DIGESTIVE SYSTEM

 

DIGESTIVE SYSTEM

PREPARED BY MR. ABHIJIT DAS

INTRODUCTION

Food is one of the basic requirements of all living organisms. The major components of our food are carbohydrates, proteins and fats.

These biomolecules present in food cannot be utilized by our body in their original form. They should be broken down and converted into simple substances in the digestive system.

This process of conversion of complex food substances to simple forms is known as digestion.

HUMAN DIGESTIVE SYSYEM

The human digestive system consists of the alimentary canal and accessory glands.

ALIMENTARY CANAL

It is also known as the gastro intestinal tract (GIT).

It is a long tube through which food passes.

The alimentary canal begins with the mouth and terminates at the anus.

The average range of alimentary canal in adults is around 5 metres.

The parts of alimentary canal are:

·        Mouth (buccal cavity)

·        Pharynx

·        Esophagus

·        Stomach

·        Small intestine

·        Large intestine

·        Anal canal

ACCESSORY GLANDS

Various secretions are released into alimentary canal by accessory glands.

They consists of:

·        Salivary gland

·        Pancreas

·        Liver



TEETH


The teeth are embedded in the sockets of the mandible and maxilla.

FUNCTIONS

Depending on their functions, teeth have different shapes.

Incisors and canine teeth are the cutting teeth and are used for biting off pieces of food.

Premolar and molar teeth, with flat surfaces, are used for grinding or chewing food.


DENTAL FORMULA

An adult human has 32 permanent teeth. The arrangement of teeth in each half of the upper and lower jaw is represented by a dental formula.

IN ADULTS

2123/2123

2 incisors

1 canine

2 premolars

3 molars

IN CHILDREN

2102/2102

2 incisors

1 canine

0 premolar

2 molars

TONGUE


The tongue is composed of skeletal muscle which is attached to the hyoid bone.

The superior surface consists of stratified squamous epithelium with numerous papillae (raised structures).

Three types of papillae are there in an adult human such as filiform papillae, fungiform papillae and circumvallate papillae.

Filiform papillae are whitish in colour and they do not have taste buds. Fungiform papillae have taste buds and circumvallate papillae have thousands of taste buds.

FUNCTIONS

Tongue helps in

·        Chewing (mastication)

·        Swallowing (deglutition)

·        Speech

·        Taste 

SALIVARY GLANDS

The salivary glands release their secretions (saliva) through ducts that lead into the buccal cavity.

There are three main pairs of salivary glands such as parotid glands, submandibular glands and sublingual glands.

About 1.5 litres of saliva is produced daily.

COMPOSITION OF SALIVA

·        Water

·        Mucus

·        Ions (Na+, K+, Cl-, HCo3- )

·        Enzymes (lysozymes and salivary amylases)

FUNCTIONS OF SALIVA

1.     DIGESTION OF CARBOHYDRATES

Saliva contains the enzyme amylase which begins the breakdown of 30% carbohydrates into maltose.

 


2.     Saliva softens the food.

3.     Saliva help in tasting the food.

4.     Saliva also kills microorganisms due to presence of lysozymes.

HISTOLOGY OF ALIMENTARY CANAL



The wall of alimentary canal from esophagus to rectum possesses four layers namely serosa, muscularis, submucosa and mucosa.

Serosa is the outermost layer made up of connective tissues.

Muscularis is formed by smooth muscles.

Submucosal layer is formed of loose connective tissue.

The innermost layer is the mucosa. This layer has goblet cells which secret mucus that help in lubrication.

STOMACH

The esophagus leads to a ‘J’ shaped bag like structure called stomach.

The four layers of tissue that make the basic structure of the alimentary canal are also found in stomach but with some modifications.

A muscular sphincter called gastro-esophageal sphincter (or cardiac sphincter) regulates the opening of esophagus into the stomach.

Similarly, the opening of stomach into the duodenum is also guarded by the pyloric sphincter.

The stomach has four major parts such as cardia, fundus, body and pylorus.



The gastric muscle generates a churning action that breaks down the bolus (food + saliva) and mixes it with gastric juice.

Peristalsis waves in the stomach wall push the content towards small intestine.

GASTRIC JUICE

About 2 litres of gastric juice are secreted daily by glands present in mucosa of stomach.

Gastric juice consists of:

·        Mucus secreted by mucus neck cells.

·        Hydrochloric acid (HCl) and castle’s intrinsic factor secreted by oxyntic cells.

·        Inactive enzyme pepsinogen and active enzyme rennin and gastric lipase secreted by chief cells.



FUNCTIONS OF GASTRIC JUICE

HYDROCHLORIC ACID (HCl)

HCl converts pepsinogen into pepsin.



HCl also converts Fe3+ to Fe2+



It kills ingested microorganisms.

CASTLE’S INTRINSIC FACTOR

It is necessary for the absorption of castle’s extrinsic factor or vitamin B12.

PEPSINOGENS

Pepsinogens are activated to pepsins by HCl.

Pepsins begin the digestion of proteins by breaking them into peptides and peptones.



GASTRIC LIPASES

Gastric lipases breakdown triglycerides to diglycerides.



RENNIN

Rennin breaks casein (milk protein) into paracasein in infants.



MUCUS

Mucus provides protection.

THE DUCT SYSTEM OF LIVER AND PANCREAS



The bile secreted by the hepatic cells of liver passes through the hepatic ducts and is stored in a thin muscular bag called the gall bladder. The duct of gall bladder along with the hepatic duct from the liver forms the common bile duct.

The common bile duct and the pancreatic duct open together into the duodenum of small intestine as the hepato-pancreatic duct.

LIVER

Liver is the largest gland of the body weighing about 1.2 to 1.5 kg in an adult human.

Liver has two lobes.



The hepatic lobules are the structural and functional units of liver containing hepatic cells (hepatocytes).

Hepatic lobules are hexagonal in shape.

Sinusoids are present between two pairs of columns of hepatocytes which contains blood vessels.



FUNCTIONS OF LIVER

1.    CARBOHYDRATE METABOLISM

After a meal, when glucose levels rise, liver converts glucose to glycogen under the influence of the hormone insulin.

Later when glucose levels fall, the hormone glucagon stimulates conversion of glycogen into glucose.

 


2.    PROTEIN METABOLISM

Liver removes amino group from the amino acid by a process called deamination.



Amino group is then converted to ammonia. This ammonia enters into the urea cycle and is converted to uric acid. Uric acid is excreted in the urine.

3.    LIPID METABOLISM

Liver stores some lipids.

Sometimes liver also converts lipids into glucose by a process known as gluconeogenesis.



4.    BREAKDOWN OF ERYTHROCYTES

Although breakdown of RBCs takes place in the spleen, the damaged fragments of RBCs will be eaten by kupffer cells (phagocytic in nature) of liver.

5.     Storage of fat soluble vitamins (vitamin A, vitamin D, vitamin E, vitamin K).

6.     Metabolism of alcohol and drugs.

7.     Secretion of bile.

BILE

Bile is a greenish yellow fluid that is made and released by the liver and stored in the gall bladder.

Between 500 ml – 1000 ml of bile is secreted by the liver daily.

COMPOSITION OF BILE

·        Water

·        Bile salts

·        Bile pigments (bilirubin, biliverdin)

·        Cholesterol

·        Phospholipids (lecithin)

FUNCTIONS OF BILE

Emulsifying fats: Bile salts break down fats into smaller droplets, increasing their surface area for easier digestion and absorption.

Absorbing fat-soluble vitamins: Bile helps break down fats so that fat-soluble vitamins (A, D, E, and K) can be absorbed.

Eliminating waste: Bile helps eliminate waste products such as bilirubin from the liver, which gives feces their brown color.

PANCREAS

The pancreas is a creamy pink gland weighing about 60g.

It is a heterocrine gland (both an exocrine and an endocrine gland).



EXOCRINE FUNCTIONS OF PANCREAS

The exocrine part of pancreas (or Acini) secrete pancreatic juice which contains different enzymes.

The pancreatic juice contains inactive enzymes- trypsinogens, chymotrypsinogens, procarboxypeptidases, proelastases, amylases, lipases, nucleases (DNase, RNase) etc.

First trypsinogen is activated into trypsin which in turn activates the other enzymes.




Proteins, peptones and peptides will be converted to dipeptides and tripeptides by those proteases enzymes (chymotrypsinogens, carboxypeptidases and elastases).



70 % carbohydrates will be converted to maltose by enzyme amylases.



Some triglycerides will be converted to diglycerides and some diglycerides will be converted to monoglycerides by enzyme lipases.



Similarly, nucleases (DNases and RNases) in the pancreatic juice act on nucleic acids to form nucleotides.



ENDOCRINE FUNCTIONS OF PANCREAS

The endocrine gland of the pancreas is otherwise called as islets of Langerhans. The endocrine glands of pancreas secretes the hormones insulin and glucagon which are concerned with control of blood glucose levels.



SMALL INTESTINE

The small intestine is continuous with the stomach at the pyloric sphincter.

The small intestine is about 2.5 cm in diameter and about 5 meters in length.

The small intestine is comprised of three continuous parts (duodenum, jejunum and ilium).

The mucosa layer of small intestine forms small finger like foldings called villi. The epithelial tissue lining the villi is brush border columnar epithelium. This modification increase the surface area of small intestine.

Villi are supplied with a network of capillaries and a large lymph vessel called lacteal.

Villi also forms glands called ‘Crypt of Lieberkuhn’. These glands secrete enzymes of small intestine (enzymes of small intestine is otherwise known as succus entericus).



EXOCRINE FUNCTIONS OF SMALL INTESTINE

Aminopeptide will be converted to dipeptide by the enzyme aminopeptidase and dipeptide will be converted to two molecules of amino acids by the enzyme dipeptidase.



Maltose will be converted to two molecules of glucose by the enzyme maltase.



Monoglycerides will be converted to glycerol and fatty acid by the enzyme lipases.



Nucleotides will be converted to nucleosides by the enzyme phosphatases and nucleosides will be converted to sugars and nitrogenous bases by the enzyme nucleosidases.



ABSORPTION OF DIGESTED PRODUCTS

Absorption is the process by which the end product of digestion pass into the blood.

Absorption of substances takes place in different parts of alimentary canal. However, the simple substances formed are mostly absorbed in the jejunum and ilium regions of the small intestine.

Basically there are two types of absorption such as active absorption (which requires ATP) and passive absorption (which doesn’t require ATP).

LARGE INTESTINE



The large intestine is about 1.5 meters long, beginning at the caecum and terminating at the rectum.

The large intestine is divided into caecum, colon and rectum.

CAECUM

It is the first part of large intestine and house of good bacteria.

The vermiform appendix is a tube which leads from the caecum. It is about 8-9 cm long.

The appendix has no digestive function but can cause problems when it becomes inflamed (appendicitis).

COLON

Colon has three parts such as ascending colon, transverse colon and descending colon.

RECTUM

The digestive wastes are solidified into faeces in the rectum.

The egestion of faeces to the outside through the anal opening is known as defaecation.

Defaecation is a voluntary process.




Diagram Credits: Yashobanta Mahanta, Yostnarani Setty

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