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State University of Medicine and Pharmacy “Nicolae Testemitanu”




              DIGESTIVE
                TRACT

Department of Histology, Cytology and Embryology
Tatiana Globa
BASIC PLAN OF THE DIGESTIVE TUBE
Four functional layers:
   Tunica mucosa: This layer is composed of epithelium, connective
    tissue and muscle. These tissues can usually be found in distinct
    layers as follows:
       lamina epithelialis mucosae: consists only of epithelium
       lamina propria mucosae: consists of either loose areolar or reticular
        connective tissue
       lamina muscularis mucosae: consists of smooth muscle
   Tunica submucosa: consists of loose connective tissue, nerves, blood
    vessels, and glands in some organs
   Tunica muscularis: consists of at least two layers, an inner circular
    and an outer longitudinal with parasympathetic ganglia located
    between the layers
   Tunica adventitia or tunica serosa: consists of loose connective
    tissue.
Esophagus:
   The esophagus connects the
    oral cavity with the stomach
    allowing and aiding in the
    movement of food particles
    to the stomach.
   It is a muscular tube having
    the layers described above
    for the typical tubular organ.
   In the esophagus the layers
    are specialized for the
    function of further
    fragmenting food particles.
Layers of the esophagus
   Tunica mucosa:
      epithelium: consists of stratified squamous epithelium that
      can be highly folded in an empty organ;
      lamina propria: consists of loose connective tissue,
      contains esophageal cardiac glands that are simple
      branched tubular glands, they produce mucus, mucin,
      chlorides and some biologically active substances.
      lamina muscularis mucosae: consists of longitudinally
      oriented smooth muscle fibers that form 1 layer (can be 2)
   Tunica submucosa: consists of loose connective tissue that is
    very elastic allowing for expansion when food is present;
    contains esophageal glands proper; they are compound
    tubuloalveolar glands, which produce mucous.
Esophageal
  glands proper

    (submucosal,
   tubuloalveolar
       glands;
    acidic mucus
      secretion)

Esophageal
cardiac glands
not shown
Present in lower
portion; tubular
mucosal glands
produce mucus with
neutral pH
Layers of the esophagus
 Tunica muscularis: consists of smooth and/or skeletal
  muscle;
Proximal end – skeletal muscle cells
Middle region – skeletal plus smooth muscle
Distal end – smooth muscle cells
     inner circular layer
     outer longitudinal layer
 Tunica adventitia/serosa: consist of typical loose
  connective tissue that blends into the connective tissue of
  surrounding tissues. Serosa: only at distal end that enters
  peritoneal cavity.
Esophageal wall
STRATIFIED SQUAMOUS
    EPITHELIUM


 LAMINA PROPRIA


   LAMINA MUSCULARIS
Gastro-Esophageal junction
Comparative characteristic of the wall structure of
                     esophagus and stomach
              Esophagus                                   Stomach
                                     Mucosa
                                   Epithelium
Stratified squamous nonkeratinized        Simple columnar glandular
                           Lamina propria of mucosa
Contains esophageal cardiac glands that Contains gastric glands that are simple
are simple branched tubular glands. branched tubular. Differ 3 groups of
They produce mucus, mucin, chlorides glands:
and some biologically active substances. 1. cardiac glands in the cardiac region
                                         2. pyloric glands in the pyloric region
                                         3. fundic or gastric glands in the fundic
                                         region.

                               Muscularis mucosae
Consists of longitudinally oriented       Consists of 3 layers of smooth muscle:
smooth muscle fibers that form 1 layer    Inner – circular
(can be 2)                                Middle – longitudinal
                                          Outer – circular
Submucosa

Contains esophageal glands proper. Glands are absent.
They are compound tubuloalveolar
glands, which produce mucous.

                             Muscularis externa

In the upper one-third – is striated    Present only smooth muscle that
muscle.                                 forms 3 layers:
In the middle one-third – is striated   Inner – obligue;
and smooth muscle.                      Middle – circular;
In the distal third – is smooth as in   Outer – longitudinal.
rest of the digestive tract.            Between the muscle layers is present
It forms 2 layers: inner – circular;    Auerbach’s plexus
outer – longitudinal

                              Superficial tunica

In the thoracic cavity is adventitia.  Serosa is present.
After entering the abdominal cavity is
serosa.
STOMACH
STOMACH
   Structure - 4 Regions
           Cardia
           Fundus
           Body
           Pylorus
   Functions:
       Continue digestion of carbohydrates started in mouth
       Add acidic fluid
       Transform food into chyme (mechanical & chemical
        breakdown)
       Promote initial digestion of proteins (via pepsin) and
        triglycerides (via lipase)
STOMACH
   Cardiac region – surrounds the cardiac
    orifice
   Fundus – dome-shaped region beneath the
    diaphragm
   Body – midportion of the stomach
   Pyloric region – made up of the antrum and
    canal which terminates at the pylorus

    The pylorus is continuous with the duodenum
    through the pyloric sphincter
The inner surface of
 the stomach is
 irregular. There are:
• Rugae – are
  longitudinally
  oriented folds
• Gastric (mamillated)
  areas – are bulging
  irregular areas
• Gastric pits – funnel-
  shaped depressions.
  Gastric glands empty
  into the bottom of the
  gastric pits
GASTRIC PITS
Layers of the TUNICA MUCOSA
   Epithelium: consists of simple columnar epithelium that
    forms branched, tubular glands; organized into gastric
    pits that open onto the lumen and gastric glands that
    empty into the base of the gastric pits
   Lamina propria: consists of loose areolar connective
    tissue that in the glandular stomach is minimal between
    gastric glands and difficult to see in sections; highly
    vascular containing many blood and lymphatic capillaries
   Lamina muscularis mucosae: consists of several layers
    of smooth muscle oriented both longitudinally and
    circularly; usually not very thick
Epithelium
  simple
columnar
glandular
  of the
 stomach
 mucosae



 Gastric
 glands
 simple
 tubular
   few
branched
Glands of the Stomach Fundus and Body
   Mucous neck cells – found dispersed between the parietal cells; secrets a
    mucus that is thinner than that secreted by the surface mucous cells; mucus
    protects other glandular cells from action of proteases and HCl.
   Parietal cells (oxyntic cells) – found throughout the gastric gland; round
    cells that contain distinct eosinophilic (pink) cytoplasm and round, prominent
    nucleus; Secrete HCl and intrinsic factor, needed for absorption of vitamin
    B12 in the ileum.
   Chief cells (zymogenic cells) – found mostly near the base of the gastric
    glands; very basophilic (purple) containing basally positioned nucleus and
    prominent basophilic apical cytoplasm filled with many ribosomes; secrete
    pepsinogen, which is activated to pepsin by HCl in the stomach. Pepsin is an
    enzyme which is able to break down proteins.
   Endocrine cells – difficult to distinguish by conventional light
    microscopy; Several types are present; some secrete gastrin, glucagon and
    somatostatin, histamine, endorphins, serotonin, cholecystokinin (CCK)
    among other hormones.
   Undifferentiated cells – located primarily in the neck region; difficult to
    identify in routine H&E sections; undergo mitosis to form more cells then
    differentiate into the other cell types present in the gland
Chief cells (basophilic)
Chief cell


Pepsinogen
on the apical
 part of the
     cell
Parietal cells (red color)
Parietal cell




   Intracellular
canalicular system




  Mitochondria
Endocrine cells
Type:
G-cells – gastrin – is the
principal agent for stimulating
the secretion of HCl and
pepsinogen
D-cells produce somatostatin.
They inhibit G-cells
EC-cells produce serotonin and
substance Р which increase
stomach activity.
ECL-cells produce histamine
which regulate gastric secretion
STOMACH
   Tunica submucosa: typical loose connective tissue
    contains submucosal plexuses also known as
    Meissner's plexuses
   Tunica muscularis: 3 layers of smooth muscle
           Outer longitudinal
           Middle circular
           Inner oblique
   between the muscle layers is located the myenteric or
    Auerbach's plexus
   Tunica serosa: small amount of loose connective
    tissue with overlying simple squamous epithelium or
    mesothelium
Cardiac glands

    Cardiac glands are tubular, occasionally
branched glands (similar to the cardiac glands
of the esophagus), which contain mainly
mucus-producing cells. A few of the secretory
cells characteristic for the corpus-fundic
glands (chief and parietal cells) may be
present.
Pyloric glands

   Pyloric glands are more coiled than corpus-
fundic glands, and they may be more branched.
The lumen is relatively wide. A few parietal cells
may be present but chief cells are usually absent.
Shallow gastric
pits, with simple or
branched tubular
glands




 Deep gastric pits,    Shallow gastric
 with branched         pits, with branched
 tubular glands        tubular glands
SMALL INTESTINE
   Is the longest component of the digestive tract
   Is divided into three anatomic segments:
    duodenum, jejunum, and ileum
   Functionally, it is the principal site for the
    digestion of food & for absorption of the
    products of digestion
   Endocrine Secretion
   The bile duct and main pancreatic duct:
         Join the duodenum at the hepatopancreatic ampulla
         Are controlled by the sphincter of Oddi
SMALL INTESTINE
    Specializations of intestinal surface
   Plicae circulares: deep circular folds of the mucosa
           circulares
    and submucosa, most abundant in jejunum
   Villi – finger-like projections of the mucosa that
    extend into the intestinal lumen (epithelium plus lamina
    propria)
   Intestinal crypts (glands of Lieberkühn) – are
    simple tubular glands between villi
   Microvilli – numerous projections of apical plasma
    membranes of absorptive mucosal cells and give
    the apical region of the cell a striated appearance,
    called striated border (brush border)
Plicae circularis
Villi




Crypts
Villi
• Finger-like
  projections of
  mucosa
• Contain:
- fenestrated
  capillary network
- a central, blind-
  ending lymphatic
  capillary (lacteal)
- few smooth muscle
  cells derived from
  muscularis
  mucosae
- myofibroblasts
• Are covered by
  intestinal
  epithelium – simple
  columnar
SMALL INTESTINE
           Layers of the Small Intestine
   Tunica mucosa:
       Epithelium - simple columnar
       Lamina propria - loose connective tissue rich in blood and
        lymphatic vessels present in the core of the villi and between
        crypts
       Lamina muscularis mucosae - thin layer of smooth muscle
        located at the base of the crypts
   Tunica submucosa: This layer blends with the lamina propria and
    is typical. In the duodenum it has coiled branched glands known as
    Brunner's glands, the ducts of which open into the base of the crypts.
   Tunica muscularis: typical consisting of an inner circular layer and
    an outer longitudinal layer
   Tunica serosa: typical
Epithelium lining the
small intestine –
simple columnar
The epithelium of the villus
       Enterocytes (absorptive
        cells)
       Goblet cells –
        unicellular mucin-
        secreting glands,
        increase in number from
        the proximal to the distal
        small intestine
       Enteroendocrine cells
        resemble those
        described in the stomach
The epithelium of the crypt
   Enterocytes (absorptive cells)
   Goblet cells
   Enteroendocrine cells
   Paneth cells – are found in the bases of
    the glands. They have a basophilic basal
    cytoplasm & large, intensely acidophilic
    apical secretory granules. These granules
    contain: the antibacterial enzyme lysozyme
    (digests the cell walls of certain groups of
    bacteria), glycoproteins, an arginine-rich
    protein & zinc. The antibacterial action & the
    phagocytosis of certain bacteria & protozoa
    by Paneth cells suggest that they have a role
    in regulating the normal bacterial flora of the
    small intestine.
   Undifferentiated cells
Goblet cell
Gut-Associated Lymphatic Tissue

   Lymphatic nodules
   Lymphocytes
   Macrophages
   Plasma cells
   Eosinophils

   GALT serves as an immunologic barrier
Regional variations in the small
               intestine:
DUODENUM
   presence of Brunner's glands in the submucosa -
    compound tubuloalveolar branched glands, mixed
    glands
   presence of chyme in the small intestine induces
    cells of Brunner's glands to secrete alkaline mucus
    that neutralizes gastric acid and pepsin and
    further promotes digestion
   no plicae circulares
Regional variations in the small
               intestine:
JEJUNUM
   no glands in the submucosa
   longest villi of all three regions
   no lymphoid nodules
Regional variations in the small
               intestine:
ILEUM
   permanent aggregated lymphoid nodules in the
    submucosa
   shortest villi
   highest number of goblet cells
LARGE INTESTINE
   Regions
       Cecum – Appendix
       Colon
         Ascending

         Transverse

         Descending

       Rectum
       Anal canal
   Functions:
    Functions
       Reabsorption of electrolytes & water
       Formation of waste
       B vitamins & vitamin K synthesized
LARGE INTESTINE
Unlike the small intestine, there are no plicae circulares or villi
  in the large intestine so the surface of the tunica mucosa is
  more uniform and flatter than that of the small intestine.
   Tunica mucosa:
           mucosa
       epithelium - simple columnar epithelium that forms straight tubular
        glands (crypts)
       lamina propria- loose connective tissue that contains numerous blood
        and lymphatic vessels, collagen, lymphocytes and plasma cells
       lamina muscualris mucosae- present beneath the base of the crypts
        and prominent; undergoes rhythmic contractions
   Tunica submucosa: typical, contains Peyer’s patches which
            submucosa
    are aggregations of solitary follicles or groups of lymph
    nodules. Each patch contains from 10 to 70 nodules.
The epithelium of the crypt

   Enterocytes (columnar
    absorptive cells) – few.
   Goblet cells – are
    more numerous than
    in the small intestine.
   Enteroendocrine cells
   Undifferentiated cells
Colon crypts
LARGE INTESTINE
      Tunica muscularis: inner circular and outer longitudinal layers;
       outer longitudinal layer is organized into three separate bands known
       as taenia coli; movement of more solid waste to the rectum. Between
       the taenia coli there is an thin sheet of longitudinal smooth muscle.
      Tunica serosa is typical.




  Commensal bacteria reside in the large intestine and play a role in the
continued digestion of food.
Appendix
- Includes a complete layer of
  longitudinal smooth muscle.
- Contains a large number of lymph
  nodules positioned in both the
  mucosa and the submucosa.
- The muscularis mucosa appear as
  isolated lengths of smooth muscle.
- is the terminal portion of the alimentary canal




 Anal
sinuses
Colorectal Zone
     (simple columnar
     epithelium, crypts)

      Anal Transition
           Zone
(stratified columnar/cuboidal
   epithelium, anal glands
 extend into the submucosa)
 Pectinate line


     Squamous Zone
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Digestiv tube.english histology

  • 1. State University of Medicine and Pharmacy “Nicolae Testemitanu” DIGESTIVE TRACT Department of Histology, Cytology and Embryology Tatiana Globa
  • 2.
  • 3. BASIC PLAN OF THE DIGESTIVE TUBE Four functional layers:  Tunica mucosa: This layer is composed of epithelium, connective tissue and muscle. These tissues can usually be found in distinct layers as follows:  lamina epithelialis mucosae: consists only of epithelium  lamina propria mucosae: consists of either loose areolar or reticular connective tissue  lamina muscularis mucosae: consists of smooth muscle  Tunica submucosa: consists of loose connective tissue, nerves, blood vessels, and glands in some organs  Tunica muscularis: consists of at least two layers, an inner circular and an outer longitudinal with parasympathetic ganglia located between the layers  Tunica adventitia or tunica serosa: consists of loose connective tissue.
  • 4.
  • 5. Esophagus:  The esophagus connects the oral cavity with the stomach allowing and aiding in the movement of food particles to the stomach.  It is a muscular tube having the layers described above for the typical tubular organ.  In the esophagus the layers are specialized for the function of further fragmenting food particles.
  • 6. Layers of the esophagus  Tunica mucosa: epithelium: consists of stratified squamous epithelium that can be highly folded in an empty organ; lamina propria: consists of loose connective tissue, contains esophageal cardiac glands that are simple branched tubular glands, they produce mucus, mucin, chlorides and some biologically active substances. lamina muscularis mucosae: consists of longitudinally oriented smooth muscle fibers that form 1 layer (can be 2)  Tunica submucosa: consists of loose connective tissue that is very elastic allowing for expansion when food is present; contains esophageal glands proper; they are compound tubuloalveolar glands, which produce mucous.
  • 7. Esophageal glands proper (submucosal, tubuloalveolar glands; acidic mucus secretion) Esophageal cardiac glands not shown Present in lower portion; tubular mucosal glands produce mucus with neutral pH
  • 8. Layers of the esophagus  Tunica muscularis: consists of smooth and/or skeletal muscle; Proximal end – skeletal muscle cells Middle region – skeletal plus smooth muscle Distal end – smooth muscle cells inner circular layer outer longitudinal layer  Tunica adventitia/serosa: consist of typical loose connective tissue that blends into the connective tissue of surrounding tissues. Serosa: only at distal end that enters peritoneal cavity.
  • 10. STRATIFIED SQUAMOUS EPITHELIUM LAMINA PROPRIA LAMINA MUSCULARIS
  • 11.
  • 13. Comparative characteristic of the wall structure of esophagus and stomach Esophagus Stomach Mucosa Epithelium Stratified squamous nonkeratinized Simple columnar glandular Lamina propria of mucosa Contains esophageal cardiac glands that Contains gastric glands that are simple are simple branched tubular glands. branched tubular. Differ 3 groups of They produce mucus, mucin, chlorides glands: and some biologically active substances. 1. cardiac glands in the cardiac region 2. pyloric glands in the pyloric region 3. fundic or gastric glands in the fundic region. Muscularis mucosae Consists of longitudinally oriented Consists of 3 layers of smooth muscle: smooth muscle fibers that form 1 layer Inner – circular (can be 2) Middle – longitudinal Outer – circular
  • 14. Submucosa Contains esophageal glands proper. Glands are absent. They are compound tubuloalveolar glands, which produce mucous. Muscularis externa In the upper one-third – is striated Present only smooth muscle that muscle. forms 3 layers: In the middle one-third – is striated Inner – obligue; and smooth muscle. Middle – circular; In the distal third – is smooth as in Outer – longitudinal. rest of the digestive tract. Between the muscle layers is present It forms 2 layers: inner – circular; Auerbach’s plexus outer – longitudinal Superficial tunica In the thoracic cavity is adventitia. Serosa is present. After entering the abdominal cavity is serosa.
  • 16. STOMACH  Structure - 4 Regions  Cardia  Fundus  Body  Pylorus  Functions:  Continue digestion of carbohydrates started in mouth  Add acidic fluid  Transform food into chyme (mechanical & chemical breakdown)  Promote initial digestion of proteins (via pepsin) and triglycerides (via lipase)
  • 17. STOMACH  Cardiac region – surrounds the cardiac orifice  Fundus – dome-shaped region beneath the diaphragm  Body – midportion of the stomach  Pyloric region – made up of the antrum and canal which terminates at the pylorus The pylorus is continuous with the duodenum through the pyloric sphincter
  • 18. The inner surface of the stomach is irregular. There are: • Rugae – are longitudinally oriented folds • Gastric (mamillated) areas – are bulging irregular areas • Gastric pits – funnel- shaped depressions. Gastric glands empty into the bottom of the gastric pits
  • 20. Layers of the TUNICA MUCOSA  Epithelium: consists of simple columnar epithelium that forms branched, tubular glands; organized into gastric pits that open onto the lumen and gastric glands that empty into the base of the gastric pits  Lamina propria: consists of loose areolar connective tissue that in the glandular stomach is minimal between gastric glands and difficult to see in sections; highly vascular containing many blood and lymphatic capillaries  Lamina muscularis mucosae: consists of several layers of smooth muscle oriented both longitudinally and circularly; usually not very thick
  • 21.
  • 22. Epithelium simple columnar glandular of the stomach mucosae Gastric glands simple tubular few branched
  • 23.
  • 24. Glands of the Stomach Fundus and Body  Mucous neck cells – found dispersed between the parietal cells; secrets a mucus that is thinner than that secreted by the surface mucous cells; mucus protects other glandular cells from action of proteases and HCl.  Parietal cells (oxyntic cells) – found throughout the gastric gland; round cells that contain distinct eosinophilic (pink) cytoplasm and round, prominent nucleus; Secrete HCl and intrinsic factor, needed for absorption of vitamin B12 in the ileum.  Chief cells (zymogenic cells) – found mostly near the base of the gastric glands; very basophilic (purple) containing basally positioned nucleus and prominent basophilic apical cytoplasm filled with many ribosomes; secrete pepsinogen, which is activated to pepsin by HCl in the stomach. Pepsin is an enzyme which is able to break down proteins.  Endocrine cells – difficult to distinguish by conventional light microscopy; Several types are present; some secrete gastrin, glucagon and somatostatin, histamine, endorphins, serotonin, cholecystokinin (CCK) among other hormones.  Undifferentiated cells – located primarily in the neck region; difficult to identify in routine H&E sections; undergo mitosis to form more cells then differentiate into the other cell types present in the gland
  • 25.
  • 27. Chief cell Pepsinogen on the apical part of the cell
  • 29. Parietal cell Intracellular canalicular system Mitochondria
  • 30. Endocrine cells Type: G-cells – gastrin – is the principal agent for stimulating the secretion of HCl and pepsinogen D-cells produce somatostatin. They inhibit G-cells EC-cells produce serotonin and substance Р which increase stomach activity. ECL-cells produce histamine which regulate gastric secretion
  • 31. STOMACH  Tunica submucosa: typical loose connective tissue contains submucosal plexuses also known as Meissner's plexuses  Tunica muscularis: 3 layers of smooth muscle  Outer longitudinal  Middle circular  Inner oblique  between the muscle layers is located the myenteric or Auerbach's plexus  Tunica serosa: small amount of loose connective tissue with overlying simple squamous epithelium or mesothelium
  • 32.
  • 33. Cardiac glands Cardiac glands are tubular, occasionally branched glands (similar to the cardiac glands of the esophagus), which contain mainly mucus-producing cells. A few of the secretory cells characteristic for the corpus-fundic glands (chief and parietal cells) may be present.
  • 34. Pyloric glands Pyloric glands are more coiled than corpus- fundic glands, and they may be more branched. The lumen is relatively wide. A few parietal cells may be present but chief cells are usually absent.
  • 35. Shallow gastric pits, with simple or branched tubular glands Deep gastric pits, Shallow gastric with branched pits, with branched tubular glands tubular glands
  • 36.
  • 37. SMALL INTESTINE  Is the longest component of the digestive tract  Is divided into three anatomic segments: duodenum, jejunum, and ileum  Functionally, it is the principal site for the digestion of food & for absorption of the products of digestion  Endocrine Secretion  The bile duct and main pancreatic duct:  Join the duodenum at the hepatopancreatic ampulla  Are controlled by the sphincter of Oddi
  • 38. SMALL INTESTINE Specializations of intestinal surface  Plicae circulares: deep circular folds of the mucosa circulares and submucosa, most abundant in jejunum  Villi – finger-like projections of the mucosa that extend into the intestinal lumen (epithelium plus lamina propria)  Intestinal crypts (glands of Lieberkühn) – are simple tubular glands between villi  Microvilli – numerous projections of apical plasma membranes of absorptive mucosal cells and give the apical region of the cell a striated appearance, called striated border (brush border)
  • 41.
  • 42.
  • 43. Villi • Finger-like projections of mucosa • Contain: - fenestrated capillary network - a central, blind- ending lymphatic capillary (lacteal) - few smooth muscle cells derived from muscularis mucosae - myofibroblasts • Are covered by intestinal epithelium – simple columnar
  • 44.
  • 45. SMALL INTESTINE Layers of the Small Intestine  Tunica mucosa:  Epithelium - simple columnar  Lamina propria - loose connective tissue rich in blood and lymphatic vessels present in the core of the villi and between crypts  Lamina muscularis mucosae - thin layer of smooth muscle located at the base of the crypts  Tunica submucosa: This layer blends with the lamina propria and is typical. In the duodenum it has coiled branched glands known as Brunner's glands, the ducts of which open into the base of the crypts.  Tunica muscularis: typical consisting of an inner circular layer and an outer longitudinal layer  Tunica serosa: typical
  • 46. Epithelium lining the small intestine – simple columnar
  • 47. The epithelium of the villus  Enterocytes (absorptive cells)  Goblet cells – unicellular mucin- secreting glands, increase in number from the proximal to the distal small intestine  Enteroendocrine cells resemble those described in the stomach
  • 48. The epithelium of the crypt  Enterocytes (absorptive cells)  Goblet cells  Enteroendocrine cells  Paneth cells – are found in the bases of the glands. They have a basophilic basal cytoplasm & large, intensely acidophilic apical secretory granules. These granules contain: the antibacterial enzyme lysozyme (digests the cell walls of certain groups of bacteria), glycoproteins, an arginine-rich protein & zinc. The antibacterial action & the phagocytosis of certain bacteria & protozoa by Paneth cells suggest that they have a role in regulating the normal bacterial flora of the small intestine.  Undifferentiated cells
  • 49.
  • 50.
  • 51.
  • 53. Gut-Associated Lymphatic Tissue  Lymphatic nodules  Lymphocytes  Macrophages  Plasma cells  Eosinophils  GALT serves as an immunologic barrier
  • 54. Regional variations in the small intestine: DUODENUM  presence of Brunner's glands in the submucosa - compound tubuloalveolar branched glands, mixed glands  presence of chyme in the small intestine induces cells of Brunner's glands to secrete alkaline mucus that neutralizes gastric acid and pepsin and further promotes digestion  no plicae circulares
  • 55.
  • 56.
  • 57. Regional variations in the small intestine: JEJUNUM  no glands in the submucosa  longest villi of all three regions  no lymphoid nodules
  • 58.
  • 59.
  • 60. Regional variations in the small intestine: ILEUM  permanent aggregated lymphoid nodules in the submucosa  shortest villi  highest number of goblet cells
  • 61.
  • 62.
  • 63. LARGE INTESTINE  Regions  Cecum – Appendix  Colon  Ascending  Transverse  Descending  Rectum  Anal canal  Functions: Functions  Reabsorption of electrolytes & water  Formation of waste  B vitamins & vitamin K synthesized
  • 64. LARGE INTESTINE Unlike the small intestine, there are no plicae circulares or villi in the large intestine so the surface of the tunica mucosa is more uniform and flatter than that of the small intestine.  Tunica mucosa: mucosa  epithelium - simple columnar epithelium that forms straight tubular glands (crypts)  lamina propria- loose connective tissue that contains numerous blood and lymphatic vessels, collagen, lymphocytes and plasma cells  lamina muscualris mucosae- present beneath the base of the crypts and prominent; undergoes rhythmic contractions  Tunica submucosa: typical, contains Peyer’s patches which submucosa are aggregations of solitary follicles or groups of lymph nodules. Each patch contains from 10 to 70 nodules.
  • 65.
  • 66. The epithelium of the crypt  Enterocytes (columnar absorptive cells) – few.  Goblet cells – are more numerous than in the small intestine.  Enteroendocrine cells  Undifferentiated cells
  • 68. LARGE INTESTINE  Tunica muscularis: inner circular and outer longitudinal layers; outer longitudinal layer is organized into three separate bands known as taenia coli; movement of more solid waste to the rectum. Between the taenia coli there is an thin sheet of longitudinal smooth muscle.  Tunica serosa is typical. Commensal bacteria reside in the large intestine and play a role in the continued digestion of food.
  • 69.
  • 70. Appendix - Includes a complete layer of longitudinal smooth muscle. - Contains a large number of lymph nodules positioned in both the mucosa and the submucosa. - The muscularis mucosa appear as isolated lengths of smooth muscle.
  • 71. - is the terminal portion of the alimentary canal Anal sinuses
  • 72. Colorectal Zone (simple columnar epithelium, crypts) Anal Transition Zone (stratified columnar/cuboidal epithelium, anal glands extend into the submucosa) Pectinate line Squamous Zone

Hinweis der Redaktion

  1. No anatomically distinct sphincter at gastroesophageal junction, but it functions as one by preventing acid reflux from stomach.
  2. At least 17 different types of enteroendocrine cells have been described