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Digestive System Study Notes, Study notes of Anatomy

Subject: Biology Year: 2025 Course: Anatomy and Physiology Subtopics: Part I: Functions of the Digestive System Part II: Anatomy of the Digestive System Part III: Organs of the Alimentary Canal Part IV: Layers of the Alimentary Canal Part V: Salivary Glands Part VI: Gastrointestinal Processes and Controls Part VII: Digestive Enzymes and Absorption Part VIII: Activities Occurring in the Mouth, Pharynx, and Esophagus Part IX: Metabolism and Nutrition Part X: Body Energy Balance Part XI: Developmental Aspects of the Digestive System and Metabolism

Typology: Study notes

2024/2025

Available from 01/11/2025

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C.A.B.M. | 2024
1
Digestive System and Body Metabolism
Functions of the Digestive System
1. Ingestion: Taking in food.
2. Digestion: Breaking food into nutrient
molecules.
3. Absorption: Movement of nutrients into the
bloodstream.
4. Defecation: Elimination of indigestible waste.
Anatomy of the Digestive System
Two Main Groups of Organs
1. Alimentary Canal (GI Tract):
o A continuous, coiled, hollow tube from
mouth to anus.
o These organs ingest, digest, absorb,
defecate
o Includes:
Mouth
Pharynx
Esophagus
Stomach
Small intestine
Large intestine
Anus
2. Accessory Digestive Organs:
o Include teeth, tongue, salivary glands,
pancreas, liver, and gallbladder.
o Assist digestion by breaking down food
or secreting digestive fluids.
Organs of the Alimentary Canal
Mouth (Oral Cavity)
Lined with a mucous membrane.
Anatomy:
o Mouth (oral cavity): mucous
membranelined cavity
o Lips (labia): Protect the anterior
opening.
o Cheeks: Form lateral walls.
o Hard Palate: Anterior roof.
o Soft Palate: Posterior roof.
o Uvula: Fleshy projection of the soft
palate.
o Vestibule: Space between lips/cheeks
and teeth/gums.
o Oral Cavity Proper: Area inside teeth.
o Tongue: Attached by hyoid bone,
styloid processes, and lingual frenulum.
o Tonsils:
Palatine: Located at the
posterior end of the oral cavity.
Lingual: Found at the base of
the tongue.
Functions:
o Mastication (chewing).
o Mixing food with saliva.
o Swallowing initiation.
o Taste via taste buds.
Pharynx
Food is propelled by two skeletal muscle layer:
longitudinal outer layer; circular inner layer
Passageway for food, fluids, and air.
Regions:
1. Oropharynx: Posterior to the oral
cavity.
2. Laryngopharynx: Continuous with the
esophagus.
Propels food via peristalsis (muscle
contractions).
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Digestive System and Body Metabolism Functions of the Digestive System

  1. Ingestion : Taking in food.
  2. Digestion : Breaking food into nutrient molecules.
  3. Absorption : Movement of nutrients into the bloodstream.
  4. Defecation : Elimination of indigestible waste. Anatomy of the Digestive System Two Main Groups of Organs
  5. Alimentary Canal (GI Tract) : o A continuous, coiled, hollow tube from mouth to anus. o These organs ingest, digest, absorb, defecate o Includes: ▪ Mouth ▪ Pharynx ▪ Esophagus ▪ Stomach ▪ Small intestine ▪ Large intestine ▪ Anus
  6. Accessory Digestive Organs : o Include teeth, tongue, salivary glands, pancreas, liver, and gallbladder. o Assist digestion by breaking down food or secreting digestive fluids. Organs of the Alimentary Canal Mouth (Oral Cavity)
  • Lined with a mucous membrane.
  • Anatomy : o Mouth (oral cavity) : mucous membrane–lined cavity o Lips (labia) : Protect the anterior opening. o Cheeks : Form lateral walls. o Hard Palate : Anterior roof. o Soft Palate : Posterior roof. o Uvula : Fleshy projection of the soft palate. o Vestibule : Space between lips/cheeks and teeth/gums. o Oral Cavity Proper : Area inside teeth. o Tongue : Attached by hyoid bone, styloid processes, and lingual frenulum. o Tonsils : ▪ Palatine : Located at the posterior end of the oral cavity. ▪ Lingual : Found at the base of the tongue.
  • Functions : o Mastication (chewing). o Mixing food with saliva. o Swallowing initiation. o Taste via taste buds. Pharynx
  • Food is propelled by two skeletal muscle layer: longitudinal outer layer; circular inner layer
  • Passageway for food, fluids, and air.
  • Regions:
  1. Oropharynx : Posterior to the oral cavity.
  2. Laryngopharynx : Continuous with the esophagus.
  • Propels food via peristalsis (muscle contractions).

Esophagus

  • ~10 inches long.
  • Pharynx → stomach through diaphragm
  • Conducts food to the stomach via peristalsis.
  • Passageway for food only (respiratory system branches off). Layers of the Alimentary Canal
  1. Mucosa : o Innermost, moist membrane lining the lumen. o Mostly simple columnar epithelium (stratified squamous in the esophagus).
  2. Submucosa : o Beneath the mucosa o Connective tissue with blood vessels, nerves, lymphatic tissue, and lymph vessels.
  3. Muscularis Externa : o Smooth muscle (inner circular and outer longitudinal layers).
  4. Serosa : o Outermost layer with fluid-producing cells. o Divided into: ▪ Visceral Peritoneum : Covers organs. ▪ Parietal Peritoneum : Lines the abdominal cavity. Alimentary Canal Nerve Plexuses
  • Two intrinsic nerve plexuses regulate GI tract mobility and secretions (part of the autonomic nervous system):
  1. Submucosal Plexus
  2. Myenteric Plexus The Stomach
  • C-shaped organ on the left side of the abdominal cavity.
  • Food enters at the cardio esophageal sphincter from the esophagus
  • Food empties into the small intestine at the pyloric sphincter (valve)
  • Regions :
  1. Cardial Region (Cardia) : Near the heart.
  2. Fundus : Expanded portion lateral to the cardia.
  3. Body : Midportion. ▪ Greater curvature is the convex lateral surface ▪ Lesser curvature is the concave medial surface
  4. Pylorus : Funnel-shaped terminal end leading to the small intestine via the pyloric sphincter.
  • Stomach can stretch and hold 4 L (1 gallon) of food when full o Rugae —internal folds of the mucosa present when the stomach is empty
  • Lesser omentum o Double layer of the peritoneum o Extends from liver to the lesser curvature of stomach
  • Greater omentum o Another extension of the peritoneum o Covers the abdominal organs o Fat insulates, cushions, and protects abdominal organs
  • Subdivisions : o Cecum- saclike first part of the large intestine ▪ Appendix ➢ Hangs from the cecum ➢ Accumulation of lymphoid tissue that sometimes becomes inflamed (appendicitis) o Colon : travels up right side of abdomen and makes a turn at the right colic (hepatic) flexure o Ascending : travels across the abdominal cavity and turns at the left colic (splenic) flexure o Transverse : travels down the left side o Descending : enters the pelvis o Sigmoid : S-shaped region; enters the pelvis o Rectum o Anal Canal (ends at the anus)- opening of the large intestine ▪ External Anal Sphincter : Voluntary skeletal muscle. ▪ Internal Anal Sphincter : Involuntary smooth muscle. ▪ These sphincters are normally closed except during defecation
  • Functions : o Absorption of water, vitamins, and ions. o Elimination of feces.
  • Goblet cells produce alkaline mucus to lubricate the passage of feces
  • Muscularis externa layer is reduced to three bands of muscle, called teniae coli
  • These bands of muscle cause the wall to pucker into haustra (pocketlike sacs) Accessory Digestive Organs Teeth- masticate (chew) food into smaller fragments - Deciduous (Baby) Teeth : 20 teeth by age 2; lower central incisors first to appear - Permanent Teeth : 32 teeth, including wisdom teeth. - Classification according to shape and function : o Incisors - cutting. o Canines (eyeteeth)- tearing. o Premolars (biscupid) and Molars - grinding. - Two major regions of a tooth o Crown - exposed part of tooth above the gingiva (gum) ▪ Enamel —covers the crown ▪ Dentin —found deep to the enamel and forms the bulk of the tooth, surrounds the pulp cavity ▪ Pulp cavity —contains connective tissue, blood vessels, and nerve fibers (pulp) ▪ Root canal —where the pulp cavity extends into the root o Root ▪ Cement—covers outer surface and attaches the tooth to the periodontal membrane (ligament)

▪ Periodontal membrane holds tooth in place in the bony jaw

  • Note: The neck is a connector between the crown and root o Region in contact with the gum Salivary Glands
  • Three pairs: o Parotid Glands: Anterior to the ears; mumps affect these salivary glands. o Submandibular Glands: Floor of the mouth. o Sublingual Glands: Below the tongue. ▪ Both submandibular and sublingual glands empty saliva into the floor of the mouth through small ducts
  • Saliva o Mixture of mucus and serous fluids o Helps to moisten and bind food together into a mass called a bolusSalivary amylase : moistens food and begins starch digestion. ▪ Lysozymes and antibodies : inhibit bacteria ▪ Dissolves chemicals so they can be tasted Pancreas
  • Produces digestive enzymes and alkaline fluid.
  • Secretes enzymes into the duodenum
  • Alkaline fluid introduced with enzymes neutralizes acidic chyme coming from stomach
  • Releases insulin and glucagon. Liver
  • Largest gland in the body.
  • Digestive role is to produces bile , which emulsifies fats. o Bile leaves the liver through the common hepatic duct and enters duodenum through the bile duct o Bile is yellow-green , watery solution containing: ▪ Bile salts and bile pigments (mostly bilirubin from the breakdown of hemoglobin) ▪ Cholesterol, phospholipids, and electrolytes
  • Consists of four lobes suspended from the diaphragm and abdominal wall by the falciform ligament Gallbladder
  • Green sac found in a shallow fossa in the inferior surface of the liver
  • Stores and concentrates bile.
  • When no digestion is occurring, bile backs up the cystic duct for storage in the gallbladder
  • While in the gallbladder, bile is concentrated by the removal of water
  • When fatty food enters the duodenum, the gallbladder spurts out stored bile Gastrointestinal Processes and Controls
  1. Ingestion : Placing food into the mouth.
  2. Propulsion : movement of foods from one region of the digestive system to another o Peristalsis —alternating waves of contraction and relaxation that squeeze food along the GI tract o Segmentation —movement of materials back and forth to foster mixing in the small intestine
  3. Food Breakdown : Mechanical Breakdown o Chewing, stomach churning, and segmentation in the intestines.
  4. Digestion : o Enzymes break down macromolecules into building blocks. o Each major food group uses different enzymes
  • Carbohydrates are broken down to monosaccharides (simple sugars)
  • Proteins are broken down to amino acids
  • Fats are broken down to fatty acids and glycerol

Food propulsion

  1. Peristalsis: waves of peristalsis occur from the fundus to the pylorus, forcing food past the pyloric sphincter
  2. Grinding: the pylorus meters out chyme into the small intestine (3 ml at a time)
  3. Retropulsion: peristaltic waves close the pyloric sphincter, forcing contents back into the stomach; the stomach empties in 4–6 hours Activities of the Small Intestine
  • Chyme breakdown and absorption o Intestinal enzymes from the brush border function to: ▪ Break double sugars into simple sugars ▪ Complete some protein digestion o Intestinal enzymes and pancreatic enzymes help to complete digestion of all food groups o Pancreatic enzymes play the major role in the digestion of fats, proteins, and carbohydrates o Alkaline content neutralizes acidic chyme and provides the proper environment for the pancreatic enzymes to operate o Release of pancreatic juice from the pancreas into the duodenum is stimulated by: ▪ Vagus nerves ▪ Local hormones that travel via the blood to influence the release of pancreatic juice (and bile) - Secretin - Cholecystokinin (CCK)
  • Hormones (secretin and CCK) also target the liver and gallbladder to release bile o Bile ▪ Acts as a fat emulsifier ▪ Needed for fat absorption and absorption of fat-soluble vitamins (K, D, E, and A)
  • Water is absorbed along the length of the small intestine
  • End products of digestion o Most substances are absorbed by active transport through cell membranes o Lipids are absorbed by diffusion
  • Substances are transported to the liver by the hepatic portal vein or lymph
  • Chyme propulsion o Peristalsis is the major means of moving food o Segmental movements ▪ Mix chyme with digestive juices ▪ Aid in propelling food Activities of the Large Intestine
  • Nutrient breakdown and absorption o No digestive enzymes are produced o Resident bacteria digest remaining nutrients ▪ Produce some vitamin K and some B vitamins ▪ Release gases
  • Water, vitamins, ions, and remaining water are absorbed
  • Remaining materials are eliminated via feces
  • Feces contains: Undigested food residues, mucus, bacteria, water
  • Propulsion of food residue and defecation o Sluggish peristalsis begins when food residue arrives o Haustral contractions are the movements occurring most frequently in the large intestine o Mass movements are slow, powerful movements that occur three to four times per day
  • Presence of feces in the rectum causes a defecation reflex
  • Internal anal sphincter is relaxed
  • Defecation occurs with relaxation of the voluntary (external) anal sphincter

Metabolism and Nutrition

  • Most foods are used as metabolic fuel o Foods are oxidized and transformed into adenosine triphosphate (ATP) o ATP is chemical energy that drives cellular activities
  • Energy value of food is measured in kilocalories (kcal) or Calories (C) Nutrition
  • Nutrient —substance used by the body for growth, maintenance, and repair
  • Major nutrients Carbohydrates, lipids, proteins, water
  • Minor nutrients : Vitamins, minerals
  • A diet consisting of foods from the five food groups normally guarantees adequate amounts of all the needed nutrients Dietary Recommendations
  • Healthy Eating Pyramid o Issued in 1992 o Six major food groups arranged horizontally
  • MyPlate o Issued in 2011 by the USDA o Five food groups are arranged by a round plate Dietary Sources of the Major Nutrients
  • Carbohydrates o Dietary carbohydrates are sugars and starches o Most are derived from plants such as fruits and vegetables o Exceptions: lactose from milk and small amounts of glycogens from meats
  • Lipids o Saturated fats from animal products (meats) o Unsaturated fats from nuts, seeds, and vegetable oils o Cholesterol from egg yolk, meats, and milk products (dairy products)
  • Proteins o Complete proteins—contain all essential amino acids ▪ Most are from animal products (eggs, milk, meat, poultry, and fish) ▪ Essential amino acids: those that the body cannot make and must be obtained through diet ( PVTMATHILL ) o Legumes and beans also have proteins, but the proteins are incomplete
  • Vitamins o Most vitamins function as coenzymes o Found mainly in fruits and vegetables
  • Minerals o Mainly important for enzyme activity
  • Excess dietary fat is stored in subcutaneous tissue and other fat depots
  • When carbohydrates are in limited supply, more fats are oxidized to produce ATP o Excessive fat breakdown causes blood to become acidic (acidosis or ketoacidosis) ▪ Breath has a fruity odor ▪ Common with: ➢ No carbohydrate‖ diets ➢ Uncontrolled diabetes mellitus ➢ Starvation Protein Metabolism
  • Proteins form the bulk of cell structure and most functional molecules
  • Proteins are carefully conserved by body cells
  • Amino acids are actively taken up from blood by body cells
  • Amino acids are oxidized to form ATP mainly when other fuel sources are not available
  • Ammonia, released as amino acids are catabolized, is detoxified by liver cells that combine it with carbon dioxide to form urea The Central Role of the Liver in Metabolism
    • Liver is the body’s key metabolic organ
    • Roles in digestion: o Manufactures bile o Detoxifies drugs and alcohol o Degrades hormones o Produces cholesterol, blood proteins (albumin and clotting proteins) o Plays a central role in metabolism
  • Liver can regenerate if part of it is damaged or removed
  • To maintain homeostasis of blood glucose levels, the liver performs: o Glycogenesis ―glycogen formation‖ ▪ Glucose molecules are converted to glycogen and stored in the liver o Glycogenolysis ―glycogen splitting ▪ Glucose is released from the liver after conversion from glycogen o Gluconeogenesis ―formation of new sugar ▪ Glucose is produced from fats and proteins
  • Fats and fatty acids are picked up by the liver o Some are oxidized to provide energy for liver cells o The rest are either stored or broken down into simpler compounds and released into the blood
  • Blood proteins made by the liver are assembled from amino acids o Albumin is the most abundant protein in blood o Clotting proteins
  • Liver cells detoxify ammonia o Ammonia is combined with carbon dioxide to form urea, which is flushed from the body in urine
  • Cholesterol metabolism and transport o Cholesterol is not used to make ATP o Functions of cholesterol: ▪ Structural basis of steroid hormones and vitamin D ▪ Building block of plasma membranes o Most cholesterol (85%) is produced in the liver; only 15% is from the diet
  • Cholesterol and fatty acids cannot freely circulate in the bloodstream
  • They are transported by lipoproteins (lipid- protein complexes) known as LDLs and HDLs
  • Low-density lipoproteins (LDLs) transport cholesterol to body cells o Rated ―bad lipoproteins‖ since they can lead to atherosclerosis
  • High-density lipoproteins (HDLs) transport cholesterol from body cells to the liver o Rated ―good lipoproteins‖ since cholesterol is destined for breakdown and elimination Body Energy Balance
  • Energy intake = Total energy output (heat + work + energy storage) o Energy intake is the energy liberated during food oxidation ▪ Energy produced during glycolysis, citric acid cycle, and the electron transport chain o Energy output ▪ Energy we lose as heat (60%) ▪ Energy stored as fat or glycogen
  • Interference with the body’s energy balance leads to: o Obesity o Malnutrition (leading to body wasting)
  • Regulation of food intake o Body weight is usually relatively stable ▪ Energy intake and output remain about equal o Mechanisms that may regulate food intake ▪ Levels of nutrients in the blood ▪ Hormones ▪ Body temperature ▪ Psychological factors
  • Metabolic rate and body heat production o Nutrients yield different amounts of energy o Energy value is measured in kilocalories (kcal) ▪ Carbohydrates and proteins yield 4 kcal/gram ▪ Fats yield 9 kcal/gram
  • Basic metabolic rate (BMR) —amount of heat produced by the body per unit of time at rest
  • Average BMR is about 60 to 72 kcal/hour for an average 70-kg (154-lb) adult
  • Factors that influence BMR o Surface area —a small body usually has a higher BMR o Gender —males tend to have higher BMRs o Age —children and adolescents have higher BMRs o The amount of thyroxine produced is the most important control factor ▪ More thyroxine means a higher metabolic rate
  • Total metabolic rate (TMR) —total amount of kilocalories the body must consume to fuel ongoing activities
  • TMR increases dramatically with an increase in muscle activity
  • TMR must equal calories consumed to maintain homeostasis and maintain a constant weight
  • Body temperature regulation o When foods are oxidized, more than 60% of energy escapes as heat, warming the body o The body has a narrow range of homeostatic temperature ▪ Must remain between 35.6ºC and 37.8ºC ▪ (96ºF and 100ºF)
  • The body’s thermostat is in the hypothalamus
  • Hypothalamus initiates mechanisms to maintain body temperature o Heat loss mechanisms involve radiation of heat from skin and evaporation of sweat o Heat-promoting mechanisms involve vasoconstriction of skin blood vessels and shivering