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