A

found within submucosa

  • motor neurones supply the secretory cells of mucosal epithelium
  • control the secretions of GIT organs
21
Q

ANS

A
  • Can function independently
  • are subject to regulation by ANS neurons
  • Vagus (X) nerves supply parasympathetic fibres to most parts of GIT except last half of lge int. (parasympathetic from sacral spinal cord).
    Parasympathetic nerves that supply GIT form neural connections with ENS.
    Stimulation of parasympathetic nerves innervating GIT cause increase in GI secretion & motility by increasing ENS neurone activity.
    Sympathetic nerves that supply GIT arise from thoracic & upper lumbar regions of spinal cord.
  • decrease GI secretion & motility by inhibiting ENS neurons