Fisiologi Gastrointestinal I
Fisiologi Gastrointestinal I
Fisiologi Gastrointestinal I
GASTROINTESTINAL
Bagian Fisiologi
Fakultas Kedokteran Unsoed
TUJUAN PEMBELAJARAN
1. Motility:
- propels ingested food from the mouth toward the rectum
- mixes and reduces the size of the food.
2. Secretions: add fluid, electrolytes, enzymes, and mucus to the lumen
- salivary glands
- pancreas
- liver
3. Digestion: Ingested foods are digested into absorbable molecules.
4. Absorbtion: nutrients, electrolytes, and water are absorbed
into the bloodstream.
FROM MACROMOLECULES INTO
MONOMERS
FROM MACROMOLECULES INTO MONOMERS
Fats
Tryglycerides Monoglycerides+ FFA
Phospholipids Lysophospholipids + FFA
ORGANIZATION
Gastrointestinal Tract
• Mouth
• Pharynx
• Esophagus
• Stomach
• Small Intestine
• Large Intestine
Accessory Organs
• Teeth
• Tongue
• Salivary Glands
• Liver
• Gallbladder
• Pancreas
The GI System
GENERAL
STRUCTURE
GI
REGULATION
(Sherwood, 2006)
GI HORMONES
MOUTH
• Digestion in mouth
• 1. Mechanical = mastication = Mechanical processing by the teeth,
tongue, and palatal surfaces
• 2. Chemical
salivary amylase
starch -----------------------> maltose
THE TONGUE
Functions include:
• Lubrication: mastication, speech, deglutition
• hypotonicity of saliva: low levels of glucose, sodium, chloride, and urea
-----> provide the dissolution of substances allows the gustatory buds
to perceive different flavors.
• Protection against microorganism: igA, igG,igM, lysozyme, lactoferrin,
peroksidase
• Initiation of digestion of complex carbohydrates
α-amylase: 40-50% total salivary protein
SALIVARY
Functions include (cont):
Individual hidration
Sleep
Fear
Medications
Thinking of food and visual stimulation
Mechanical and chemical stimuli (plain vs acid)
CONTROL OF SALIVA
Parotid 20 >50
Sumandibular 65-70
Sublingual 7-8
Minor salivary gland <10
CHARACTERISTICS OF SALIVA
Swallowed food passes from the mouth into the oropharynx and
laryngopharynx
The nasopharynx functions only in respiration
The muscular contractions of these areas help propel food into the
esophagus
SWALLOWING/DEGLUTITION
Oral phase. The oral phase is initiated when the tongue forces a bolus of food
back toward the pharynx a high density of somatosensory receptors
initiates the involuntary swallowing reflex in the medulla.
Pharyngeal phase. The food bolus propel from the mouth through the pharynx
to the esophagus
Sphincters
A. Upper esophageal spinchter
B. Lower esophageal spinchter
Esophageal Motility
The steps:
1. The upper esophageal sphincter opens, allowing the bolus to move from the
pharynx to the esophagus.
2. The upper esophageal sphincter closes, prevents reflux into the pharynx.
4. As the peristaltic wave and the food bolus approach the lower esophageal sphincter,
the lower esophagel sphincter opens.
5. If the primary peristaltic contraction does not clear the esophagus of food, a
secondary peristaltic contraction occurs
Intrathoracic location of the esophagus