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6 components of the GI tract
mouth, pharynx, esophagus, stomach, small intestine, large intestine
(MPESSL)
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6 accessory digestive organs
teeth, tongue, salivary glands, liver, pancreas, gall bladder
(TTSLPG)
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Are accessory organs classified as part of the digestive system?
yes, although most do not come into contact with food
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major functions of accessory organs
secrete or store secretions needed for digestion
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6 major functions of the digestive system
- 1) ingestion
- 2) secretion of substances to aide in digestion
- 3) mixing & propulsion
- 4) digestion (mechanical, chemical)
- 5) absorption
- 6) disposal of wastes
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definition of absorption in terms of the digestive system
process of digested food, fluids, ions crossing the gut wall to enter blood or lymph
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How is selective absorption facilitated?
by properties of epithelial cells
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layers of the GI tract
mucosa, submucosa, muscularis, serosa
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components of mucosa
epithelium, connective tissue layer (lamina propria), smooth muscle
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mucosa epithelium in the mouth
non-keratinized stratified squamous
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mucosa epithelium in the pharynx
non-keratinized stratified squamous
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mucosa epithelium in the esophagus
non-keratinized stratified squamous
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mucosa epithelium in the anal canal
non-keratinized stratified squamous
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mucosa epithelium in the stomach and intestines
simple columnar
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MALT
mucosa-associated lymphatic tissue
immune cell clusters in lamina propria
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Where is most MALT found?
tonsils, small intestines, appendix, large intestine
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2 plexuses of the GI tract
- 1) myenteric plexus
- 2) submucosal plexus
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location of myenteric plexus
between circular and longitudinal muscle layers of muscularis
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location of submucosal plexus
in submucosa
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How are the 2 plexuses interconnected?
by interneurons
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function of myenteric plexus
controls gut motility
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function of submucosal plexus
control secretion
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role of autonomic nervous system in the gut
parasympathetic: increase GI secretion/motility
sympathetic: decrease GI secretion/motility
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Where do parasympathetic nerves enter the GI tract?
via cranial nerve X (vagus)
EXCEPT large intestine, which is supplied by PS fibers from sacral spinal cord
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Where do sympathetic nerves enter the GI tract?
from thoracic & lumbar regions of spinal cord
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peritoneal cavity
space containing lubricating serous fluid between parietal and visceral portions of peritoneum
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location of parietal peritoneum
lines outside of abdominopelvic cavity
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location of visceral peritoneum
covers some organs of abdominopelvic cavity
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peritoneum
largest serous membrane in the body
consists of mesothelium (simple squamous), w/ underlying layer of areolar CT
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peritonitis
acute inflammation of the peritoneum
caused by infectious microbes
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ascites fluid
fluid accumulated in the peritoneal cavity in some diseases
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location of mouth
between teeth, hard palate, soft palate, and tongue
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location of parotid glands
inferior/anterior to the ears, between skin & masseter muscle
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location of submandibular glands
floor of the mouth, medial/partly inferior to body of the mandible
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location of sublingual glands
beneath tongue, superior to submandibular glands
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components of saliva
- 99.5% water
- ions, enzymes, mucous
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mumps
inflamed parotid glans due to paramyxovirus
also inflammation of testes in adult men
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GERD
gastrointestinal reflux disease
lower esophageal sphincter doesn't close completely, resulting in reflux
can lead to esophageal cancer
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5 cell types of the stomach
- 1) chief cells
- 2) parietal cells
- 3) surface mucous cells
- 4) mucous neck cells
- 5) G cells
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chief cells
secrete pepsinogen, gastric lipase
breaks down proteins/peptides, triglycerides
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parietal cells
secrete HCl, intrinsic factor
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intrinsic factor
needed for vitamin B12 absorption, which is used in RBC formation
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surface mucous & mucous neck cells
secrete mucous as protective barrier
some absorption
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G cells
secrete gastrin
stimulates parietal cells to secrete HCl, and chief cells to secrete pepsinogen
contracts lower esophageal sphincter, increases motility of stomach, relaxes pyloric sphincter
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7 functions of the stomach
- 1) make chyme
- 2) hold food until room in small intestine
- 3-7) secrete HCl, pepsin, intrinsic factor, lipase, gastrin
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chyme
mixture of saliva, food, gastric juices
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3 types of exocrine cells of the stomach
- 1) mucous neck cells
- 2) parietal cells
- 3) chief cells
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endocrine cell of the stomach
G cells
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mechanism of secretion of HCl by parietal cells
- 1) carbonic anhydrase (CA) forms carbonic acid (H2CO3) from water & CO2
- 2) H2CO3 dissociates to form H+ & bicarbonate (HCO3-)
- 3) H+ secreted into lumen by H+/K+ pump
- 4) HCO3- exchanged for Cl- by Cl-/HCO3- antiporter
- 5) Cl- secreted by Cl- channel
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HCl secretion increased by:
- 1) ACh from PS neurons
- 2) gastrin from G cells
- 3) histamine from mast cells
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exocrine portion of pancreas
acini (99%)
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endocrine portion of pancreas
islets (1%)
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enzymes produced by acini
amylase, trypsin, carboxypeptidase, elastase, lipase, RNase, DNase
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function of trypsin, chymotrypsin, carboxypeptidase, elastase
digest proteins
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hormones produced by islets
insulin, glucagon, somatostatin, pancreatic polypeptide
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organization of liver lobule
- - hexagonal
- - central vein in center
- - portal triad at 3 corners
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portal triad
bile duct, hepatic artery, portal vein
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flow of blood in liver lobules
from GI -> portal vein -> sinusoids -> central vein -> hepatic veins -> inferior vena cava
(TOWARD central vein)
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3 types of cells in liver
- 1) hepatocytes
- 2) bile duct cells
- 3) Kupffer cells (phagocytes)
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7 functions of the liver
- 1) carb, fat, protein metabolism
- 2) hormone, drug processing
- 3) excrete bilurubin
- 4) synthesize bile salts
- 5) vitamin, mineral storage
- 6) phagocytosis
- 7) vitamin D activation
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gall bladder
stores/concentrates bile
pear-shaped sac in depression of liver
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bile
- - secreted by hepatocytes, stored in gall bladder
- - partial excretory product, partially digestive secretion
- - bile salts break down large lipid globules
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bilirubin
principal bile pigment
derived from heme, by-product of RBC phagocytosis
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3 components of small intestine
- 1) duodenum
- 2) jejunum
- 3) ileum
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brush border
microvilli lining small intestine
increases surface area of plasma membrane of absorptive cells -> larger amounts of digested nutrients can diffuse into cells
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4 enzymes responsible for carb digestion in small intestine
- 1) a-dextrase
- 2) sucrase
- 3) lactase
- 4) maltase
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enzymes responsible for protein digestion
- 1) pepsin (stomach)
- 2) trypsin, chymotrypsin, carboxypeptidase, elastase
- 3) aminopeptidase, dipeptidase (brush border)
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end product of carb digestion
monosaccharides (glucose, fructose, galactose)
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end product of protein digestion
amino acids
(and some di-/tri-peptides)
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end product of lipid digestion
fatty acids and glycerol
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How are sugars and amino acids absorbed?
- - secondary active transport
- - facilitated diffusion
- - active transport
most sugars transported by cotransport with Na+ ions
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How are lipids absorbed?
- - short chain FAs absorbed by simple diffusion
- - long chain FAs & monoglycerides form micelles with bile salts
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chylomicrons
large aggregates of long chain FAs in the cell (entered by transport to brush border as micelles)
leave cell by exocytosis, transported via lacteals
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total fluid volume ingested/secreted:
9.3L
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total fluid volume absorbed:
9.2L
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fluids contributing to digestion
- 1) saliva
- 2) ingested liquids
- 3) gastric juice
- 4) pancreatic juice
- 5) intestinal juice
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4 functions of large intestine
- 1) completion of absorption (particularly water)
- 2) production of some B vitamins and vitamin K
- 3) formation of feces
- 4) expulsion of feces
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