Gastro Intestibal Tract

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    The Human Gastrointestinal (GI) Tract

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    Ingestion

    Food placed in the mouth is

    ground into finer particles by the teeth,

    moistened and lubricated by saliva (secreted by three

    pairs ofsalivary glands) small amounts of starch are digested by the amylase

    present in saliva

    the resulting bolus of food is swallowed into the

    esophagus and

    carried by peristalsis to the stomach.

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    The stomach

    a J-shaped area of thegastrointestinal (GI) tract thatsits in the upper left side ofthe abdomen.

    It is the most dilated area ofthe tract and has severalregions - the fundus (theexpanded part of thestomach), the cardia, thebody, and the funnel-shapedantrum.

    Food enters the stomach

    through the cardiac orgastroesophageal sphincterand leaves it via the pyloricsphincter.

    approximately 25cm long

    and can expand to hold up to

    4L of food and drink,

    although its empty volume is

    only 50ml collapses in on itself when it

    is empty and forms folds or

    rugae.

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    Absorption in the stomach

    As the contents of the stomach become

    thoroughly liquefied, they pass into the

    duodenum, the first segment

    Two ducts enter the duodenum:

    one draining the gall bladder and hence the

    liver

    the other draining the exocrine portion of

    the pancreas.

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    FUNCTIONS OF THE STOMACH

    Food reservoir

    Absorption

    Mucus secretion.

    Gastric juice secretion

    The wall of the stomach is lined with millions ofgastric glands, which together secrete

    400800 ml of gastric juice at each meal. Several kinds of cells are found in the gastricglands

    parietal cells

    chief cells

    -It stops the proliferation of bacteria in the stomach;

    - It inactivates salivary amylase, mixed with the food in the mouth;

    - It curdles milk to prepare it for digestion;

    - It tenderises proteins (by denaturing them);- It converts the pepsinogen produced by chief cells into pepsin, which starts to digest

    protein;

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    FUNCTIONS OF THE STOMACH

    Churning food

    - Food that enters the stomach is mixed with and diluted by the

    gastric secretions into a thick soup-like substance called chyme. The

    chyme is churned by waves of peristalsis. Each wave lasts about half a

    minute and 'flows' from the top of the stomach to the bottom;

    Production of intrinsic factor. The parietal cells in the stomach also produce intrinsic factor, which is

    essential for the absorption of vitamin B12 from the ileum in the small

    intestine. Vitamin B12 is necessary for the healthy functioning of nerve

    fibres in the body, for the formation of myelin sheaths on the nerves in the

    spinal cord and for the formation of red blood cells.

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    The liver

    The liver secretes bile. Between meals it accumulates in

    the gall bladder. When food, especially when it contains

    fat, enters the duodenum, the release of the hormone

    cholecystokinin (CCK) stimulates the gall bladder to

    contract and discharge its bile into the duodenum.

    Bile contains ;

    bile acids

    bile pigments

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    The pancreasThe pancreas consists of clusters if endocrine cells (

    the islets ofLangerhans) and exocrine cells whosesecretions drain into the duodenum.

    Pancreatic fluid contains:

    sodium bicarbonate (NaHCO3). This neutralizesthe acidity of the fluid arriving from the stomach

    raising its pH to about 8.

    pancreatic amylase. This enzyme hydrolyzes

    starch into a mixture ofmaltose and glucose.

    pancreatic lipase. The enzyme hydrolyzes

    ingested fats into a mixture offatty acids and

    monoglycerides. Its action is enhanced by the

    detergent effect of bile.

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    The secretion of pancreatic fluid is

    controlled by two hormones:

    secretin, which mainly affects the release of

    sodium bicarbonate, and

    cholecystokinin (CCK), which stimulates

    the release of the digestive enzymes.

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    The Small Intestine

    Digestion within the small

    intestine produces a

    mixture of disaccharides,

    peptides, fatty acids, and

    monoglycerides. The finaldigestion and absorption

    of these substances occurs

    in the villi, which line the

    inner surface of the smallintestine.

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    Incorporated in the plasma membrane of the

    microvilli are a number of enzymes that complete

    digestion:aminopeptidases attack the amino terminal (N-

    terminal) of peptides producing amino acids.

    disaccharidasesThese enzymes convertdisaccharides into their monosaccharide subunits.

    omaltase hydrolyzes maltose into glucose.

    osucrase hydrolyzes sucrose (common table sugar)into glucose and fructose.

    olactase hydrolyzes lactose (milk sugar) into glucose

    and galactose.

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    Fructose simply diffuses into the villi, but both

    glucose and galactose are absorbed by

    active transport.

    fatty acids and monoglycerides. These become

    resynthesized into fats as they enter the cells of the

    villus. The resulting small droplets of fat are thendischarged by exocytosis into the lymph vessels,

    called lacteals, draining the villi.

    Humans with a rare genetic inability to form

    microvilli die of starvation.

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    The large intestine (colon)

    The large intestine receives the liquid residue after digestion and absorption arecomplete. This residue consists mostly of water as well as materials (e.g. cellulose)that were not digested. While the contents of the small intestine are normally sterile,the colon contains an enormous population of microorganisms.

    Reabsorption of water is the chief function of the large intestine. Thelarge amounts of water secreted into the stomach and small intestine

    by the various digestive glands must be reclaimed to avoiddehydration. If the large intestine becomes irritated, it may dischargeits contents before water reabsorption is complete causing diarrhea.On the other hand, if the colon retains its contents too long, the fecalmatter becomes dried out and compressed into hard masses causing

    constipation.

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