Digestion and Absorption

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Digestion and Absorption

Digestive system of a human being consists of alimentary canal and its associated glands.

Alimentary Canal
The alimentary canal has an anterior opening from the mouth and it opens out posteriorly
from the anus. The mouth leads to the buccal cavity or the oral cavity. The oral cavity has
teeth and a muscular tongue, each tooth is embedded in the jaw bone, this type of
attachment is called Thecodont. Majority of mammals form two sets of teeth during their
span of life, a set of milk or deciduous teeth and permanent teeth, such organisms are called
diphyodont.
A fully grown adult human has 32 total teeth, of four different types namely incisors,
canines, molars and premolars. The hard chewing surface of the teeth help in mastication of
food. The tongue is a muscular organ which is attached to the floor of the oral cavity by the
frenulum. The upper surface of the tongue has small pores called papillae, some of which
also bear taste buds. The oral cavity leads to the pharynx which is a common passage to
both food and air. The esophagus and the trachea(wind pipe) open into pharynx. A
cartilaginous flap called epiglottis prevents entry of food into glottis during swallowing.
The esophagus opens into a J-shaped bag called stomach. A muscular sphincter regulates
the opening of esophagus into stomach called the gastro-oesophageal sphincter. The
stomach has four major parts, the opening part called cardiac portion, a fundic region, body
and a pyloric region which opens into the small intestine.
Small intestine is also distinguishable into three regions, a C shaped duodenum, a long-
coiled portion called jejunum and a highly coiled portion called ileum. The opening of
stomach into small intestine is regulated by pyloric sphincter.
Ileum opens into large intestine, it consists of caecum, colon and rectum. Caecum is a small
blind sac which hosts some friendly symbiotic microorganisms. A narrow finger-like tubular
projection called vermiform appendix is a vestigial organ which arises from caecum. The
caecum opens into colon which is divided into four parts- an ascending, transverse,
descending and sigmoid colon. The descending part of the colon opens into the rectum
which finally opens into the anus.
The walls of the alimentary canal from mouth to anus possess four layers- serosa,
muscularis, sub-mucosa and mucosa. Serosa is the outermost layer made up of
mesothelium(epithelium of visceral organs). Muscularis is formed by smooth muscles,
usually arranged in an outer-longitudinal and inner-circular layer. The small finger-like
structures called villi are found on mucosa. The villi are supplied with large network of
capillaries and lymph vessels called the lacteal. Mucosal epithelium has goblet cells which
secrete mucus for lubrication. Mucosa also forms glands in the stomach and crypts in
between the base of the villi, it is also called the crypts of Lieberkühn.
Digestive Glands
The digestive glands included with the digestive system are salivary glands, liver and
pancreas.
Saliva is mainly produced in three pairs of salivary glands, the parotids(cheek), sub-
maxillary(lower jaw) and sub-lingual(below the tongue).
Liver is the largest gland of the body weighing 1.2-1.5kg, it is situated in the abdominal
cavity just below the diaphragm and two lobes. The hepatic lobules are the structural and
functional unit of liver, the hepatic cells are covered in form of cords. Each lobule is
connected by a thin tissue lobule sheath called the Glisson’s capsule. The bile secreted by
hepatic cells passes through the hepatic ducts and is stored and concentrated in a muscular
sac called the gall bladder. The duct of gall bladder along with the bile duct form the
common bile duct. The bile duct and pancreatic duct open together into duodenum as the
common hepato-pancreatic duct which is guarded by the sphincter of Oddi.
The pancreas is an organ situated between the limbs of C shaped duodenum. The exocrine
portion secretes pancreatic juice containing enzymes and the endocrine portion secretes
hormones called insulin and glucagon.

Digestion of Food
The buccal cavity performs two major functions, mastication of food and facilitation of
swallowing. The teeth and the tongue with the help of saliva masticate and mix the food
thoroughly. The saliva contains electrolytes such as Na+, K+, Cl-, HNO3-, some enzymes,
salivary amylase and lysozyme. The chemical process of digestion starts in the mouth itself,
by the hydrolytic action of carbohydrate splitting enzyme, the salivary amylase. About 30%
of the starch is hydrolyzed here and forms a disaccharide-maltose. Lysozyme acts as an anti-
bacterial agent in the saliva. The mucus in saliva helps in lubrication of food and makes it
into a bolus. The bolus then goes into the pharynx and to the esophagus by swallowing or
deglutition. The bolus passes down the esophagus by successive muscular contractions
called peristalsis.
The gastro-esophageal sphincter controls entry of food into stomach. The mucosa in the
stomach has gastric glands, the three types of cells in the gastric glands are:

 Mucus neck cells that secrete mucus.


 Peptic or chief cells secrete proenzyme pepsinogen
 Parietal or oxyntic cells which secrete HCl and intrinsic factor.
The stomach stores food for 4-5 hours. The food mixes thoroughly with acidic gastric juice of
stomach by churning muscular walls which forms the chyme. The proenzyme pepsinogen
gets converted into pepsin when it comes in contact with HCl. Pepsin converts proteins into
peptides and proteoses. The mucus and bicarbonates play an important role in lubrication.
Rennin is a proteolytic enzyme found in gastric juice, it is only present in infants, it helps in
digestion of milk.
Various movements take place in the muscularis layer of the small intestine which helps in
mixing of food with various secretions in the intestine and thereby help in digestion. The
bile, pancreatic juice and intestinal juice are the secretions found in the small intestine.
Pancreatic juice and bile are released through the hepato-pancreatic duct. The pancreatic
juice contains inactive enzymes- trypsinogen, chymotrypsinogen, procarboxypeptidaes,
amylases, lipases, and nucleases. Trypsinogen is activated by an enzyme, enterokinase,
secreted by the intestinal mucosa into active trypsin, which in turn activates the other
enzymes in the pancreatic juice. The bile released into the duodenum contains bile pigments
(bilirubin and bili-verdin), bile salts, cholesterol and phospholipids but no enzymes. Bile
helps in emulsification of fats, i.e., breaking down of the fats into very small micelles. Bile
also activates lipases.
The intestinal epithelium contains goblet cells, which secrete mucus, the secretions brush
border cells of mucosa along with secretions of the goblet cells constitute the intestinal juice
called succus entericus. This juice contains a lot of enzymes such as disaccharides(maltase),
dipeptidases, lipases, nucleosidases, etc. The mucus along with bicarbonates from the
pancreas protects the intestinal mucosa from acid and provides an alkaline medium for
enzymatic activities.
 Proteins, proteoses, and peptones(partially hydrolyzed proteins) in the chyme
reaching the intestine are acted upon by proteolytic enzymes:
Proteins trypsin/chymotrypsin
Peptones ---------------------------- Dipeptides
Proteoses carboxypeptidase

 Carbohydrates in the chyme are hydrolyzed by pancreatic amylase into


disaccharides.
Polysaccharides(starch)-----------Amylase------------  Disaccharides

 Fats are broken down by lipases with the help of bile into bi- and monoglycerides.
Fats-------Lipases----- Diglycerides---------------Monoglycerides

 Nucleases in the pancreatic juice acts on nucleic acids to form nucleotides and
nucleosides.
Nucleic acids--------Nucleases------ Nucleotides -----------Nucleosides
The enzymes in the succus entericus act on the end products of above reactions to form
respective simple absorbable form.

No significant digestive activity occurs in the large intestine. The functions of large intestine
are:
(i) absorption of some water, minerals and certain drugs;
(ii) secretion of mucus which helps in adhering the waste (undigested)
particles together and lubricating it for an easy passage. The undigested, unabsorbed
substances called faeces enters into the caecum of the large intestine through ileo-caecal
valve, which prevents the back flow of the faecal matter. It is temporarily stored in the rectum
till defaecation.

Absorption of Digested Products


Absorption is the process by which the end products of digestion pass through the intestinal
mucosa into the blood or lymph. It is carried out by passive, active or facilitated transport
mechanisms. Small amounts of monosaccharides like glucose, amino acids and some
electrolytes like chloride ions are generally absorbed by simple diffusion. The passage of
these substances into the blood depends upon the concentration gradients. Transport of water
depends upon the osmotic gradient. Active transport occurs against the concentration gradient
and hence requires energy.
Various nutrients like amino acids, monosaccharides like glucose, electrolytes like Na+ are
absorbed into the blood by this mechanism.
Fatty acids and glycerol being insoluble, cannot be absorbed into the blood. They are first
incorporated into small droplets called micelles which move into the intestinal mucosa. They
are re-formed into very small protein coated fat globules called the chylomicrons which are
transported into the lymph vessels (lacteals) in the villi. These lymph vessels ultimately
release the absorbed substances into the blood stream.
Absorption of substances takes place in different parts of the alimentary canal, like mouth,
stomach, small intestine and large intestine. However, maximum absorption occurs in the
small intestine.
The absorbed substances finally reach the tissues which utilise them for their activities. This
process is called assimilation.
The digestive wastes, solidified into coherent faeces in the rectum initiate a neural reflex
causing an urge or desire for its removal. The egestion of faeces to the outside through the
anal opening (defaecation) is a voluntary process and is carried out by a mass peristaltic
movement.
Disorders of the Digestive System
1. Jaundice: The liver is affected; skin and eyes turn yellow due to the deposit of bile
pigments.
2. Vomiting: It is the ejection of stomach contents through the mouth. This reflex action
is controlled by the vomit centre in the medulla. A feeling of nausea precedes
vomiting.
3. Diarrhoea: The abnormal frequency of bowel movement and increased liquidity of the
faecal discharge is known as diarrhoea. It reduces the absorption of food.
4. Constipation: In constipation, the faeces are retained within the colon as the bowel
movements occur irregularly.
5. Indigestion: In this condition, the food is not properly digested leading to a feeling of
fullness. The causes of indigestion are inadequate enzyme secretion, anxiety, food
poisoning, over eating, and spicy food.
6. PEM: Dietary deficiencies of protein and total food calories are widespread in many
countries of Asia and South-east Asia, South America, West and central Africa.
Protein-energy malnutrition(PEM) may affect a lot of people during famine, drought
and political turmoil. PEM affects children and infants and it can lead to Marasmus
and Kwashiorkor.
Marasmus is produced by a simultaneous deficiency of proteins and calories. It is
found in infants less than a year in age, if mother’s milk is replaced too early by other
foods which are poor in both proteins and caloric value. In Marasmus, protein
deficiency impairs growth and replacement of tissue proteins; extreme emaciation of
the body and thinning of limbs results, the skin becomes dry, thin and wrinkled.
Growth rate and body weight decline considerably.
Kwashiorkor is produced by protein deficiency unaccompanied by calorie deficiency.
It results from the replacement of mother’s milk by a high calorie low protein diet in a
child more than one year in age. Like marasmus, kwashiorkor shows wasting of
muscles, thinning of limbs, failure of growth and brain development.

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