absorption passage of digested products from the intestinal lumen through mucosal

cells and into the bloodstream or lacteals

accessory digestive organ includes teeth, tongue, salivary glands, gallbladder, liver,
and pancreas
accessory duct (also, duct of Santorini) duct that runs from the pancreas into the
duodenum
acinus cluster of glandular epithelial cells in the pancreas that secretes pancreatic
juice in the pancreas
alimentary canal continuous muscular digestive tube that extends from the mouth to
the anus
anal canal final segment of the large intestine
anal column long fold of mucosa in the anal canal
anal sinus between anal columns
appendix (vermiform appendix) coiled tube attached to the cecum
ascending colon first region of the colon
bacterial flora bacteria in the large intestine
bile alkaline solution produced by the liver and important for the emulsification of lipids
bile canaliculus small duct between hepatocytes that collects bile
bilirubin main bile pigment, which is responsible for the brown color of feces
body mid-portion of the stomach
bolus mass of chewed food
brush border fuzzy appearance of the small intestinal mucosa created by microvilli
cardia (also, cardiac region) part of the stomach surrounding the cardiac orifice
(esophageal hiatus)
cecum pouch forming the beginning of the large intestine
cementum bone-like tissue covering the root of a tooth
central vein vein that receives blood from hepatic sinusoids
cephalic phase (also, reflex phase) initial phase of gastric secretion that occurs before
food enters the stomach
chemical digestion enzymatic breakdown of food
chief cell gastric gland cell that secretes pepsinogen
chyme soupy liquid created when food is mixed with digestive juices
circular fold (also, plica circulare) deep fold in the mucosa and submucosa of the small
intestine
colon part of the large intestine between the cecum and the rectum
common bile duct structure formed by the union of the common hepatic duct and the
gallbladder’s cystic duct
common hepatic duct duct formed by the merger of the two hepatic ducts
crown portion of tooth visible superior to the gum line
cuspid (also, canine) pointed tooth used for tearing and shredding food
cystic duct duct through which bile drains and enters the gallbladder
deciduous tooth one of 20 “baby teeth”
defecation elimination of undigested substances from the body in the form of feces
deglutition three-stage process of swallowing
dens tooth
dentin bone-like tissue immediately deep to the enamel of the crown or cementum of the root
of a tooth
dentition set of teeth
descending colon part of the colon between the transverse colon and the sigmoid colon
duodenal gland (also, Brunner’s gland) mucous-secreting gland in the duodenal submucosa
duodenum first part of the small intestine, which starts at the pyloric sphincter and ends at the
jejunum
enamel covering of the dentin of the crown of a tooth
enteroendocrine cell gastric gland cell that releases hormones
enterohepatic circulation recycling mechanism that conserves bile salts
enteropeptidase intestinal brush-border enzyme that activates trypsinogen to trypsin
epiploic appendage small sac of fat-filled visceral peritoneum attached to teniae coli
esophagus muscular tube that runs from the pharynx to the stomach
external anal sphincter voluntary skeletal muscle sphincter in the anal canal
fauces opening between the oral cavity and the oropharynx
feces semisolid waste product of digestion
flatus gas in the intestine
fundus dome-shaped region of the stomach above and to the left of the cardia
G cell gastrin-secreting enteroendocrine cell
gallbladder accessory digestive organ that stores and concentrates bile
gastric emptying process by which mixing waves gradually cause the release of chyme into
the duodenum
gastric gland gland in the stomach mucosal epithelium that produces gastric juice
gastric phase phase of gastric secretion that begins when food enters the stomach
gastric pit narrow channel formed by the epithelial lining of the stomach mucosa
gastrin peptide hormone that stimulates secretion of hydrochloric acid and gut motility
gastrocolic reflex propulsive movement in the colon activated by the presence of food in the
stomach
gastroileal reflex long reflex that increases the strength of segmentation in the ileum
gingiva gum
haustrum small pouch in the colon created by tonic contractions of teniae coli
haustral contraction slow segmentation in the large intestine
hepatic artery artery that supplies oxygenated blood to the liver
hepatic lobule hexagonal-shaped structure composed of hepatocytes that radiate outward
from a central vein
hepatic portal vein vein that supplies deoxygenated nutrient-rich blood to the liver
hepatic sinusoid blood capillaries between rows of hepatocytes that receive blood from the
hepatic portal vein and the branches of the hepatic artery
hepatic vein vein that drains into the inferior vena cava
hepatocytes major functional cells of the liver
hepatopancreatic ampulla (also, ampulla of Vater) bulb-like point in the wall of the
duodenum where the bile duct and main pancreatic duct unite
hepatopancreatic sphincter (also, sphincter of Oddi) sphincter regulating the flow of bile
and pancreatic juice into the duodenum
hydrochloric acid (HCl) digestive acid secreted by parietal cells in the stomach
ileocecal sphincter sphincter located where the small intestine joins with the large intestine
ileum end of the small intestine between the jejunum and the large intestine
incisor midline, chisel-shaped tooth used for cutting into food
ingestion taking food into the GI tract through the mouth
internal anal sphincter involuntary smooth muscle sphincter in the anal canal
intestinal gland (also, crypt of Lieberkühn) gland in the small intestinal mucosa that secretes
intestinal juice
intestinal juice mixture of water and mucus that helps absorb nutrients from chyme
intrinsic factor glycoprotein required for vitamin B12 absorption in the small intestine
intestinal phase phase of gastric secretion that begins when chyme enters the intestine
jejunum middle part of the small intestine between the duodenum and the ileum
labium lip
labial frenulum midline mucous membrane fold that attaches the inner surface of the lips to
the gums
lacteal lymphatic capillary in the villi
large intestine terminal portion of the alimentary canal
laryngopharynx part of the pharynx that functions in respiration and digestion
left colic flexure (also, splenic flexure) point where the transverse colon curves below the
inferior end of the spleen
lingual frenulum mucous membrane fold that attaches the bottom of the tongue to the floor of
the mouth
lingual lipase digestive enzyme from glands in the tongue that acts on triglycerides
liver largest gland in the body whose main digestive function is the production of bile
lower esophageal sphincter smooth muscle sphincter that regulates food movement from
the esophagus to the stomach
main pancreatic duct (also, duct of Wirsung) duct through which pancreatic juice drains from
the pancreas
major duodenal papilla point at which the hepatopancreatic ampulla opens into the
duodenum
mass movement long, slow, peristaltic wave in the large intestine
mastication chewing
mechanical digestion chewing, mixing, and segmentation that prepares food for chemical
digestion
mesoappendix mesentery of the appendix
microvillus small projection of the plasma membrane of the absorptive cells of the small
intestinal mucosa
migrating motility complex form of peristalsis in the small intestine
mixing wave unique type of peristalsis that occurs in the stomach
molar tooth used for crushing and grinding food
motilin hormone that initiates migrating motility complexes
motility movement of food through the GI tract
mucosa innermost lining of the alimentary canal
mucosal barrier protective barrier that prevents gastric juice from destroying the
stomach itself
mucous neck cell gastric gland cell that secretes a uniquely acidic mucus
muscularis muscle (skeletal or smooth) layer of the alimentary canal wall
myenteric plexus (plexus of Auerbach) major nerve supply to alimentary canal wall;
controls motility
oral cavity (also, buccal cavity) mouth
oral vestibule part of the mouth bounded externally by the cheeks and lips, and internally by
the gums and teeth
oropharynx part of the pharynx continuous with the oral cavity that functions in respiration and
digestion
palatoglossal arch muscular fold that extends from the lateral side of the soft palate to the
base of the tongue
palatopharyngeal arch muscular fold that extends from the lateral side of the soft palate to
the side of the pharynx
pancreas accessory digestive organ that secretes pancreatic juice
pancreatic juice secretion of the pancreas containing digestive enzymes and bicarbonate
parietal cell gastric gland cell that secretes hydrochloric acid and intrinsic factor
parotid gland one of a pair of major salivary glands located inferior and anterior to the ears
pectinate line horizontal line that runs like a ring, perpendicular to the inferior margins of the
anal sinuses
pepsinogen inactive form of pepsin
peristalsis muscular contractions and relaxations that propel food through the GI tract
permanent tooth one of 32 adult teeth
pharynx throat
porta hepatis “gateway to the liver” where the hepatic artery and hepatic portal vein enter the
liver
portal triad bile duct, hepatic artery branch, and hepatic portal vein branch
premolar (also, bicuspid) transitional tooth used for mastication, crushing, and grinding food
propulsion voluntary process of swallowing and the involuntary process of peristalsis that
moves food through the digestive tract
pulp cavity deepest portion of a tooth, containing nerve endings and blood vessels
pyloric antrum wider, more superior part of the pylorus
pyloric canal narrow, more inferior part of the pylorus
pyloric sphincter sphincter that controls stomach emptying
pylorus lower, funnel-shaped part of the stomach that is continuous with the duodenum
rectal valve one of three transverse folds in the rectum where feces is separated from flatus
rectum part of the large intestine between the sigmoid colon and anal canal
reticuloendothelial cell (also, Kupffer cell) phagocyte in hepatic sinusoids that filters out
material from venous blood from the alimentary canal
retroperitoneal located posterior to the peritoneum
right colic flexure (also, hepatic flexure) point, at the inferior surface of the liver, where
the ascending colon turns abruptly to the left
root portion of a tooth embedded in the alveolar processes beneath the gum line
ruga fold of alimentary canal mucosa and submucosa in the empty stomach and other
organs
saccharolytic fermentation anaerobic decomposition of carbohydrates
saliva aqueous solution of proteins and ions secreted into the mouth by the salivary
glands
salivary amylase digestive enzyme in saliva that acts on starch
salivary gland an exocrine gland that secretes a digestive fluid called saliva
salivation secretion of saliva
segmentation alternating contractions and relaxations of non-adjacent segments of the
intestine that move food forward and backward, breaking it apart and mixing it with digestive
juices
serosa outermost layer of the alimentary canal wall present in regions within the
abdominal cavity
sigmoid colon end portion of the colon, which terminates at the rectum
small intestine section of the alimentary canal where most digestion and absorption
occurs
soft palate posterior region of the bottom portion of the nasal cavity that consists of
skeletal muscle
stomach alimentary canal organ that contributes to chemical and mechanical digestion of food
from the esophagus before releasing it, as chyme, to the small intestine
sublingual gland one of a pair of major salivary glands located beneath the tongue
submandibular gland one of a pair of major salivary glands located in the floor of the mouth
submucosa layer of dense connective tissue in the alimentary canal wall that binds the
overlying mucosa to the underlying muscularis
submucosal plexus (plexus of Meissner) nerve supply that regulates activity of glands
and smooth muscle
tenia coli one of three smooth muscle bands that make up the longitudinal muscle layer of the
muscularis in all of the large intestine except the terminal end
tongue accessory digestive organ of the mouth, the bulk of which is composed of
skeletal muscle
transverse colon part of the colon between the ascending colon and the descending
colon
upper esophageal sphincter skeletal muscle sphincter that regulates food movement from
the pharynx to the esophagus
Valsalva’s maneuver voluntary contraction of the diaphragm and abdominal wall muscles
and closing of the glottis, which increases intra-abdominal pressure and facilitates defecation
villus projection of the mucosa of the small intestine

Digestive System Processes and Regulation

 LEARNING OBJECTIVES

By the end of this section, you will be able to:

 Discuss six fundamental activities of the digestive system, giving an example of
each
 Compare and contrast the neural and hormonal controls involved in digestion
The digestive system uses mechanical and chemical activities to break food down into
absorbable substances during its journey through the digestive system. Table
1 provides an overview of the basic functions of the digestive organs.
Table 1. Functions of the Digestive Organs

Organ Major functions Other functions

 Ingests food
 Chews and mixes food  Moistens and dissolves food,
allowing you to taste it
 Begins chemical breakdown of
Mouth carbohydrates  Cleans and lubricates the teeth
and oral cavity
 Moves food into the pharynx
 Has some antimicrobial activity
 Begins breakdown of lipids via
lingual lipase

 Propels food from the oral  Lubricates food and

Pharynx cavity to the esophagus passageways

 Lubricates food and

Esophagus  Propels food to the stomach
passageways

 Mixes and churns food with

gastric juices to form chyme
 Begins chemical breakdown of
proteins  Stimulates protein-digesting
 Releases food into the enzymes
duodenum as chyme
Stomach  Secretes intrinsic factor
 Absorbs some fat-soluble required for vitamin
substances (for example, B12 absorption in small intestine
alcohol, aspirin)
 Possesses antimicrobial
functions

 Mixes chyme with digestive

juices
 Propels food at a rate slow
enough for digestion and
absorption
Small  Absorbs breakdown products  Provides optimal medium for
intestine of carbohydrates, proteins, enzymatic activity
lipids, and nucleic acids, along
with vitamins, minerals, and
water
 Performs physical digestion
via segmentation
 Table 1. Functions of the Digestive Organs

Organ Major functions Other functions

 Liver: produces bile salts,

which emulsify lipids, aiding
their digestion and absorption  Bicarbonate-rich pancreatic
juices help neutralize acidic
Accessory  Gallbladder: stores,
chyme and provide optimal
organs concentrates, and releases
environment for enzymatic
bile
activity
 Pancreas: produces digestive
enzymes and bicarbonate

 Further breaks down food

residues  Food residue is concentrated
 Absorbs most residual water, and temporarily stored prior to
Large electrolytes, and vitamins defecation
intestine produced by enteric bacteria  Mucus eases passage of feces
 Propels feces toward rectum through colon
 Eliminates feces

Digestive Processes
The processes of digestion include six activities: ingestion, propulsion, mechanical or
physical digestion, chemical digestion, absorption, and defecation.
The first of these processes, ingestion, refers to the entry of food into the alimentary
canal through the mouth. There, the food is chewed and mixed with saliva, which
contains enzymes that begin breaking down the carbohydrates in the food plus some
lipid digestion via lingual lipase. Chewing increases the surface area of the food and
allows an appropriately sized bolus to be produced.
Figure 1. Peristalsis moves food through the digestive tract with alternating waves of muscle contraction and
relaxation.

Food leaves the mouth when the tongue and pharyngeal muscles propel it into the
esophagus. This act of swallowing, the last voluntary act until defecation, is an example
of propulsion, which refers to the movement of food through the digestive tract. It
includes both the voluntary process of swallowing and the involuntary process of
peristalsis. Peristalsis consists of sequential, alternating waves of contraction and
relaxation of alimentary wall smooth muscles, which act to propel food along (Figure 1).
These waves also play a role in mixing food with digestive juices. Peristalsis is so
powerful that foods and liquids you swallow enter your stomach even if you are standing
on your head.
Digestion includes both mechanical and chemical processes. Mechanical digestion is
a purely physical process that does not change the chemical nature of the food. Instead,
it makes the food smaller to increase both surface area and mobility. It
includes mastication, or chewing, as well as tongue movements that help break food
into smaller bits and mix food with saliva. Although there may be a tendency to think
that mechanical digestion is limited to the first steps of the digestive process, it occurs
after the food leaves the mouth, as well. The mechanical churning of food in the
stomach serves to further break it apart and expose more of its surface area to digestive
juices, creating an acidic “soup” called chyme. Segmentation, which occurs mainly in
the small intestine, consists of localized contractions of circular muscle of the
muscularis layer of the alimentary canal. These contractions isolate small sections of
the intestine, moving their contents back and forth while continuously subdividing,
breaking up, and mixing the contents. By moving food back and forth in the intestinal
lumen, segmentation mixes food with digestive juices and facilitates absorption.
In chemical digestion, starting in the mouth, digestive secretions break down complex
food molecules into their chemical building blocks (for example, proteins into separate
amino acids). These secretions vary in composition, but typically contain water, various
enzymes, acids, and salts. The process is completed in the small intestine.
Food that has been broken down is of no value to the body unless it enters the
bloodstream and its nutrients are put to work. This occurs through the process
of absorption, which takes place primarily within the small intestine. There, most
nutrients are absorbed from the lumen of the alimentary canal into the bloodstream
through the epithelial cells that make up the mucosa. Lipids are absorbed into lacteals
and are transported via the lymphatic vessels to the bloodstream (the subclavian veins
near the heart). The details of these processes will be discussed later.
In defecation, the final step in digestion, undigested materials are removed from the
body as feces.
AGING AND THE DIGESTIVE SYSTEM: FROM APPETITE SUPPRESSION TO
CONSTIPATION

Age-related changes in the digestive system begin in the mouth and can affect virtually every
aspect of the digestive system. Taste buds become less sensitive, so food isn’t as appetizing as
it once was. A slice of pizza is a challenge, not a treat, when you have lost teeth, your gums are
diseased, and your salivary glands aren’t producing enough saliva. Swallowing can be difficult,
and ingested food moves slowly through the alimentary canal because of reduced strength and
tone of muscular tissue. Neurosensory feedback is also dampened, slowing the transmission of
messages that stimulate the release of enzymes and hormones.
Pathologies that affect the digestive organs—such as hiatal hernia, gastritis, and peptic ulcer
disease—can occur at greater frequencies as you age. Problems in the small intestine may
include duodenal ulcers, maldigestion, and malabsorption. Problems in the large intestine
include hemorrhoids, diverticular disease, and constipation. Conditions that affect the function of
accessory organs—and their abilities to deliver pancreatic enzymes and bile to the small
intestine—include jaundice, acute pancreatitis, cirrhosis, and gallstones.
In some cases, a single organ is in charge of a digestive process. For example,
ingestion occurs only in the mouth and defecation only in the anus. However, most
digestive processes involve the interaction of several organs and occur gradually as
food moves through the alimentary canal (Figure 2).

Figure 2. The digestive processes are ingestion, propulsion, mechanical digestion, chemical digestion,
absorption, and defecation.

Some chemical digestion occurs in the mouth. Some absorption can occur in the mouth
and stomach, for example, alcohol and aspirin.

Regulatory Mechanisms
Neural and endocrine regulatory mechanisms work to maintain the optimal conditions in
the lumen needed for digestion and absorption. These regulatory mechanisms, which
stimulate digestive activity through mechanical and chemical activity, are controlled both
extrinsically and intrinsically.
Neural Controls

The walls of the alimentary canal contain a variety of sensors that help regulate
digestive functions. These include mechanoreceptors, chemoreceptors, and
osmoreceptors, which are capable of detecting mechanical, chemical, and osmotic
stimuli, respectively. For example, these receptors can sense when the presence of
food has caused the stomach to expand, whether food particles have been sufficiently
broken down, how much liquid is present, and the type of nutrients in the food (lipids,
carbohydrates, and/or proteins). Stimulation of these receptors provokes an appropriate
reflex that furthers the process of digestion. This may entail sending a message that
activates the glands that secrete digestive juices into the lumen, or it may mean the
stimulation of muscles within the alimentary canal, thereby activating peristalsis and
segmentation that move food along the intestinal tract.
The walls of the entire alimentary canal are embedded with nerve plexuses that interact
with the central nervous system and other nerve plexuses—either within the same
digestive organ or in different ones. These interactions prompt several types of reflexes.
Extrinsic nerve plexuses orchestrate long reflexes, which involve the central and
autonomic nervous systems and work in response to stimuli from outside the digestive
system. Short reflexes, on the other hand, are orchestrated by intrinsic nerve plexuses
within the alimentary canal wall. These two plexuses and their connections were
introduced earlier as the enteric nervous system. Short reflexes regulate activities in
one area of the digestive tract and may coordinate local peristaltic movements and
stimulate digestive secretions. For example, the sight, smell, and taste of food initiate
long reflexes that begin with a sensory neuron delivering a signal to the medulla
oblongata. The response to the signal is to stimulate cells in the stomach to begin
secreting digestive juices in preparation for incoming food. In contrast, food that
distends the stomach initiates short reflexes that cause cells in the stomach wall to
increase their secretion of digestive juices.

Hormonal Controls

A variety of hormones are involved in the digestive process. The main digestive
hormone of the stomach is gastrin, which is secreted in response to the presence of
food. Gastrin stimulates the secretion of gastric acid by the parietal cells of the stomach
mucosa. Other GI hormones are produced and act upon the gut and its accessory
organs. Hormones produced by the duodenum include secretin, which stimulates a
watery secretion of bicarbonate by the pancreas; cholecystokinin (CCK), which
stimulates the secretion of pancreatic enzymes and bile from the liver and release of
bile from the gallbladder; and gastric inhibitory peptide, which inhibits gastric secretion
and slows gastric emptying and motility. These GI hormones are secreted by
specialized epithelial cells, called endocrinocytes, located in the mucosal epithelium of
the stomach and small intestine. These hormones then enter the bloodstream, through
which they can reach their target organs.

Chapter Review
The digestive system ingests and digests food, absorbs released nutrients, and
excretes food components that are indigestible. The six activities involved in this
process are ingestion, motility, mechanical digestion, chemical digestion, absorption,
and defecation. These processes are regulated by neural and hormonal mechanisms.
Uvula - the pendent fleshy lobe in the middle of the posterior border of the soft palate

Epiglotties - The epiglottis is a leaf-shaped flap of cartilage located behind the

tongue, at the top of the larynx, or voice box.

Control of Pancreatic Exocrine Secretion

As you might expect, secretion from the exocrine pancreas is regulated by both neural
and endocrine controls. During interdigestive periods, very little secretion takes place,
but as food enters the stomach and, a little later, chyme flows into the small intestine,
pancreatic secretion is strongly stimulated.

Like the stomach, the pancreas is innervated by the vagus nerve, which applies a low
level stimulus to secretion in response to anticipation of a meal. However, the most
important stimuli for pancreatic secretion comes from three hormones secreted by
the enteric endocrine system:

• Cholecystokinin: This hormone is synthesized and secreted by enteric endocrine

cells located in the duodenum. Its secretion is strongly stimulated by the
presence of partially digested proteins and fats in the small intestine. As chyme
floods into the small intestine, cholecystokinin is released into blood and binds to
receptors on pancreatic acinar cells, ordering them to secrete large quantities of
digestive enzymes.

• Secretin: This hormone is also a product of endocrinocytes located in the

epithelium of the proximal small intestine. Secretin is secreted (!) in response to
acid in the duodenum, which of course occurs when acid-laden chyme from the
stomach flows through the pylorus. The predominant effect of secretin on the
pancreas is to stimulate duct cells to secrete water and bicarbonate. As soon as
this occurs, the enyzmes secreted by the acinar cells are flushed out of the
pancreas, through the pancreatic duct into the duodenum.

• Gastrin: This hormone, which is very similar to cholecystokinin, is secreted in

large amounts by the stomach in response to gastric distention and irritation. In
addition to stimulating acid secretion by the parietal cell, gastrin stimulates
pancreatic acinar cells to secrete digestive enzymes.
Stop and think about this for a minute - control of pancreatic secretion makes perfect
sense. Pancreatic secretions contain enzymes which are needed to digest proteins,
starch and triglyceride. When these substances enter stomach, and especially the small
intestine, they stimulate release of gastrin and cholecystokinin, which in turn stimulate
secretion of the enzymes of destruction.

Pancreatic secretions are also the major mechanism for neutralizing gastric acid in the
small intestine. When acid enters the small gut, it stimulates secretin to be released,
and the effect of this hormone is to stimulate secretion of lots of bicarbonate. As
proteins and fats are digested and absorbed, and acid is neutralized, the stimuli for
cholecystokinin and secretin secretion disappear and pancreatic secretion falls off.

Rugae - The purpose of the gastric rugae is to allow for expansion of

the stomach after the consumption of foods and liquids.
Ileum -ileum (IH-lee-um) The last part of the small intestine. It connects to the cecum

(first part of the large intestine).

Pepsinogen - is a powerful and abundant protein digestive enzyme secreted by the
gastric chief cells as a proenzyme and then converted by gastric acid in the gastric
lumen to the active enzyme pepsin.