Digestive System

HS I

What are the structures and functions of the Digestive System?

• Objective 2.07 & 2.08• Essential questions:

• What are the structures of the digestive system?

• What are the fxs & disorders of the digestive system?

Structures of the digestive system

Digestive system

• Also known as:• Alimentary Canal• Digestive Tract• Gastrointestinal

Tract• Upper GI• Lower GI

• Approximately 30’ in length from mouth to anus

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1. Physical breakdown of food

2. Chemical digestion of food into the end products of fat, carbohydrates and protein.

3. Absorb nutrients into blood capillaries of the small intestines

4. Eliminate waste products of digestion

Functions of the Digestive System

• DIGESTION – the process of changing complex solid foods into simpler soluble forms which can be absorbed by body cells.

• ENZYMES – chemical substances that promote chemical reactions in living things.

• ALIMENTARY CANAL – digestive tract or gastrointestinal tract (GI Tract). A 30 ft. tube from mouth to anus.

• PERITONEUM – double-layered serous membrane that lines the abdominal cavity (Lining of the Digestive System)

Primary Organs of Digestion

• Mouth• Esophogus• Stomach• Small Intestines• Large Intestines

(a.k.a Colon

Accessory Organs of Digestion

• Mouth• Tongue• Teeth• Salivary Glands

• Pancreas• Liver• Gall Bladder

Structure of Organs of Digestion - Mouth

• A.K.A. Buccal Cavity• Food enters digestive system through

mouth • Inside of mouth covered with mucous

membrane• Roof of mouth is HARD PALATE (bone)

and SOFT PALATE• UVULA – flap that hangs off soft palate –

prevents food from going up the nose when you swallow

Structure of Organs of Digestion - Tongue• Attached to floor of mouth• Helps in chewing and swallowing• Made of skeletal muscle attached to four

bones• Taste buds on the surface – sweet, sour,

bitter, salty

Structure of Organs of Digestion – Teeth

• GINGIVA – gums, support and protect teeth

• MASTICATION – chewing, teeth help in mechanical digestion

• DECIDUOUS (primary) teeth – 20 baby teeth

• Permanent (secondary) teeth – 32 adult teeth

Did you know???

Canine teeth are also

known as cuspids and

eye teeth

Structure of Organs of Digestion – Teeth• Incisors – cutting and chopping food

• Cuspids – ripping food

• Bicuspids – ripping food

• Molars – crushing and grinding food

Structure of Organs of Digestion – Salivary Glands

• Three pairs of glands – parotid, sublingual, submandibular

• PAROTID – largest salivary glands, they become inflamed during mumps

• Secrete saliva

Structures of the digestive system• Pharynx (throat) – permits

swallowing food and liquids• Nasopharynx• Oropharynx• Hypopharynx

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Structure of Organs of Digestion – Esophagus

• Muscular tube, 10” long• Connects pharynx and

stomach• Esophageal wall layers

– Mucosa– Submucosa– Muscular– External serous

Structure of Organs of Digestion – Stomach

• Upper part of abdominal cavity - LUQ

• CARDIAC SPHINCTER – circular layer of muscle, controls passage of food into stomach from esophagus

• PYLORIC SPHINCTER – valve, regulates the entrance of food into duodenum

• RUGAE – mucous coat lining of stomach in folds when the stomach is empty

• Stomach has muscular coat that allows it to contract (peristalsis) and push food into the small intestine

Structure of Organs of Digestion – Stomach

Structure of Organs of Digestion – Small Intestines• DUODENUM – first segment, curves

around pancreas, 12” long• JEJUNUM – next section, 8 ft. long• ILEUM – final portion, 10-12 feet long• ABSORPTION – in small intestine,

digested food passes into bloodstream and on to body cells, undigestible passes on to large intestine

Accessory Organs of Digestion - Pancreas

• Located behind stomach• Exocrine function – secretes digestive

enzymes• Also has endocrine function

Accessory Organs of Digestion - Liver

• Largest organ in the body• Located below the diaphragm,

upper right quadrant• Connected to gallbladder and

small intestine by ducts• Functions:

• Produce and store glucose in the form of GLYCOGEN

• Detoxify alcohol, drugs and other harmful substances

• Manufacture blood proteins• Manufactures bile• Store Vitamins A, D and B

complex

Accessory Organs of Digestion – Gall Bladder

• Small green organ, inferior surface of the liver

• Stores and concentrates BILE from the liver until needed by the body

• When fatty foods digested, bile released by gallbladder for digestion

• CHYME – semi-liquid food

• Approx 2” in diameter• Also called the colon• CECUM – lower right

portion of large intestine• APPENDIX is finger-like

projection off cecum• RECTUM – last portion

of large intestine• ANUS – external

opening

Accessory Organs of Digestion – Large Intestines

Understand the functions of the digestive system

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Digestion• BOLUS – soft, pliable ball – creating from

chewing and addition of saliva – it slides down esophagus

• PERISTALSIS – wavelike motions, moves food along esophagus, stomach and intestines

In the mouth…• saliva softens food to make it easier to

swallow• PTYALIN in saliva converts starches into

simple sugar (maltose)• under nervous control – just thinking of

food can cause your mouth to water

DigestionIn the stomach…• gastric (digestive) juices are released

• Acid and enzymes• Pepsin – enzyme that breakdowns

proteins• stomach walls churn and mix (This

mixture is chyme) • small amount of chyme enters duodenum

at a time - controlled by pyloric sphincter• takes 2-4 hours for stomach to empty

DigestionMore about gastric juices…

• Enteroendocrine glands– Gastrin – stimulates secretion of

gastric acid by • Parietal cells of the stomach

– HCL (gastric acid) and intrinsic factor (glycoprotein-absorption of B12 in small intestines)

• Chief type cells– Pepsinogen – converted into

pepsin by gastric acid• Mucus cells

– alkaline mucus• Rennin – digestion of milk proteins

DigestionIn the small intestine… • where digestion is completed and

absorption occurs• addition of enzymes from pancreas and

bile from liver/gallbladder• Villi – small finger-like projections that

protrude from the epithelial lining of intestinal wall – increase surface area of the intestinal wall for increased absorption area

DigestionIn the small intestine-pancreas… • enzymes release into the small intestines• amylase – breaks down starch• steapsin – breaks down fat• pancreatic proteases – breaks down

proteins

DigestionIn the large intestine…• regulation of H2O balance by absorbing large quantities

back into bloodstream• bacterial action on undigested food – decomposed

products excreted through colon – bacteria form moderate amounts of B complex and Vitamin K

• gas formation – 1-3 pints/day, pass it through rectum (FLATULENCE) 14 times a day, bacteria produce the gas

• FECES – undigested semi-solid consisting of bacteria, waste products, mucous and cellulose

• DEFECATION – when large intestine fills, defecation reflex triggered – colon and rectal muscles contract while internal sphincter relaxes – external anal sphincter under conscious control

Functions of the digestive system

• Fecal transplant• Allows the

bacteria from the healthy stool to repopulate the gut of the patient who has lost healthy bacteria in their gut

Used to treat Clostridium difficile that grows in human intestines Symptoms range from

persistent diarrhea to life-threatening inflammation of the colon to death

What are the characteristics and treatment of common digestive disorders?

Disorders of the digestive system

• Anorexia• Decreased or poor

appetite

• Symptom

• Anorexia nervosa • Eating disorder

characterized by refusal to eat

• Psychiatric disorder

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VS

Disorders of the digestive system

Caries • Tooth decay

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Disorders of the digestive systemCleft palate

• Fissure or opening – non fusion of the palate

• Abnormal facial development during gestation – congenital deformity

• Speech, hearing, and psychosocial problems

• Babies have breathing problems while nursing/suckling

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Heartburn (indigestion)Gastroesophageal Reflux Disease (GERD)• Acid reflux• Symptoms – burning sensation• Rx – avoid chocolate and peppermint,

coffee, citrus, fried or fatty foods, tomato products – stop smoking – take antacids – don’t lay down 2-3 hours after eating

GASTROENTERITIS• Inflammation of mucous membrane

lining of stomach and intestine• Common cause = virus• Symptoms – diarrhea and vomiting

for 24-36 hours• Complication = dehydration• See a Gastroenterologist

Peptic Ulcer• Sore or lesion that forms in the mucosal lining of

the stomach• Gastric ulcers in the stomach and duodenal

ulcers in the duodenum• Cause – H. pylori (bacteria) is primary cause• Lifestyle factors that contribute: cigarette

smoking, alcohol, stress, certain drugs• Symptoms – burning pain in abdomen, between

meals and early morning, may be relieved by eating or taking antacid

• DX – x-ray, presence of bacteria• Rx – H2 blockers (drugs) that block release of

histamine, avoid spicy food

APPENDICITIS• When appendix becomes inflamed• If it ruptures, bacteria from appendix can

spread to peritoneal cavity • Symptoms – RLQ pain (rebound pain)• Rx – Antibiotics and appendectomy

HepatitisHEPATITIS A • Infectious hepatitis• Cause – virus• Spread through contaminated food or H2O – fecal-

oral• Treat symptoms, rest, no ETOH or fatty foods,

stay hydrated

HEPATITIS B• Caused by virus found in blood• Transmitted by blood transfusion or being stuck

with contaminated needles (drug addicts)• Health care workers at risk and should be

vaccinated• Use standard precautions for prevention

HepatitisHEPATITIS C• Chronic infectious hepatitis• Cause – virus (HCV)• Spread through blood to blood contact• Transmitted by blood transfusion or being stuck

with contaminated needles (drug addicts)

HEPATITIS D• Caused by virus found in blood• Only occur in people who have Hepatitis B –

transmitted at same time• Super Hepatitis – Delta Hepatitis

HepatitisHEPATITIS E• Acute viral infectious hepatitis• Cause – virus (HEV)• Spread through fecal-oral transmission• Lethal – no cure• Mostly in under developed countries due to poor

sanitation

CIRRHOSIS• Chronic, progressive disease of liver• Normal tissue replaced by fibrous

connective tissue• 75% caused by excessive alcohol

consumption• S&S – edema, ascites, jaundice, fatigue,

itching, bruise easily, weight loss, red palms, confusion

• Rx – no cure, avoid Tylenol and ibuprofen, low Na diet, stop ETOH consumption,

CHOLECYSTITIS

• Inflammation of gallbladder• Symptoms– RUQ pain, fever, nausea,

vomiting, pale stool, jaundice• Causes – Gallstones (cholelithiasis), bile

duct blockage• Rx – bed rest, antibiotics, pain

medications, hospitalization, Cholecystectomy (surgical removal of gallbladder)

CHOLELITHIASIS• Gallstones• Can block the bile duct causing pain

and digestive disorders• Small ones may pass on their own,

large ones surgically removed • CHOLECYSTECTOMY

IRRATABLE BOWEL SYDROME - IBS

• Spastic colon – chronic abdominal pain, discomfort, bloating

• Diarrhea or constipation• Urgency for bm• Etiology - Unknown • No cure• Rx – diet, stress relief, exercise,

medication

Other DisordersDIARRHEA• Loose, watery, frequent bowel movements when

feces pass along colon too rapidly• Caused by infection, poor diet, nervousness, toxic

substances or irritants in food

CONSTIPATION• When defecation delayed, feces become dry and

hard • Rx – diet with cereals, fruits, vegetables, (roughage),

drinking plenty of fluids, exercise, and avoiding tension

OBSTIPATION• Blockage of intestines – severe constipation

JAUNDICE• Yellow color of the skin

Relevance of nutrition to the digestive system

• Healthy dietary habits help maintain homeostasis of body systems

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Relevance of nutrition to the digestive system

• Vitamins• Fat soluble

• Vitamins A, D, E, K

• Water soluble• Vitamins C, B

• Electrolytes• Calcium• Chloride• Magnesium• Phosphorus• Potassium• Sodium

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QUESTIONS