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8/7/2019 Digestive System_Part 1
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8/7/2019 Digestive System_Part 1
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Digestive Systemy Two groups of organs
1. Alimentary canal (gastrointestinal or GI tract)
Digests and absorbs food
Mouth, pharynx, esophagus, stomach, small intestine, andlarge intestine
2. Accessory digestive organs
y Teeth, tongue, gallbladder
y Digestive glands
y Salivary glands
y Liver
y Pancreas
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Copyright 2010 Pearson Education, Inc. Figure 23.1
Mouth (oral cavity)
Tongue
Esophagus
Liver
Gallbladder
Anus
DuodenumJejunumIleum
Small
intestine
Parotid glandSublingual glandSubmandibular
gland
Salivary
glands
PharynxStomachPancreas(Spleen)
Transverse colonDescending colonAscending colonCecumSigmoid colonRectumVermiform appendix
Anal canal
Large
intestine
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Digestive Processesy Six essential activities
1. Ingestion
2. Propulsion
3. Mechanical digestion4. Chemical digestion
5. Absorption
6. Defecation
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Copyright 2010 Pearson Education, Inc. Figure 23.2
Food
Ingestion
PropulsionEsophagus
Stomach
PharynxMechanicaldigestion
Chemicaldigestion
Chewing (mouth) Churning (stomach) Segmentation(small intestine)
SmallintestineLargeintestine
Defecation Anus
Feces
Bloodvessel
Lymphvessel
Absorption
Swallowing(oropharynx)
Peristalsis(esophagus,
stomach,small intestine,large intestine)
Mainly H2O
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Copyright 2010 Pearson Education, Inc. Figure 23.3
From
mouth
(b) Segmentation: Nonadjacent segments
of alimentary tract organs alternately
contract and relax, moving the food
forward then backward. Food mixing and
slow food propulsion occurs.
(a) Peristalsis: Adjacent segments of
alimentary tract organs alternately contract
and relax, which moves food along the tract
distally.
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GI tract regulatory mechanisms2. Intrinsic and extrinsic controls
Enteric nerve plexuses (gut brain) initiate short reflexesin response to stimuli in the GI tract
Long reflexes in response to stimuli inside or outside theGI tract involve CNS centers and autonomic nerves
Hormones from cells in the stomach and small intestinestimulate target cells in the same or different organs
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Copyright 2010 Pearson Education, Inc. Figure 23.4
External stimuli
(sight, smell, taste,thought of food)
Central nervous system
and extrinsic autonomic nerves
Afferent impulses Efferent impulses
Long reflexes
Internal
(GI tract)
stimuli
Chemoreceptors,
osmoreceptors, or
mechanoreceptors
Local (intrinsic)
nerve plexus
(gut brain)
Effectors:
Smooth muscle
or glands
Gastrointestinal
wall (site of short
reflexes)
Response:Change in
contractile or
secretory activityLumen of the
alimentary canal
Short reflexes
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Peritoneum and Peritoneal Cavity
y Peritoneum: serous membrane of the abdominal cavity
y Visceral peritoneum on external surface of most digestive
organs
y
Parietal peritoneum lines the body wall
y Peritoneal cavity
y Between the two peritoneums
y Fluid lubricates mobile organs
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Copyright 2010 Pearson Education, Inc. Figure 23.5a
Peritoneal
cavity
Parietal
peritoneum
Visceral
peritoneum
Ventral
mesentery
Abdominopelvic
cavity
Dorsal
mesentery
Vertebra
Alimentary
canal organ
(a) Schematic cross sections of abdominal cavity
illustrate the peritoneums and mesenteries.
Liver
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Copyright 2010 Pearson Education, Inc. Figure 23.5b
Abdominopelvic
cavity
Mesenteryresorbed
and lost
(b) Some organs lose their mesentery and
become retroperitoneal during development.
Alimentary
canal organ
Alimentary canal organ in
a retroperitoneal position
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Blood Supply: Splanchnic Circulation
y Arteries
y Hepatic, splenic, and left gastric
y Inferior and superior mesenteric
y Hepatic portal circulation
y Drains nutrient-rich blood from digestive organs
y Delivers it to the liver for processing
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Histology of the Alimentary Canal
y Four basic layers (tunics)
y Mucosa
y Submucosa
y Muscularis externay Serosa
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Mucosay Lines the lumen
y Functions
y Secretes mucus, digestive enzymes and hormones
y Absorbs end products of digestiony Protects against infectious disease
y Three sublayers: epithelium, lamina propria, andmuscularis mucosae
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Mucosay Epithelium
y Simple columnar epithelium and mucus-secreting cells
y Mucus protects digestive organs from enzymes and eases food passage
y May secrete enzymes and hormones (e.g., in stomach and smallintestine)
y Lamina propria
y Loose areolar connective tissue
y Capillaries for nourishment and absorption
y Lymphoid follicles (part of MALT)
y Muscularis mucosae: smooth muscle that produces local movements
of mucosa
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Submucosa and Muscularis Externa
y Submucosa
y Dense connective tissue
y Blood and lymphatic vessels, lymphoid follicles, and
submucosal nerve plexus
y Muscularis externa
y Responsible for segmentation and peristalsis
y Inner circular and outer longitudinal layers
y Myenteric nerve plexus
y Sphincters in some regions
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Serosay Visceral peritoneum
y Replaced by the fibrous adventitia in the esophagus
y Retroperitoneal organs have both an adventitia and serosa
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Copyright 2010 Pearson Education, Inc. Figure 23.6
Glands in submucosa
Submucosa
Lumen
Mucosa-associated
lymphoid tissueDuct of gland outside
alimentary canal
Gland in mucosa
NerveArtery
Vein
Lymphatic
vesselMesentery
Intrinsic nerve plexuses
Myenteric nerve plexus Submucosal nerve plexus
Mucosa
Epithelium Lamina propria Muscularis
mucosae
Muscularisexterna
Longitudinalmuscle
Circular muscleSerosa
Epithelium Connective
tissue
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Enteric Nervous Systemy Intrinsic nerve supply of the alimentary canal
y Submucosal nerve plexus
y Regulates glands and smooth muscle in the mucosa
yMyenteric nerve plexusy Controls GI tract motility
y Linked to the CNS via afferent visceral fibers
y
Long ANS fibers synapse with enteric plexusesy Sympathetic impulses inhibit secretion and motility
y Parasympathetic impulses stimulate
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Functional Anatomy: Mouthy Oral (buccal) cavity
y Bounded by lips, cheeks, palate, and tongue
y Oral orifice is the anterior opening
yLined with stratified squamous epithelium
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Copyright 2010 Pearson Education, Inc. Figure 23.7a
Uvula
Soft palatePalatoglossal arch
Palatine tonsil
Hard palate
Oral cavity
Tongue
Lingual tonsilOropharynx
Epiglottis
Hyoid bone
Laryngopharynx
Esophagus
Trachea
(a) Sagittal section of the oral cavity and pharynx
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Copyright 2010 Pearson Education, Inc. Figure 23.7b
Uvula
Palatine tonsil
Sublingual fold
with openings of
sublingual ducts
Tongue
Upper lip
Lower lip
VestibuleGingivae (gums)
Gingivae (gums)
Hard palate
Soft palate
Lingual frenulum
Opening of
submandibular duct
Palatine raphe
Inferior labial
frenulum
Posterior wallof oropharynx
Palatopharyngeal
arch
Superior labialfrenulum
Palatoglossal arch
(b) Anterior view
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Palatey Hard palate: palatine bones and palatine processes of the
maxillae
y Slightly corrugated to help create friction against the tongue
y Soft palate: fold formed mostly of skeletal muscle
y Closes off the nasopharynx during swallowing
y Uvula projects downward from its free edge
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Tongue
y Functions include
y Repositioning and mixing food during chewing
y Formation of the bolus
y Initiation of swallowing, speech, and taste
y Intrinsic muscles change the shape of the tongue
y Extrinsic muscles alter the tongues position
y Lingual frenulum: attachment to the floor of themouth
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Tongue
y Surface bears papillae
1. Filiformwhitish, give the tongue roughness and
provide friction
2. Fungiformreddish, scattered over the tongue3. Circumvallate (vallate)V-shaped row in back of
tongue
y These three house taste buds
4. Foliateon the lateral aspects of the posterior tongue
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Tonguey Terminal sulcus marks the division between
y Body: anterior 2/3 residing in the oral cavity
y Root: posterior third residing in the oropharynx
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Copyright 2010 Pearson Education, Inc. Figure 23.8
Epiglottis
Palatopharyngeal
archPalatine tonsil
Lingual tonsil
Palatoglossal
arch
Foliate papillae
Circumvallate
papilla
Terminal sulcus
Dorsum of tongue
Midline grooveof tongue
Filiform papilla
Fungiform papilla
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Salivary Glandsy Extrinsic salivary glands (parotid, submandibular, and
sublingual)
y Intrinsic (buccal) salivary glands are scattered in the oral
mucosa
y Secretion (saliva)
y Cleanses the mouth
y Moistens and dissolves food chemicals
y Aids in bolus formation
y Contains enzymes that begin the breakdown of starch
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Salivary Glandsy Parotid gland
y Anterior to the ear external to the masseter muscle
y Parotid duct opens into the vestibule next to second upper
molar
y Submandibular gland
y Medial to the body of the mandible
y Duct opens at the base of the lingual frenulum
y Sublingual gland
y Anterior to the submandibular gland under the tongue
y Opens via 1012 ducts into the floor of the mouth
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Copyright 2010 Pearson Education, Inc. Figure 23.9
Teeth
Ducts of
sublingual
gland
Sublingual
gland
Submandibular
duct
Posterior belly
of digastric
muscle
Parotid ductMasseter muscle
Body of
mandible (cut)
Parotid
gland
Tongue
Submandibulargland
(a)
Frenulum
of tongue
Mylohyoid
muscle (cut)Anterior belly of
digastric muscle Mucous
cells
(b)
Serous cells
forming
demilunes
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Composition of Saliva
y Secreted by serous and mucous cells
y 9799.5% water, slightly acidic solution containing
y ElectrolytesNa+, K+, Cl, PO4
2, HCO3
y Salivary amylase and lingual lipase
y Mucin
y Metabolic wastesurea and uric acid
y
Lysozyme, IgA, defensins, and a cyanide compoundprotect against microorganisms
PLAY Animation: Rotatable head
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Control of Salivation
y Intrinsic glands continuously keep the mouth moist
y Extrinsic salivary glands produce secretions when
y Ingested food stimulates chemoreceptors and
mechanoreceptors in the mouth
y Salivatory nuclei in the brain stem send impulses along
parasympathetic fibers in cranial nerves VII and IX
yStrong sympathetic stimulation inhibits salivation andresults in dry mouth (xerostomia)
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Teethy Primary and permanent dentitions are formed by age 21
y 20 deciduous teeth erupt (624 months of age)
y Roots are resorbed, teeth fall out (612 years of age) as
permanent teeth develop
y 32 permanent teeth
y All except third molars erupt by the end of adolescence
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Copyright 2010 Pearson Education, Inc. Figure 23.10b
Deciduous teeth Permanent teeth(b)
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Classes of Teethy Incisors
y Chisel shaped for cutting
y Canines
y Fanglike teeth that tear or pierce
y Premolars (bicuspids) and molars
y Have broad crowns with rounded cusps for grinding orcrushing
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Copyright 2010 Pearson Education, Inc. Figure 23.10a
Incisors
Central (68 mo)
IncisorsCentral (7 yr)
Canine (eyetooth)
(1620 mo)
Canine (eyetooth)
(11 yr)
Premolars(bicuspids)
First premolar(11 yr)
Molars
First molar(1015 mo)
Molars
First molar (67 yr)
Lateral (810 mo)Lateral (8 yr)
Second molar
(about 2 yr)
Second molar
(1213 yr)Third molar
(wisdom tooth)(1725 yr)
(a)
Permanent
teeth
Deciduous
(milk) teeth Second premolar
(1213 yr)
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Dental Formulasy A shorthand way of indicating the number and relative
position of teeth
y Ratio of upper to lower teeth for one-half of the mouth
y
Primary: 2I,1C, 2My Permanent: 2I,1C, 2PM, 3M
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Tooth Structurey Crown: the exposed part above the gingiva (gum)
y Covered by enamelthe hardest substance in the body (calcium
salts and hydroxyapatite crystals)
y Root: portion embedded in the jawboney Connected to crown by neck
y Cementum: calcified connective tissue
y Covers root and attaches it to the periodontal ligament
y Periodontal ligament
y Forms fibrous joint called a gomphosis
y Gingival sulcus: groove where gingiva borders the tooth
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Tooth Structurey Dentin: bonelike material under enamel
y Maintained by odontoblasts of pulp cavity
y Pulp cavity: cavity surrounded by dentin
y Pulp: connective tissue, blood vessels, and nerves
y Root canal: extends from pulp cavity to the apical foramenof the root
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Copyright 2010 Pearson Education, Inc. Figure 23.11
Crown
Neck
Root
Enamel
Dentin
Dentinal tubulesPulp cavity (contains
blood vessels and
nerves)
Gingiva (gum)Cementum
Root canal
Periodontal
ligament
Apical foramen
Bone
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Tooth and Gum Diseasey Dental caries (cavities): gradual demineralization of
enamel and dentin
y Dental plaque (sugar, bacteria, and debris) adheres to teeth
y
Acid from bacteria dissolves calcium saltsy Proteolytic enzymes digest organic matter
y Prevention: daily flossing and brushing
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Tooth and Gum Diseasey Gingivitis
y Plaque calcifies to form calculus (tartar)
y Calculus disrupts the seal between the gingivae and the
teeth
y Anaerobic bacteria infect gums
y Infection reversible if calculus removed
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Tooth and Gum Diseasey Periodontitis
y Immune cells attack intruders and body tissues
y Destroy periodontal ligament
y Activate osteoclasts
y Consequences
y Possible tooth loss, promotion of atherosclerosis and clotformation in coronary and cerebral arteries