Digestive System Lecture Notes

May 31, 2024

The Human Digestive System

Overview

  • Complex system evolved over millions of years.
  • Main components:
    • Rectum
    • Large intestine
    • Small intestine
    • Pancreas
    • Stomach (gaster, ventriculus)
    • Liver with gallbladder
    • Esophagus
    • Salivary glands

Initial Food Processing

  • Mouth:
    • Food broken by teeth, mixed with saliva
    • Saliva contains amylase (enzyme for carbohydrate digestion)
    • Bolus (food mix) formed
  • Esophagus:
    • Bolus pushed by tongue, transported by flexible esophageal lumen
    • Peristalsis moves bolus to stomach

Stomach

  • Structure:
    • Six areas, layers similar to esophagus
    • Longitudinal, circular, and oblique muscle layers
    • Rugae allow expansion
  • Function:
    • Gastric glands produce mucus (protective) and gastric acid (digestive)
    • Sphincter prevents acid reflux
    • Gastric juice: hydrochloric acid, pepsin, intrinsic factor, lipase
    • Hydrochloric acid destroys harmful bacteria, activates pepsin
    • Pepsin breaks down proteins
    • Intrinsic factor needed for vitamin B12 absorption
    • Gastric movements mix food into chyme

Small Intestine

  • Structure and Sections:
    • Three sections: duodenum, jejunum, ileum
    • Circular folds, villi, and microvilli increase surface area
    • Villi contain blood capillaries and lacteal (lymphatic capillary)
  • Digestion:
    • Bile and pancreatic secretions added in duodenum
    • Pancreatic juice neutralizes stomach acid, contains digestive enzymes
    • Bile emulsifies fats
    • Nutrient absorption in jejunum and ileum
  • Absorption:
    • Nutrients absorbed by villi into blood capillaries
    • Some nutrients (e.g., glucose) transported freely, others need carriers (e.g., transferrin for iron)
    • Fats transported by chylomicrons
    • Ileum absorbs electrolytes, trace elements, vitamins (e.g., B12), and bile acids

Large Intestine

  • Structure:
    • Thicker than small intestine, about 1 meter long
  • Function:
    • Connects to small intestine via Bauhin's valve
    • No villi (main absorption in small intestine)
    • Contains ~100 billion bacteria (vitamin production, fiber decomposition, immune function)
    • Peristalsis transports chyme; water removal and mucus addition for waste excretion
    • Ends in rectum, waste excreted through anus