Overview of Digestive Physiology

FIVE MAJOR PROCESSES OF THE DIGESTIVE TRACT

  • Motility of digestive products through the digestive tract.
  • Secretion of enzymes and fluids into the digestive tract.
  • Digestion of food breakdown.
  • Absorption of nutrients and water.
  • Barrier from the external environment and microorganisms.

Minor Process

  • Elimination of waste and undigested material from the body.

STRUCTURES

Alimentary canal and glands/organs

  • Alimentary canal
    – Runs from the mouth to the anus.
    – We can imagine the alimentary canal as a donut hole within a giant donut.
  • Accessory glands/organs
    – Secrete digestive juices into the alimentary canal
    – To imagine the accessory glands, we draw a donut and show jelly ooze into the donut hole to represent the accessory gland secretions.

Accessory organs

  • Salivary glands secrete saliva
  • Liver secretes bile into the gallbladder
  • Gallbladder secretes stored bile into the duodenum after a meal
  • Pancreas secretes pancreatic juice into the duodenum

Liver, gallbladder, and pancreatic secretions pass through individual ducts

– All merge at duodenum → secretions secrete into duodenum

Additional features of alimentary canal:

  • Smooth muscle lining allows peristalsis
    – Peristalsis is rhythmic contractions that push food down the alimentary canal.
    – Sphincters are modified, one-way valves that comprise smooth muscle. They contract and relax to regulate movement through the alimentary canal.

DIGESTIVE TRACT PATHWAY

Oral cavity

  • Site of mastication (chewing).

Esophagus

  • Transports the food bolus to the stomach (via peristalsis).
  • Gastroesophageal sphincter: regulates the movement of food into the stomach
    – Prevents “heartburn”: the reflux of food back into the esophagus.

Stomach

  • Churns and converts food into liquid chyme.
  • Pyloric sphincter regulates the movement of chyme into our small intestine; it releases chyme slowly to allow the duodenum time to absorb food nutrients.

Small intestine

  • The major site of nutrient absorption.
  • Three major divisions: duodenum, jejunum, ileum.
  • Most nutrient absorption in duodenum.

Large intestine

  • Absorbs water
  • Three major divisions: cecum, colon, rectum.

Anus

  • Excretes waste.

DIGESTION OF THE FOUR MAJOR MACROMOLECULES

Aided by luminal secretions/enzymes – promote digestion of macromolecules to absorbable nutrients

Oral cavity

  • Luminal secretions: Saliva = amylase, mucus, lysozyme
  • Digests: Polysaccharides → smaller polysaccharides, maltose
    – Enzyme is salivary amylase

Esophagus

  • Luminal secretions: Mucus, which lubricates passage of food to the stomach.  NO digestion

Stomach

  • Luminal secretions: Gastric juice = HCl, pepsin, mucus
  • Digests: Polypeptides → small polypeptides
    – Enzyme is pepsin

Small intestine

  • Luminal secretions are:
    – Bile
    – Pancreatic enzymes: trypsin, chymotrypsin, carboxypeptidase, amylase, lipase and nuclease
    – Brush border enzymes (not secreted): dissaccharidases, aminopeptidases
  • Digests:
    – Polysaccharides → disaccharides, maltose. Enzyme: pancreatic amylase
    – Disaccharides → monosaccharides. Enzyme: Disaccharidases (brush border)
    – Polypeptides → smaller polypeptides. Enzyme: trypsin & chymotripsin
    – Smaller polypeptides → amino acids. Enzymes: carboxypeptidases & aminopeptidases (brush border)
    – DNA/RNA → nucleotides. Enzyme: nuclease
    – Fat globules → glycerol, fatty acids. Enzyme: lipase and bile salts

Large Intestine

  • Luminal secretions: mucus.  NO digestion. Instead absorbs water and electrolytes.

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