17 Chapter 17: Digestive System

All living organisms need nutrients to survive. While plants can obtain nutrients from their roots and the energy molecules required for cellular function through the process of photosynthesis, animals obtain their nutrients by the consumption of other organisms. At the cellular level, the biological molecules necessary for animal function are amino acids, lipid molecules, nucleotides, and simple sugars. However, the food consumed consists of protein, fat, and complex carbohydrates. Animals must convert these macromolecules into the simple molecules required for maintaining cellular function. The conversion of the food consumed to the nutrients required is a multistep process involving digestion and absorption. During digestion, food particles are broken down to smaller components, which are later absorbed by the body. This happens by both physical means, such as chewing, and by chemical means, via enzyme-catalyzed reactions.

One of the challenges in human nutrition is maintaining a balance between food intake, storage, and energy expenditure. Taking in more food energy than is used in activity leads to storage of the excess in the form of fat deposits. The rise in obesity and the resulting diseases like type 2 diabetes makes understanding the role of diet and nutrition in maintaining good health all the more important.

Learning Objectives

After studying this chapter, you should be able to:

  • With regards to the anatomy of the digestive system
    • a. Locate and recognize the basic function of G.I. tract organs and accessory organs.
    • b. Diagram the path of food as it passes through the digestive system.
  • Recognize the proper macro- and micro- nutrients that we must obtain from our diet.

 

The Digestive System

The process of digestion begins in the mouth (oral cavity) with the intake of food (Figure). The teeth play an important role in masticating (chewing) or physically breaking food into smaller particles. This action not only decreases the size of the food particles to facilitate swallowing, but also increases surface area for chemical digestion. The enzymes present in saliva (amylase and lipase) also begin to chemically break down food (starch and fats, respectively). The food is then swallowed and enters the esophagus—a long tube that connects the mouth to the stomach. Using peristalsis, or wave-like smooth-muscle contractions, the muscles of the esophagus push the food toward the stomach. The stomach contents are extremely acidic, with a pH between 1.5 and 2.5. This acidity kills microorganisms, breaks down food tissues, and activates digestive enzymes. Further breakdown of food takes place in the small intestine where bile produced by the liver, and enzymes produced by the small intestine and the pancreas, continue the process of digestion. The smaller molecules are absorbed into the blood stream through the epithelial cells lining the walls of the small intestine. The waste material travels on to the large intestine where water is absorbed and the drier waste material is compacted into feces; it is stored in the rectum until it is excreted through the anus.

The basic components of the human digestive system begins at the mouth. Food is swallowed through the esophagus and into the kidney-shaped stomach. The liver is located on top of the stomach, and the pancreas is underneath. Food passes from the stomach to the long, winding small intestine. From there it enters the wide large intestine before passing out the anus. At the junction of the small and large intestine is a pouch called the cecum.
The components of the human digestive system are shown. The GI tract is the tube that includes the oral cavity, esophagus, stomach, small intestine, large intestine, and rectum. The accessory organs are those that indirectly join to this tube via ducts and include the salivary glands, liver, gall bladder, and pancreas.

Oral Cavity

Both physical and chemical digestion begin in the mouth or oral cavity, which is the point of entry of food into the digestive system. The food is broken into smaller particles by mastication, the chewing action of the teeth. All mammals have teeth and can chew their food to begin the process of physically breaking it down into smaller particles.

The chemical process of digestion begins during chewing as food mixes with saliva, produced by the salivary glands (Figure). Saliva contains mucus that moistens food and buffers the pH of the food. Saliva also contains lysozyme, which has antibacterial action. It also contains an enzyme called salivary amylase that begins the process of converting starches in the food into a disaccharide called maltose. Another enzyme called lipase is produced by cells in the tongue to break down fats. The chewing and wetting action provided by the teeth and saliva prepare the food into a mass called the bolus for swallowing. The tongue helps in swallowing—moving the bolus from the mouth into the pharynx. The pharynx opens to two passageways: the esophagus and the trachea. The esophagus leads to the stomach and the trachea leads to the lungs. The epiglottis is a flap of tissue that covers the tracheal opening during swallowing to prevent food from entering the lungs.

Illustration A shows the parts of the human oral cavity. The tongue rests in the lower part of the mouth. The flap that hangs from the back of the mouth is the uvula. The airway behind the uvula, called the pharynx, extends up to the back of the nasal cavity and down to the esophagus, which begins in the neck. Illustration B shows the two salivary glands, which are located beneath the tongue, the sublingual and the submandibular. A third salivary gland, the parotid, is located just in front of the ear.
(a) Digestion of food begins in the mouth. (b) Food is masticated by teeth and moistened by saliva secreted from the salivary glands. Enzymes in the saliva begin to digest starches and fats. With the help of the tongue, the resulting bolus is moved into the esophagus by swallowing. (credit: modification of work by Mariana Ruiz Villareal)

Esophagus

The esophagus is a tubular organ that connects the mouth to the stomach. The chewed and softened food (i.e. the bolus) passes through the esophagus after being swallowed. The smooth muscles of the esophagus undergo peristalsis (contractions) that pushes the food toward the stomach. The peristaltic wave is unidirectional—it moves food from the mouth the stomach, and reverse movement is not possible, except in the case of the vomit reflex. The peristaltic movement of the esophagus is an involuntary reflex; it takes place in response to the act of swallowing and you don’t exert conscious control over it.

Ring-like muscles called sphincters form valves in the digestive system. The gastro-esophageal sphincter (a.k.a. lower esophageal or cardiac sphincter) is located at the stomach end of the esophagus. In response to swallowing and the pressure exerted by the bolus of food, this sphincter opens, and the bolus enters the stomach. When there is no swallowing action, this sphincter is shut and prevents the contents of the stomach from traveling up the esophagus. Acid reflux or “heartburn” occurs when the acidic digestive juices escape back into the esophagus and the low pH irritates the unprotected surface. Prolonged and repeated exposure of the esophagus to this acidity can cause physical damage.

Stomach

A large part of protein digestion occurs in the stomach (Figure). The stomach is a saclike organ that secretes gastric digestive juices.

Protein digestion is carried out by an enzyme called pepsin in the stomach chamber. The highly acidic environment kills many microorganisms in the food and, combined with the action of the enzyme pepsin, results in the catabolism of protein in the food. Chemical digestion is facilitated by the churning action of the stomach caused by contraction and relaxation of smooth muscles. The partially digested food and gastric juice mixture is called chyme. Gastric emptying occurs within two to six hours after a meal. Only a small amount of chyme is released into the small intestine at a time. The movement of chyme from the stomach into the small intestine is regulated by hormones, stomach distension and muscular reflexes that influence the pyloric sphincter. The low pH of the stomach will denature the amylase and lipase that were secreted in the mouth. Therefore, over time, chemical digestion of starches and fats will decrease in the stomach.

The stomach lining is unaffected by pepsin and the acidity because pepsin is released in an inactive form (pepsinogen) that is activated by the low pH. The stomach also has a thick mucus lining that protects the underlying tissue.

Small Intestine

Chyme moves from the stomach to the small intestine. The small intestine is the organ where the digestion of protein, fats, and carbohydrates is completed. The small intestine is a long tube-like organ with a highly folded surface containing finger-like projections called the villi. The top surface of each villus has many microscopic projections called microvilli. The epithelial cells at the surface of these structures absorb nutrients from the digested food and release them to the bloodstream on the other side. Methods of transport previously discussed (e.g.active transport)are used during this movement. The villi and microvilli, with their many folds, increase the surface area of the small intestine and increase absorption efficiency of the nutrients.

The human small intestine is over 6 m (19.6 ft) long and is divided into three parts: the duodenum, the jejunum and the ileum. The duodenum is separated from the stomach by the pyloric sphincter. The chyme is mixed with pancreatic juices, an alkaline/basic solution rich in bicarbonate that neutralizes the acidity of chyme from the stomach. This result raises the pH and creates an environment that is appropriate for enzymes. Pancreatic juices contain several digestive enzymes (amylase, trypsin, and lipase) that break down starches, proteins, and fats, respectively. Bile is produced in the liver and stored and concentrated in the gallbladder; it enters the duodenum through the bile duct. Bile contains bile salts, which make lipids accessible to the water-soluble enzymes. This is accomplished via a process called emulsification, a type of physical digestion. Bile keeps fat droplets from coming back together again, thus increasing the surface area available to lipase. The wall of the small intestines secrete disaccharidases, which faciltate digestion of disaccharides (e.g. maltose, sucrose, and lactose) into their respective monosaccharides. The monosaccharides, amino acids, bile salts, vitamins, and other nutrients are absorbed by the cells of the intestinal lining.

The undigested food is sent to the colon from the ileum via peristaltic movements. The ileum ends and the large intestine begins at the ileocecal valve. The vermiform, “worm-like,” appendix is located at the ileocecal valve. The appendix of humans has a minor role in immunity.

Large Intestine

The large intestine reabsorbs the water from indigestible food material and processes the waste material (Figure). The human large intestine is much smaller in length compared to the small intestine but larger in diameter. It has three parts: the cecum, the colon, and the rectum. The cecum joins the ileum to the colon and is the receiving pouch for the waste matter. The colon is home to many bacteria or “intestinal flora” that aid in the digestive processes. The colon has four regions, the ascending colon, the transverse colon, the descending colon and the sigmoid colon. The main functions of the colon are to extract the water and mineral salts from undigested food, and to store waste material.

Illustration shows the structure of the large intestine, which begins with the ascending colon. Below the ascending colon is the cecum. The vermiform appendix is a small projection at the bottom of the cecum. The ascending colon travels up the right side of the body, then turns into the transverse colon. On the left side of the body the large intestine turns again, into the descending colon. At the bottom, the descending colon curves up; this part of the intestine is called the sigmoid colon. The sigmoid colon empties into the rectum. The rectum travels straight down, to the anus.
The large intestine reabsorbs water from undigested food and stores waste until it is eliminated. (credit: modification of work by Mariana Ruiz Villareal)

The rectum (Figure) stores feces until defecation. The feces are propelled using peristaltic movements during elimination. The anus is an opening at the far-end of the digestive tract and is the exit point for the waste material. Two sphincters regulate the exit of feces, the inner sphincter is involuntary and the outer sphincter is voluntary.

Accessory Organs

The organs discussed above are the organs of the digestive tract through which food passes. Accessory organs add secretions and enzymes that break down food into nutrients. Accessory organs include the salivary glands, the liver, the pancreas, and the gall bladder. The secretions of the liver, pancreas, and gallbladder are regulated by hormones in response to food consumption.

The liver is the largest internal organ in humans and it plays an important role in digestion of fats and detoxifying blood. The liver produces bile, a digestive juice that is required for the breakdown of fats in the duodenum. The liver also processes the absorbed vitamins and fatty acids and synthesizes many plasma proteins. The gallbladder is a small organ that aids the liver by storing bile and concentrating bile salts.

The pancreas secretes bicarbonate that neutralizes the acidic chyme and a variety of enzymes (trypsin, amylase, and lipase) for the digestion of proteins, carbohydrates, and fats, respectively.

Art Connection
Illustration shows the human lower digestive system, which begins with the stomach, a sac that lies above the large intestine. The stomach empties into the small intestine, which is a long, highly folded tube. The beginning of the small intestine is called the duodenum, the long middle part is called the jejunum, and the end is called the ileum. The ileum empties into the large intestine on the right side of the body. Beneath the junction of the small and large intestine is a small pouch called the cecum. The appendix is at the bottom end of the cecum. The large intestine travels up the left side of the body, across the top of the small intestine, then down the right side of the body. These parts of the large intestine are called the ascending colon, the transverse colon and the descending colon, respectively. The large intestine empties into the rectum, which is connected to the anus. The pancreas is sandwiched between the stomach and large intestine. The liver is a triangular organ that sits above and slightly to the right of the stomach. The gallbladder is a small bulb between the liver and stomach.
The stomach has an extremely acidic environment where most of the protein gets digested. (credit: modification of work by Mariana Ruiz Villareal)

Nutrition

The human diet should be well balanced to provide nutrients required for bodily function and the minerals and vitamins required for maintaining structure and regulation necessary for good health and reproductive capability (Figure).

Healthy diet logo shows a plate divided into four sections, labeled “fruits”, “vegetables” “grains,” and “protein”. The vegetables section is slightly larger than the other three. A circle to the side of the plate is labeled “dairy”. Beneath the plate is the web address “Choose My Plate dot gov”.
For humans, a balanced diet includes fruits, vegetables, grains, protein, and dairy. (credit: USDA)
Concept in Action
QR Code representing a URL

Explore this interactive United States Department of Agriculture website to learn more about each food group and the recommended daily amounts.

The organic molecules required for building cellular material and tissues must come from food. During digestion, digestible carbohydrates are ultimately broken down into glucose and used to provide energy within the cells of the body. Complex carbohydrates, including polysaccharides, can be broken down into glucose through biochemical modification; however, humans do not produce the enzyme necessary to digest cellulose (fiber). The intestinal flora in the human gut are able to extract some nutrition from these plant fibers. These plant fibers are known as dietary fiber and are an important component of the diet. The excess sugars in the body are converted into glycogen and stored for later use in the liver and muscle tissue. Glycogen stores are used to fuel prolonged exertions, such as long-distance running, and to provide energy during food shortage. Fats are stored under the skin of mammals for insulation and energy reserves.

Proteins in food are broken down during digestion and the resulting amino acids are absorbed. All of the proteins in the body must be formed from these amino-acid constituents; no proteins are obtained directly from food.

Fats add flavor to food and promote a sense of satiety or fullness. Fatty foods are also significant sources of energy, and fatty acids are required for the construction of lipid membranes. Fats are also required in the diet to aid the absorption of fat-soluble vitamins and the production of fat-soluble hormones.

While the animal body can synthesize many of the molecules required for function from precursors, there are some nutrients that must be obtained from food. These nutrients are termed essential nutrients, meaning they must be eaten, because the body cannot produce them. Essential nutrients include some fatty acids, some amino acids, vitamins, and minerals.

Section Summary

There are many organs that work together to digest food and absorb nutrients. The mouth is the point of ingestion and the location where both mechanical and chemical breakdown of food begins. Saliva contains an enzyme called amylase that breaks down carbohydrates and an enxyme lipase that breaks down triglycerides. The food bolus travels through the esophagus by peristaltic movements to the stomach. The stomach has an extremely acidic environment. The enzyme pepsin digests protein in the stomach. Further digestion and absorption take place in the small intestine. The large intestine reabsorbs water from the undigested food and stores waste until elimination.

Carbohydrates, proteins, and fats are the primary components of food. Some essential nutrients are required for cellular function but cannot be produced by the animal body. These include vitamins (both fat and water soluble) , minerals, some fatty acids, and some amino acids. Food intake in more than necessary amounts is stored as glycogen in the liver and muscle cells, and in adipose tissue. Excess adipose storage can lead to obesity and serious health problems.

Adapted from Openstax Human Biology

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Human Biology Copyright © by Nancy Barrickman; Kathy Bell, DVM, MPH; and Chris Cowan, M.S. is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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