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Lion Den -> Anatomy & Physiology -> Course Info -> A&P 2 -> A&P 2 Outlines -> DIGESTIVE

Reading assignment: 
Chapter 25, 26, & 27
(Thibodeau & Patton Anatomy & Physiology)

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ACT  Interactive
 activity
GA  Gray's Anatomy
ANIM  Animation pp  PowerPoint slide
FIG  Figure term

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Online previews:
Digestive System (Parts 1,2,3)
Nutrition & Metabolism

(Previews are found at WebCT)

 

Overview of digestive anatomy and physiology

Main functions

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Digestion -- breaking complex (large) nutrients down into simple (small) nutrients
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Mechanical digestion -- large particles into small, without changing molecular structures
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Examples: chewing, peristalsis, segmentation, mixing/churning

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Chemical digestion -- large molecules into small
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Examples: enzymatic breakdown of polysaccharides into disaccharides and then into monosaccharides

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Absorption -- moving simple nutrients from lumen (external environment) to blood (internal environment)

 

Alimentary canal

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One-way digestive tract through the body    PP

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Section including the stomach and intestines is also called the gastrointestinal (GI) tract     GA

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Each section of the canal is considered to be a primary organ
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Any digestive organ that is NOT a section of the tract (for example, salivary glands, liver, pancreas) is considered to be a secondary or accessory organ of the digestive system

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Hollow area, called the lumen, is functionally an extension of the external environment (contents of the lumen is not really "a part of you")

 

Wall of digestive tract

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Tract has four layers (coats) around the lumen

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Mucosa (mucous coat) - mucous epithelium
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In many sections, this lining of the tract is folded with bumps that have bumps (fractal-like surface)
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Fractal surfaces have bumps that have bumps that have bumps --seemingly infinitely-- that greatly increase surface area

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Increases efficiency of secretion of digestive juices and of absorption and at the same time allows each section to expand (like a folded cloth balloon) to accommodate more food

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Mucus (water and glycoproteins and other nifty stuff)
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Protects (from mechanical injury, stomach acid, bacterial infection)

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Lubricates (keeps food sliding along the tract)

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Aids in mixing (helps liquify and mix up ingested food)

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Submucosa (under-mucous coat) - fibrous connective tissue
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Helps stabilize and strengthen mucosa layer

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Muscularis (muscle coat) -- smooth muscle
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Two layers: circular (inner) layer and longitudinal (outer) layer
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Stomach wall has third oblique layer under its circular layer

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Sphincters
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Thick groupings of circular muscles that acts as valves to regulate flow through the tract

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Recall that smooth muscle is involuntary muscle

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Often autorhythmic
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Basal electrical rhythm (BER) = intrinsic, rhythmic fluctuation

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Pacemaker activity similar to cardiac muscle, allowing the BER to spread to other nearby muscle fibers
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Migrating motor complex (MMC) during fasting "cleans out" the tract

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Starling's Law of the Gut: smooth muscle contracts when stretched
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This means that when food enters a section and stretches its wall, the smooth muscle reflexively contracts, either:
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pushing the food along ahead of the ring of contraction (peristalsis) or     ANIM

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churning it up in place (segmentation)     ANIM

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Activity of muscles is called motility
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Defecation is motility that results in movement of the feces out of the body (called "bowel movement" or BM)

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Serosa (serous coat)
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Serous membrane (thin epithelial membrane coated with watery, lubricating serous fluid)
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Same as visceral peritoneum

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Above the diaphragm this layer is instead simply fibrous connective tissue

 

Enteric Nervous System (ENS)

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Among the muscles and other layers is a complex network of nerves

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Called by some "the second brain" this network performs complex regulation of secretion and motility of various sections of the tract

 

Accessory organs of digestion

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Exocrine glands that have ducts leading into the lumen of the digestive tract

 

Functional anatomy of the digestive system

Mouth (oral cavity)

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Structure     GA
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Boundaries     GA
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Lips & cheeks

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Palate (roof)
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Hard palate (palatine bones and palatine processes of maxillae) is anterior     GA

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Soft palate (muscle) is posterior

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Fauces (archway to throat) with uvula (dangling thing)

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Tongue (and floor)     
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Root, tip, and body of tongue

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Covered with papillae     GA
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Taste buds     GA

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Frenulum -- fold under tongue; attaches to floor of mouth cavity     GA

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Teeth     GA  GA
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General tooth structure     GA   GA   GA
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Crown -- part that is visible
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covered with hard enamel

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Neck -- where crown becomes the root

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Root -- part inside jaw socket     GA
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Covered with cementum

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Bound to jawbone by collagenous periodontal membrane (ligament) [peri = "surrounding" odont = "tooth"]

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Inner shell of tooth (under crown and inside root) is hard dentin tissue with hollow pulp cavity containing nerves and blood vessels

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32 permanent teeth
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20 deciduous (baby) teeth (not enough room in a small mouth for 32 big teeth)     GA   GA

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Shape determines function     GA
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Incisors (2 per quadrant) - cutting teeth

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Canines (1 per quadrant) - grabbing, tearing teeth

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Premolars (2 per quadrant) - sawing, tearing teeth

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Molars (3 per quadrant) - crushing, grinding teeth

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Human teeth are not very specialized for any of these functions (compare incisors/molars of horse, for example, which are extreme; or compare canines/premolars of a cat, which are extreme) so therefore, we are built to be "Swiss army knives" that can do anything but not all that well

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Salivary glands     GA
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Parotid glands (largest pair)     GA
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Parotid duct opens in cheek across from 2nd upper molar

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Submandibular glands
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Submandibular duct opens on floor just lateral to frenulum

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Sublingual (smallest pair)
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Numerous (8-20) sublingual ducts on floor under tongue

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Function
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Ingestion = putting food into digestive tract (usually implies swallowing also)

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Mastication = chewing

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Deglutition = swallowing (through pharynx and esophagus to stomach)

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Gustation = tasting (chemical analysis of food)

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Digestion
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Mostly mechanical (see above)

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Perhaps some chemical (salivary amylase digests polysaccharides, but not much time for this)

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Nondigestive functions (for example: smiling, kissing, spitting, talking, singing, whistling, raspberries, licking, and so on)

 

Pharynx (throat)

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Structure
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Three divisions
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Nasopharynx
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Behind nasal cavity

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Oropharynx
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Behind oral cavity

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Laryngopharynx
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Behind larynx (voicebox)

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Extends to the esophagus

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Bolus (ball or chunk) of food from oral cavity enters middle of pharynx and moves into esophagus

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Function
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Deglutition (swallowing)     ANIM
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Three phases: oral, pharyngeal, esophageal

 

Esophagus

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Structure
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Collapsible, muscular tube specialized for peristalsis (approx. 25 cm)

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Posterior to trachea and heart     GA

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Passes through hiatus in diaphragm

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Lower esophageal sphincter (LES) is a ring of smooth muscle at opening of stomach to prevent backflow (esophageal reflux)
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Reflux can cause "heartburn" and lead to more serious complications

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Also sometimes called the cardial or cardiac sphincter

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There is also an upper esophageal sphincter (UES) that guards the opening of the esophagous from the pharynx
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opens during deglutition

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Function
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Deglutition

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Vomiting = emptying of stomach and beginning of small intestine via esophagus/throat/mouth

 

Stomach

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Structure
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Just inferior to diaphragm     GA

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Regions of stomach     GA
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Cardial region

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Fundus

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Body

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Pylorus

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Curves of stomach
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Greater curvature (inferior)

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Lesser curvature (superior)

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Size varies greatly     GA  GA

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Folds (rugae) help mix/liquefy bolus to become chyme     GA

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Very muscular (has 3, not 2, layers of muscle)

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Has gastric pits that include gastric glands

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Two sphincter valves control the openings
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Lower esophageal (cardial) sphincter controls superior opening

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Pyloric sphincter controls inferior opening

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Function
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Storage of food until small intestine is ready
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This is the MAIN function of the stomach, other functions occur because you might as well do something with the food while it's sitting there so you start what digestion you can ahead of time

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Mechanical digestion
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Liquifaction of bolus into chyme

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Propulsion = forward movement of chyme

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Retropulsion = backward movement of chyme

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Goblet cells produce mucus (part of "gastric juice") that protects stomach lining and aids in mixing & lubrication

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Chemical digestion
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Hydrochloric acid (HCl)
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Produced by parietal cells of gastric mucosa
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CO2 + H2O --> H2CO3 --> HCO3- + H+
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H-K pump (proton pump) moves H+ ions into gastric juice

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Parietal cells can quickly increase their surface area by 100x, thus rapidly increasing their output

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Parietal cells also make intrinsic factor (protects vitamin B12 and allows its absorption)

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Denatures (unfolds) proteins so enzymes have a shot at peptide bonds between amino acids

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Pepsin
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Produced by chief cells of gastric mucosa

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Secreted as pepsinogen (an inactive proenzyme that is later converted to active pepsin)
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All digestive enzymes do this, or else they'd eat the cell that made them

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Hydrolysis of long polypeptide chains into shorter peptide chains
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Hydrolysis, used by all digestive enzymes, uses water (H2O or HOH) to break apart subunits of macromolecules

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Absorption
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Almost NO absorption of water & nutrients in the stomach

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Chyme must move to small intestine for absorption
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If nutrients are already in their simplest form, they are almost immediately absorbed by the small intestine

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Rate of gastric emptying determines how fast a substance will be absorbed
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This is important for rapid rehydration, for example

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Gastric emptying can be hastened if
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The ingested material is dilute, if it is room temp or cooler, and if it is low in protein or fat


OH-X-X-X-X-X-X-X-X-X-H  +  H-OH
----->    OH-X-H  +  OH-X-X-X-X-X-X-X-X-H

Hydrolysis (hydro = "water"  lysis = "break apart")

Hydrolysis breaks apart amino acids or saccharides or fatty acids or glycerol from one another by breaking the bond that holds them, then "plugging up" the two exposed ends with the two pieces of a split water (HOH) molecule so that the bond cannot re-form.  Thus a long polymer can be broken down into many separate monomers.

 

Small intestine

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Structure
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Small diameter (2-3 cm) and long length (6 m)

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Three sections forming many loops in the abdominopelvic cavity
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Duodenum
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Short, C-shaped section under stomach     GA

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Has opening of common bile duct     GA
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Entry of secretions of liver and pancreas

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Jejunum

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Ileum

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Lined with circular folds (plicae circulares)
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Each fold is covered with fingerlike villi (sing. villus)     GA  GA
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Each villus covered with cells that have microscopic microvilli
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This surface is called the "brush border" and is the boundary between the external and internal environment

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Massive surface area for efficient absorption

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Inside each villus is a network of blood capillaries and a single lymph capillary (lacteal)     GA

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Intestinal glands produce mucus (have goblet cells)     GA

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Intestinal crypts have stem cells that divide and thus replenish cells of villus that slough off    fig

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Function
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Receives chyme from the stomach in small spurts

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Continues mechanical digestion

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Most chemical digestion occurs here

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Absorption of most nutrients occurs here
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Most nutrients are absorbed through the brush border into the blood capillaries

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Lipids are absorbed instead into the lacteal so that the blood flow is not "gummed up" with fats and oils

 

Large intestine (colon)

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Structure
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Wider than small intestine (5-6 cm) but shorter (1.5-2 m)

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Muscles in wall are "bunched up" causing the large intestine to look puckered
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Pouched sections are called haustra

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Tapelike taeniae coli are longitudinal strips of muscle

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Several sections:
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Cecum     GA  GA
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Ileocecal sphincter controls flow of chyme from ileum of small intestine into cecum of large intestine

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Vermiform  appendix (literally "worm-shaped addition" )
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Acts as an incubator for intestinal flora (microbes)

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Colon is inhabited by interacting communities of microbes and other organisms  fig

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Appendix "regrows" the desirable mix of organisms after it has been damaged by antibiotics or other events

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Ascending colon

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Transverse colon

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Descending colon

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Sigmoid ( meaning "S-shaped") colon

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Rectum     GA
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