Vous êtes sur la page 1sur 32

Pharynx

Oropharynx

Laryngopharynx

Stratified squamous epithelium and mucus glands

Muscle layers skeletal; for swallowing

Inner longitudinal

Outer pharyngeal constrictors

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Esophagus

InterActive Physiology:
Secretion, page 6
Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.12

Digestive Processes in the Mouth

Food ingested

Mechanical digestion- (chewing)

Propulsion - swallowing

Amylase- starch

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Deglutition (Swallowing)

Coordinated activity of tongue, soft palate, pharynx,


esophagus, & 22 separate muscle groups

Buccal phase bolus forced into oropharynx

Pharyngeal-esophageal phase medulla & pons

All routes except into the digestive tract are sealed off

Peristalsis moves food through the pharynx to the


esophagus

Pharynx & esophagus- food from mouth to stomach

InterActive Physiology:
Motility, pages 4-5
Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Deglutition (Swallowing)

Bolus of food

Tongue

Uvula

Pharynx
Epiglottis

Bolus
Epiglottis

Glottis
Esophagus

Trachea
(a) Upper esophageal
sphincter contracted

Bolus

(b) Upper esophageal


sphincter relaxed
Relaxed
muscles
Bolus of
food
Longitudinal
muscles
contract,
shortening
passageway
ahead of bolus
Gastroesophageal
sphincter closed

(d)
Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

(c) Upper esophageal


sphincter contracted

Circular muscles
contract,
constricting
passageway
and pushing
bolus down

Relaxed
muscles
Gastroesophageal
sphincter open

Stomach

(e)

Figure 23.13

Churn
mix

InterActive Physiology:
Motility, page 6
Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.14a

Microscopic Anatomy of the Stomach

Epithelial lining is composed of:

Goblet cells that produce a coat of alkaline mucus

The mucous surface layer traps a bicarbonaterich fluid beneath it

Gastric pits contain gastric glands that secrete


gastric juice, mucus, and gastrin

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Microscopic Anatomy of the Stomach

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.15a

Microscopic Anatomy of the Stomach

Goblet cells- alkaline


mucus; protective
acid mucus
HCl, intrinsic factor

pepsinogen
Histamine, serotonin, somatostatin, gastrin
Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.15b

Microscopic Anatomy of the Stomach

InterActive Physiology:
Secretion, page 8

InterActive Physiology:
Motility, page 6

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.15c

Stomach Lining

Stomach- can dissolve nails

To keep from digesting itself: mucosal barrier:

A thick bicarbonate-rich mucus

Epithelial cells joined by tight junctions

Gastric glands with cells impermeable to HCl

Damaged epithelial cells quickly replaced

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Digestion in the Stomach

The stomach:

Holds ingested food

Degrades food physically & chemically

Pepsin- digests proteins

Delivers chyme to the small intestine

Intrinsic factor- vitamin B12

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Release of Gastric Juice: Stimulatory Events


Before food
enters

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.16.1

Release of Gastric Juice: Inhibitory Events


Cephalic

Gastric

Intestinal
Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.16.2

Regulation and Mechanism of HCl Secretion

HCl secretion is stimulated by ACh, histamine, and


gastrin through second-messenger systems

Release of hydrochloric acid:

Is low if only one ligand binds to parietal cells

Is high if all three ligands bind to parietal cells

Antihistamines block H2 receptors and decrease


HCl release

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Regulation and Mechanism of HCl Secretion

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.17

Response of the Stomach to Filling

Reflex-mediated events include:

Receptive relaxation as food travels thru


esophagus, stomach muscles relax

Adaptive relaxation as stomach fills, it dilates

Plasticity smooth muscle= stress-relaxation

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Gastric Contractile Activity

Peristaltic waves- move thru @ 3/min

Set by pacemaker cells (cells of Cajal)

Closer to pylorus> peristalsis, mixing

Chyme is either:

Delivered in small amounts to the duodenum or

Forced backward into the stomach for further


mixing
InterActive Physiology:
Motility, page 10

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Gastric Contractile Activity

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.18

Regulation of Gastric Emptying


Neural, hormonal
inhibitions of emptying

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.19

Small Intestine: Gross Anatomy

Runs from pyloric sphincter to the ileocecal valve

Has three subdivisions: duodenum, jejunum, and


ileum

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Duodenum and Related Organs

sphincter of Oddi

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.20

Small Intestine: Microscopic Anatomy

Structural modifications of the small intestine wall


increase surface area

Plicae circulares: deep circular folds of the mucosa


and submucosa

Villi fingerlike extensions of the mucosa

Microvilli tiny projections of absorptive mucosal


cells plasma membranes

PLAY

InterActive Physiology:
Anatomy Review, page 5

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Small Intestine: Microscopic Anatomy

3.

1.
Plicae
circulares

2.

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.21

Small Intestine: Histology of the Wall

Mucosal epithelium:

Absorptive cells, goblet cells

Enteroendocrine cells

Intraepithelial T cells (IELs); killers

Intestinal crypts- intestinal juice

Peyers patches - submucosa

Brunners glands- duodenum; alkaline mucus

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Liver

The largest gland in the body

Four lobes right, left, caudate, and quadrate

Produces bile for fat digestion

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

InterActive Physiology:
Secretion, pages 11-12

Gallbladder and Associated Ducts


1.

3.

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

2.
4.

Figure 23.20

Microscopic Anatomy of the Liver

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.24c, d

Liver: Microscopic Anatomy

Hepatocyte functions:

Produce Bile

Process bloodborne nutrients

Convert glucose residues to glycogen

Syntesize plasma proteins

Store fat-soluble vitamins

Detoxification

Secreted bile flows between hepatocytes toward the bile


ducts in the portal triads

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Composition/Functions of Bile

Bile salts - yellow-green, alkaline soln containing:

bile pigments (mostly bilirubin)

Cholesterol

neutral fats

Phospholipids

Electrolytes

Functions:

Emulsify fat

Facilitate fat, cholesterol absorption

Help solubilize cholesterol

Enterohepatic circulation recycles bile salts

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

The Gallbladder

Green muscular sac- ventral surface of liver

Stores & concentrates bile

Releases bile

via the cystic duct, which flows into the bile duct

Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Regulation of Bile Release


4 Vagal stimulation causes
weak contractions of
gallbladder
3 Bile salts
and secretin
transported via
bloodstream
stimulate liver
to produce bile
more rapidly

5 Cholecystokinin
(via bloodstream)
causes gallbladder
to contract and
hepatopancreatic
sphincter to relax;
bile enters
duodenum

1 Acidic, fatty chyme


entering duodenum causes
release of cholecystokinin
and secretin from
duodenal wall
enteroendocrine cells

2 Cholecystokinin
and secretin enter the
bloodstream

6 Bile salts reabsorbed into blood


Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 23.25

Vous aimerez peut-être aussi