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PART 1 The Digestive System.

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Presentation on theme: "PART 1 The Digestive System."— Presentation transcript:

1 PART 1 The Digestive System

2 Overview of the Digestive System
Organs are divided into two groups Alimentary canal Mouth, pharynx, and esophagus Stomach, small intestine, and large intestine Accessory digestive organs Teeth and tongue Gallbladder, salivary glands, liver, and pancreas Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

3 The Alimentary Canal and Accessory Digestive Organs
Figure 22.1 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

4 Ingestion – occurs in the mouth Propulsion – movement of food
Digestive Processes Ingestion – occurs in the mouth Propulsion – movement of food Peristalsis – major means of propulsion Mechanical digestion – prepares food for chemical digestion Chewing, churning of food in stomach, segmentation Segmentation is rhythmic local constrictions of intestine Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

5 Absorption – transport of digested nutrients
Digestive Processes Chemical digestion – complex molecules broken down to chemical components Mouth Stomach Small intestine Absorption – transport of digested nutrients Defecation – elimination of indigestible substances as feces Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

6 Digestive Processes Figure 22.2
Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

7 Major means of propulsion
Peristalsis Major means of propulsion Adjacent segments of the alimentary canal relax and contract Figure 22.3a Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

8 Rhythmic local contractions of the intestine
Segmentation Rhythmic local contractions of the intestine Mixes food with digestive juices Figure 22.3b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

9 Four lines divide abdominal wall into 9 regions
Abdominal Regions Four lines divide abdominal wall into 9 regions Midclavicular lines – vertical lines of grid Subcostal plane – superior horizontal line Connects inferior points of costal margin Transtubercular plane – inferior horizontal line Connects tubercles of iliac crests Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

10 Nine Regions of Anterior Abdominal Surface
Figure 22.4a Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

11 Nine Regions of Anterior Abdominal Surface
How regions relate to abdominal viscera Figure 22.4b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

12 A simpler scheme defining four quadrants
Abdominal Quadrants A simpler scheme defining four quadrants Figure 22.4c Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

13 PART 2 The Digestive System

14 Histology of the Alimentary Canal Wall
Same four layers from esophagus to anus The mucosa – innermost layer Consists of Epithelium Lamina propria Muscularis mucosae The submucosa – external to the mucosa Contains blood and lymphatic vessels, nerve fibers Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

15 Histology of the Alimentary Canal Wall
The muscularis externa – external to the submucosa Two layers Circular muscularis – inner layer Longitudinal muscularis – outer layer The serosa – the outermost layer Is the visceral peritoneum Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

16 Histology of the Alimentary Canal
Figure 22.5 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

17 Primarily found in walls of viscera Fibers elongated
Smooth Muscle Primarily found in walls of viscera Fibers elongated Have one centrally-located nucleus Grouped into sheets Longitudinal layer – parallel to long axis of organ Circular layer – deeper layer, fibers run around circumference of organ Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

18 Smooth Muscle Figure 22.6a, b
Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

19 Smooth Muscle Contraction
Myofilaments operate by interaction with cytoskeleton Dense bodies – correspond to Z-discs of skeletal muscle Figure 22.7a–c Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

20 Innervation of Smooth Muscle
Innervated by ANS Few fibers per sheet innervated Sheet of smooth muscle contracts as a unit Exceptions Iris of eye Arrector pili muscles in skin Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

21 Innervation of Smooth Muscle
Figure 22.8 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

22 Myenteric nerve plexus
Nerve Plexuses Myenteric nerve plexus Lies between circular and longitudinal muscularis Controls peristalsis and segmentation Submucosal nerve plexus Lies in submucosa Signals glands to secrete Innervation Sympathetic and parasympathetic motor fibers Visceral sensory fibers Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

23 The Peritoneal Cavity and Peritoneum
Peritoneum – a serous membrane Visceral peritoneum – surrounds digestive organs Parietal peritoneum – lines the body wall Peritoneal cavity – a slit-like potential space Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

24 The Peritoneal Cavity and Peritoneum
Mesentery – a double layer of peritoneum Holds organs in place Sites of fat storage Provides a route for circulatory vessels and nerves Figure 22.9a Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

25 The Peritoneal Cavity and Peritoneum
Retroperitoneal organs Behind the peritoneum Peritoneal organs Digestive organs that keep their mesentery Figure 22.9b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

26 Superficial view of abdominal organs
Mesenteries Superficial view of abdominal organs Figure 22.10a Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

27 Lesser omentum attaches to lesser curvature of stomach
Mesenteries Lesser omentum attaches to lesser curvature of stomach Figure 22.10b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

28 Greater omentum – a “fatty apron” of peritoneum
Mesenteries Greater omentum – a “fatty apron” of peritoneum Greater omentum and transverse colon reflected Figure 22.10c Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

29 Sagittal section through the abdominopelvic cavity
Mesenteries Sagittal section through the abdominopelvic cavity Mesenteries attach to posterior abdominal wall Figure 22.10d Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

30 Secondarily Retroperitoneal Organs
Initially formed within peritoneum Become retroperitoneal Fuse to posterior abdominal wall Figure 22.11 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

31 Summary of Intraperitoneal and Secondarily Retroperitoneal Organs
Table 22.1 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

32 The Mouth and Associated Organs
The mouth – oral cavity Mucosal layer Stratified squamous epithelium Lamina propria The lips and cheeks Formed from orbicularis oris and buccinator muscles, respectively Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

33 Anatomy of the Mouth Figure 22.12a
Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

34 Anatomy of the Mouth The labial frenulum The palate
Connects lips to gum The palate Forms the roof of the mouth Figure 22.12b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

35 Interlacing fascicles of skeletal muscle Grips food and repositions it
The Tongue Interlacing fascicles of skeletal muscle Grips food and repositions it Helps form some consonants Intrinsic muscles – within the tongue Extrinsic muscles – external to the tongue Lingual frenulum Secures tongue to floor of mouth Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

36 The Superior Surface of the Tongue
Tongue papillae Filiform papillae – no taste buds Fungiform papillae Circumvallate papillae Sulcus terminalis Marks border between mouth and pharynx Posterior 1/3 of tongue lies in oropharynx Lined with lingual tonsil Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

37 Superior Surface of the Tongue
Figure 22.13 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

38 Deciduous teeth – 20 teeth Permanent teeth – 32 teeth
The Teeth Deciduous teeth – 20 teeth First appear at 6 months of age Permanent teeth – 32 teeth Most erupt by the end of adolescence Dental formula – shorthand Way to indicate number and position of teeth 2I, 1C, 2P, 3M Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

39 The Teeth Figure 22.14 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

40 Longitudinal section of tooth in alveolus
Tooth Structure Longitudinal section of tooth in alveolus Figure 22.15 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

41 Compound tubuloalveolar glands
The Salivary Glands Produce saliva Compound tubuloalveolar glands Parotid glands Parotid duct – parallel to zygomatic arch Contains only serous cells Submandibular glands Lies along medial surface of mandible Sublingual glands Lies in floor of oral cavity Contains primarily mucous cells Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

42 The Salivary Glands Figure 22.16
Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

43 Oropharynx and laryngopharynx
The Pharynx Oropharynx and laryngopharynx Passages for air and food Lined with stratified squamous epithelium External muscle layer Consists of superior, middle, and inferior pharyngeal constrictors Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

44 Gross anatomy – muscular tube
The Esophagus Gross anatomy – muscular tube Begins as a continuation of the pharynx Joins the stomach inferior to the diaphragm Cardiac sphincter – closes lumen to prevent stomach acid from entering esophagus Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

45 The Esophagus Microscopic anatomy
Epithelium is stratified squamous epithelium When empty – mucosa and submucosa in longitudinal folds Mucous glands – primarily compound tubuloalveolar glands Muscularis externa Skeletal muscle first third of length Adventitia – most external layer Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

46 Microscopic Structure of the Esophagus
Figure 22.17a, b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

47 Site where food is churned into chyme
The Stomach Site where food is churned into chyme Secretion of pepsin begins protein digestion Functions under acidic conditions Food remains in stomach approximately 4 hours Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

48 The Stomach Figure 22.18a Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

49 The Stomach Figure 22.18b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

50 Microscopic Anatomy of the Stomach
Muscularis has three layers Circular and longitudinal layers and oblique layer Epithelium is simple columnar epithelium Mucosa dotted with gastric pits Gastric glands – deep to gastric pits Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

51 Microscopic Anatomy of the Stomach
Gastric glands of fundus and body Mucous neck cells Secrete a special mucus Parietal (oxyntic) cells Secrete hydrochloric acid and gastric intrinsic factor Chief (zymogenic) cells Secrete pepsinogen Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

52 The Stomach – Microscopic Anatomy
Figure 22.19a–d Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

53 The Small Intestine – Gross Anatomy
Longest portion of the alimentary canal Site of most enzymatic digestion and absorption Three subdivisions Duodenum Jejunum Ileum Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

54 Receives digestive enzymes and bile
The Duodenum Receives digestive enzymes and bile Main pancreatic duct and common bile duct enter duodenum Sphincters control entry of bile and pancreatic juices Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

55 The Duodenum and Related Organs
Figure 22.20 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

56 The Small Intestine – Microscopic Anatomy
Modifications for absorption Circular folds (plicae circulares) Transverse ridges of mucosa and submucosa Villi Finger-like projections of the mucosa Covered with simple columnar epithelium Microvilli Further increase surface area for absorption Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

57 Histology of the Intestinal Wall
Absorptive cells Uptake digested nutrients Goblet cells Secrete mucus that lubricates chyme Enteroendocrine cells Secrete hormones Intestinal crypts Epithelial cells secrete intestinal juice Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

58 The Small Intestine – Structural Features
Figure 22.21a–d Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

59 PART 3 The Digestive System

60 Digested residue contains few nutrients
The Large Intestine Digested residue contains few nutrients Small amount of digestion by bacteria Main functions Absorb water and electrolytes Mass peristaltic movements force feces toward the rectum Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

61 Gross Anatomy of Large Intestine
Subdivided into Cecum, vermiform appendix, colon, rectum, anal canal Special features of large intestine Teniae coli Thickening of longitudinal muscularis Haustra Puckering created by teniae coli Epiploic appendages Fat-filled pouches of visceral peritoneum Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

62 Gross Anatomy of Large Intestine
Cecum Blind pouch Beginning of large intestine Vermiform appendix Contains lymphoid tissue Neutralizes pathogens Colon Divided into distinct segments Ascending, transverse, descending, and sigmoid colon Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

63 Gross Anatomy of Large Intestine
Rectum Descends along the inferior half of the sacrum Anal Canal The last subdivision of the large intestine Lined with stratified squamous epithelium Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

64 Gross Anatomy of Large Intestine
Figure 22.22a Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

65 Gross Anatomy of Large Intestine
Figure 22.22b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

66 Vessels and Nerves of the Large Intestine
First half of large intestine Arterial supply - superior mesenteric artery Innervation Sympathetic innervation – superior mesenteric and celiac ganglia Parasympathetic innervation – vagus nerve Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

67 Vessels and Nerves of the Large Intestine
Distal half of large intestine Arterial supply - inferior mesenteric artery Innervation Sympathetic innervation – inferior mesenteric and hypogastric plexuses Parasympathetic innervation – pelvic splanchnic nerves Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

68 Defecation Reflex Figure 22.23
Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

69 Microscopic Anatomy of Large Intestine
Villi are absent Contains numerous goblet cells Intestinal crypts – simple tubular glands Lined with simple columnar epithelial tissue Epithelium changes at anal canal Becomes stratified squamous epithelium Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

70 Mucosa of the Large Intestine
Figure 22.24 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

71 Largest gland in the body
The Liver Largest gland in the body Performs over 500 functions Digestive function Bile production Performs many metabolic functions Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

72 Visceral Surface of the Liver
Figure 22.26 Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

73 Microscopic Anatomy of the Liver
Hepatocyte – functional cells of the liver Portal triad composed of Bile duct tributary Branch of hepatic portal vein Branch of hepatic artery Kupffer cells – destroy bacteria Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

74 Microscopic Anatomy of the Liver
Some functions of hepatocytes Rough ER manufactures blood proteins Smooth ER produces bile salts, detoxifies poisons Peroxisomes detoxify poisons (alcohol) Golgi apparatus packages secretory products Mitochondria provide energy for liver processes Glycosomes store sugar Great capacity for regeneration Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

75 Microscopic Anatomy of Liver
Figure 22.27a, c, d Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

76 Stores and concentrates bile Expels bile into duodenum
The Gallbladder Stores and concentrates bile Expels bile into duodenum Bile emulsifies fats Cholecystokinin – released from enteroendocrine cells in response to fatty chyme Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

77 The Gallbladder Figure 22.20
Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

78 PART 4 The Digestive System

79 The Pancreas Exocrine function Endocrine function
Acinar cells make, store, and secrete pancreatic enzymes Enzymes are activated in the duodenum Endocrine function Produces insulin and glucagon Regulates blood sugar Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

80 The Exocrine Pancreas: Histology
Figure 22.29a, b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

81 Disorders of the Digestive System
Intestinal obstruction Mechanical obstructions Adhesions, tumors, or foreign objects Nonmechanical obstruction Halt in peristalsis Trauma Intestines touched during surgery Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

82 Disorders of the Digestive System
Inflammatory bowel disease Inflammation of intestinal wall Crohn’s disease Ulcerative colitis Viral hepatitis Jaundice and flu-like symptoms Major types – A, B, C, and G Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

83 Disorders of the Digestive System
Cystic Fibrosis and the Pancreas Pancreatic ducts become blocked with mucus Clogged ducts prevent pancreatic juices from entering small intestine Leads to malabsorption of fats and other nutrients Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

84 Embryonic Development of the Digestive System
Alimentary canal formed in week three Encloses tubular portion of yolk sac Vitelline duct Landmark dividing into three regions Forgut Midgut Hindgut Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

85 Embryonic Development of the Digestive System
Figure 22.30a, b Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings

86 The Digestive System in Later Life
Middle age – gallstones and ulcers Old age – activity of digestive organs decline Fewer digestive juices and enzymes produced Absorption is less efficient Dehydration of fecal mass leads to constipation Diverticulosis and cancer of digestive organs Copyright © 2008 Pearson Education, Inc., publishing as Benjamin Cummings


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