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BSMT 2| S.Y. 2021-2022 Second Semester – MIDTERMS 4. Segments with Submucosal glands: esophagus and
duodenum
HISTOLOGY LESSON #10
Digestive Tract TUNICA MUSCULARIS
Lecturer: Dr. Frederick Abellana, MD 1. Sometimes known as Tunica externa to differentiate it
from the muscularis mucosae and tunica mucosa
2. Skeletal and/or smooth muscle
DIGESTIVE TRACT
a. Smooth muscle: 2 layers (ICOL)
• sometimes known as the gastrointestinal tract or GIT 3. Auerbach’s plexus
(most common abbreviation) a. terminal ganglion in between the 2 layers of
• The different segments of the digestive tract are typical smooth muscles which supplies motor impulses
examples of hollow organs to the tunica muscularis
b. Innervate the T. muscularis
• In the study of hollow organ, one should consider:
c. Responsible for the peristaltic movement of the
o Lumen digestive tract
o Wall - composed of many layers (tunics)
TUNICA SEROSA AND/OR TUNICA ADVENTITIA
Starting from the inside proceeding outwards: • The last layer of GIT is either tunica serosa or tunica
LAYERS OF THE DIGESTIVE TRACT adventitia or both, depending on the location of the
TUNICA MUCOSA segment.
• first layer; mucous membrane covering the GIT • If the segment is located inside the abdominal cavity, then
the last layer is tunica serosa which is composed of:
1. • primary functional component of the o Thin layer of areolar CT
Epithelium: organs or the segments o Covered with mesothelium (a single layer of
flattened cells)
• Mostly derived from endoderm
o Corresponds to the visceral layer of the
• 2 types in GIT: stratified squamous and
peritoneum
simple columnar epithelium
• If the segment is located outside the abdominal cavity,
• Lowest part near the mouth will be lined
by stratified squamous, the rest will be then the last layer is tunica adventitia which is also
simple columnar composed of:
2. Lamina • Stratified squamous epithelium: o Thin layer of areolar CT
Propria fibroelastic lamina propria • Sub-serous plexus
• Simple columnar epithelium: o Small ganglion in the Tunica serosa
fibroreticular lamina propria
• Glands (know the morphology and MUCOSAL FOLDS
anatomical classification, component • Aside from studying the 4 layers, one should know the
cells and functions) presence and absence of folds
• MALT Mucosa Associated Lymphoid • Mucosa & Submucosa
Tissue (collection of lymphoid CT)
• Orientation: Longitudinal or transverse
o Lymphatic infiltration
o Note the nodular • Permanent or not
arrangement on each • Name of the folds
segment
3. • Thin layer of smooth muscle
Muscularis • If muscularis mucosae is
mucosae thick/prominent, it has 2 layers (ICOL).
Inner circular and outer longitudinal
layers
• Basic arrangement of smooth muscle
present in the tunica mucosa of GIT
• Separates the mucous membrane from
the next layer, Tunica submucosa
• Starts in the esophagus
• Smooth muscle
o EXCEPT in: Mouth and
Pharynx (represented by a
later of elastic tissue)
TUNICA SUBMUCOSA
1. Areolar CT This is a picture showing the basic layers of the GIT.
2. Glands (know the morphology and anatomical
classification, component cells and functions)
3. Meissner’s plexus - terminal ganglion (motor ganglion) of
GIT
KENNY. LOPEZ. PANOREL. PISCADERO. ROLLENAS. ROMA. SANICO. SO. VERGARA. VILLAROYA. 1
TRANS: L7 | Cardiovascular System
ESOPHAGUS o Shape of the secretory end pieces will be a
1. Muscular tube connecting the pharynx to the stomach termination of tubes and sacs
through the diaphragm • Component cells: typical mucous cells for the production
2. Function: passage of food from mouth to the stomach of mucous
3. NO digestive function o Therefore, the surface of the esophagus is well
4. Structure: lubricated, making swallowing easy
• Main excretory duct of the gland will undergo cystic
A. TUNICA MUCOSA dilatation before it will open onto the surface of the organ
(cystically dilated duct of the gland)
1. • stratified squamous epithelium non-
Epithelium: keratinizing
• Compared to skin which is keratinizing
[becomes hard or horny]
• Lining epithelium of the esophagus is
continuous with the lining epithelium of
the oral cavity
2. Lamina • FEW glands
Propria • Found only in: upper part near the
mouth and lower part near the stomach
• In the middle part, glands in the lamina
propria are ABSENT
• Few glands (upper & lower part of the
esophagus)
• Superficial esophageal gland (also
known as esophageal cardiac glands
because the morphology and
appearance, component cells and
function are similar to the cardiac
glands of the stomach) (Labels stated in the lecture: stratified squamous epithelium;
• Classification: compound tubular deep esophageal gland; dilated duct)
o Excretory duct branches
o Shape of the secretory C. TUNICA MUSCULARIS
end pieces are tubular
• Aka “Muscularis externa”
o The tubules may be
branched or coiled or • To differentiate it from the muscularis mucosae in the T.
both mucosa, therefore, the wall of the digestive tract will have
o Examples: testis, kidney, 2 muscles
cardiac glands of o 1 in the mucosa
stomach o 1 in the t. muscularis
• Component cells: not typical mucous • Upper part - skeletal muscles (continuation of the t.
cells but the glands will produce Muscularis of the pharynx)
mucous • Middle part - both skeletal & smooth muscles (in the
middle part of the esophagus, smooth muscle will start to
3. • Upper part of the esophagus: thin layer
Muscularis appear)
of smooth muscle
mucosae o First part of the esophagus is • Lower part - smooth muscle
very thin, sometimes it will be
represented only by elastic D. TUNICA ADVENTITIA
tissue, because in the • (Not tunica serosa since esophagus is extraperitoneal
pharynx, there is no meaning located outside the peritoneal cavity)
muscularis mucosae, so in • Composed of areolar CT blending to the surrounding or
the esophagus, the adjacent areas
muscularis mucosae is still • NOTE: any segment of the digestive tract located outside
starting to develop, that’s why the peritoneal cavity, the last layer is T. adventitia
it’s thin
• Lower part of the esophagus: thick Folds of Esophagus
muscularis mucosae (ICOL) • Oriented longitudinally
o Composed of two layers of • Not permanent (when food passes the organ, the folds
smooth muscle disappear)
• When the esophagus is empty, longitudinal folds will be
B. TUNICA SUBMUCOSA formed by the mucosa and submucosa
1. Areolar
2. Glands are present all over the submucosa
• deep esophageal gland or esophageal gland proper
• In the entire length of the esophagus whether upper part,
middle part or lower part, glands are always present in
the submucosa
• Classification: compound tubulo-acinar
o Excretory duct has many branches
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TRANS: L7 | Cardiovascular System
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TRANS: L7 | Cardiovascular System
while stomach is lined by simple columnar epithelium. In the • Aka oxyntic glands or gastric glands proper
glands of lamina propria, CTs will be present only in the • Numerous occupying entire thickness of lamina propria
interfoveolar space) • Open to the gastric pits (foveolae)
o 1-7 glands open at bottom of foveolae thru their
1. • Plain simple columnar narrow isthmus
Epithelium: • Lining epithelium of the stomach can
be classified as a gland: mucous
secretory epithelial sheet
• Component cell: mucous secretory
sheet (thats why the lining epithelium of
the stomach is classified as a gland. It
produces mucous which is resistant to
the acid content of the stomach for the
protection of tunica mucosa)
2. Lamina • Fibro-reticular connective tissue
Propria • Scanty
o Since there are many
glands
• Located only in the interfoveolar
area/space
• Glands are present (occupy almost the
entire area of the lamina propria)
3. • No significant features
Muscularis
mucosae
(includes: invagination of the lining epithelium of the stomach;
(last layer
isthmus - connection between the pit and the gland; body of
of tunica
the gland)
mucosa)
Cell Types
Different glands in the lamina propria in the stomach:
a. Cardiac glands:
1. Mucous neck • Shape: columnar (but nucleus is
cells flat and pushed towards the base)
• Few in number
• Location: neck of gland (also
• Located in the cardiac portion in the stomach
scattered singly on the other parts
o Seen only surrounding the opening of the
of the gland)
esophagus to the stomach; seen only at the
o Neck of the gland BUT
immediate vicinity of the esophageal openings
this doesn't mean MNC
• Aka esophageal cardiac glands (extension of the cardiac
are not present in the
glands)
body
• Classification: compound tubular
• (+) positive reaction to PAS
• Component cell: not typical mucous cells but glands o Because it produces
produce mucous mucin
• Function: Production of mucus & gastrin (hormone) • Function: Mucus production
o Gastrin: A peptide hormone that stimulates
2. Stem cells • Location: neck of gland
secretion of gastric acid (HCl) by the parietal
• Function: Give rise to other cell
cells of the stomach and aids in gastric motility
types in the fundic gland
b. Fundic glands: 3. Parietal • Most conspicuous cells
cells/Oxyntic [characteristic] in the fundic gland
cells • Shape: large cells with a broad
rounded base
• Strongly acidophilic
• Spherical
• Electron microscope:
Characteristic feature of the
parietal cells
o Presence of secretory
canaliculi (intracellular
canaliculi) with microvilli
projecting into its lumen
• Function: Production of HCl &
intrinsic factor
• HCl
o For the conversion of
pepsinogen to pepsin
o To lower the pH for
optimum protein
• Tunica mucosa, fundic glands, lamina propria (fundic digestion
glands occupy entire lamina propria except the • Intrinsic factor
interfoveolar space) o For absorption of Vitamin
• Classification: simple branched tubular B12 (Cyanocobalamin)
o 1 excretory duct that doesnt branch
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TRANS: L7 | Cardiovascular System
o Vitamin B12: for • Function: Production of mucus & lysozyme (lysozyme -
maturation of RBC enzyme capable of digesting bacteria)
o Endocrine function of
parietal cells TUNICA SUBMUCOSA
• Composed of denser connective tissue
• No significant features
TUNICA MUSCULARIS
• Made up of 3 layers of smooth muscle
• Layers: IO-MC-OL
o Inner Oblique
o Middle Circular
o Outer Longitudinal
• The middle circular layer is highly developed in the pyloric
region to form the “Pyloric sphincter”
• Pyloric sphincter
o Control the evacuation of chyme from stomach
to the small intestine
o Acts as a valve to control the flow of partially
digested food from the stomach to the small
intestine
4. Chief or • Shape: simple cuboidal • Sphincter
Zymogenic • Location: lining the bottom of the o Controlled valve
cells gland
• Basophilic cytoplasm TUNICA SEROSA
• Function: Production of pepsin, • Last layer
lipase, & leptin • Lined by mesothelium
o Pepsinogen granules: • No significant features
antecedent of the • Folds:
enzyme pepsin o are present in the stomach known as rugae
o Leptin: A hormone which are longitudinal in orientation
predominantly made by o Present only on EMPTY stomach
adipose cells that helps o Not permanent because when the stomach is
to regulate energy full, the rugae are erased or absent
balance by inhibiting
hunger
3. Muscularis mucosae
• No significant feature
TUNICA SUBMUCOSA
• The same as basic structure
• Dense connective tissue
• Brunner’s gland
o Present only in the DUODENUM, absent in the
rest of the segments
o Simple branched coiled tubular
▪ 1 excretory duct
▪ Secretory end pieces are tubular in
structure, they branch in 2, the
endpoints then coil
Picture composed of glands of Lieberkühn. The gland is lined
o Function: Secretion is distinctly alkaline (viscid)
to neutralize the acid content coming from the
by the same lining of the surface, simple columnar epithelium
stomach
with enterocytes, goblet cells, enteroendocrine cells and at the
bottom Paneth cells can be found. Paneth cells will have
characteristic acidophilic granules in the apical cytoplasm.
The granules will contain defensins and lysozymes
TUNICA MUSCULARIS
Picture of villus (labels stated in the lecture: lining epithelium, • No significant features
lamina propria, Bruck’s muscle, lacteal)
TUNICA SEROSA AND ADVENTITIA
• Tunica serosa is the general last layer of the small
intestine
• In DUODENUM, because it is retro-peritoneal in location,
the posterior surface of the duodenum attached to the
dorsal body wall will have TUNICA ADVENTITIA as its
last layer (only segment that has two types of coverings)
• The part projecting or protruding to the peritoneal cavity
will have tunica serosa as its last layer
• FOLDS:
o Are permanent and transversely oriented
o Name of folds:
▪ Valves of Kerckring OR
▪ Valvulae coniventes OR
▪ Plicae circularis
o The folds do not occur around the lumen, only
half of the lumen of the intestine (half-moon like)
o Made up of mucosa and submucosa
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TRANS: L7 | Cardiovascular System
3. Muscularis • Indistinct, not identifiable
mucosae • Poorly developed
TUNICA SUBMUCOSA
• Thin layer
TUNICA MUSCULARIS
• Thin layer of inner circular outer longitudinal smooth
muscle (IC-OL)
TUNICA SEROSA
• Last layer
LARGE INTESTINE
• Larger in diameter, but shorter than the small intestine
(small intestine about 20 ft in length)
• NO digestive functions
• Storage and elimination of undigested food
• Production of Vit K & B (produced bacteria residing in
large intestine which also produces gas)
• Absorption of water, minerals, vitamins
• Production of mucus
• Production of flatus (gas produced)
SEGMENTS
CECUM • First sac-like where appendix is Cross section of Appendix (labels stated: angular lumen,
located lymphatic nodules described as confluent nodules)
APPENDIX • Appendage of blindly ending
COLON
invagination of cecum
Divided into the following segments:
COLON • Ascending • Ascending colon (right iliac going up to the liver)
• Transverse • Transverse colon (cross the midline towards the spleen)
• Descending • Descending colon (from the spleen it will descend
• Sigmoid colon towards the left iliac region)
• S-shaped sigmoid colon (pelvic region)
APPENDIX
• In cross section, characteristic angular lumen [compared
to small intestine which is star-shaped or stilate] Histological Structure of Colon ____
TUNICA MUCOSA
Histological Structure of Appendix ____
• smooth, but NO villi
TUNICA MUCOSA
• smooth, but NO villi 1. Epithelium: • Same with small intestine BUT
much more numerous goblet cells
1. Epithelium: • Simple columnar epithelium with • Simple columnar epithelium with
goblet cells and striate border [not striate borders and more numerous
so distinct goblet cells
2. Lamina • Glands of Lieberkuhn are present 2. Lamina • Fibro-reticular connective tissue
Propria (irregular in shape) Propria • Glands of Lieberkühn
• Contain lymphatic nodules that will o Large and long
surround the entire lumen of the o Paneth cells are
organ, described as confluent ABSENT
nodules 3. Muscularis • Very thick
o Since the nodules mucosae • Colon has thickest muscularis
surround the lumen of mucosae
the organ, it will be
described as
“confluent” in contrast
to ileum which is
“aggregated” nodules
o Heavily infiltrated with
lymphocytes that may
extend to tunica
submucosa
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TRANS: L7 | Cardiovascular System
• Note: In the Upper part of the GIT
o Vermillion border;
represent the muco-
cutaneous junction
2. Lamina • Glands of Lieberkühn [large and
Propria long] are present BUT glands
become shorter and will start to
disappear near the anal opening
and are replaced by skin
appendages
• Skin appendages
o Hair follicles
o Apocrine sweat
glands [aka Circum-
anal sweat glands]
• Large plexus of veins present
o When distended or
Picture of colon. (labels stated: Long and large crypts of engorged, veins will
Lieberkühn, lamina propria, muscularis mucosae) protrude through the
anus as hemorrhoids
TUNICA SUBMUCOSA 3. Muscularis • No significant features
• No significant features mucosae
• Areolar, no glands
TUNICA SUBMUCOSA
TUNICA MUSCULARIS • No significant features
• Differs from the rest of the GIT because of taeniae coli • Areolar, no glands
• Taeniae coli
o outer longitudinal layers will form three (3) TUNICA MUSCULARIS
bands of longitudinal smooth muscle • NO taeniae coli
o Taenia meaning “ribbon” • Composed of 2 layers (IC-OL): inner circular, outer
o Not a continuous layer longitudinal
o Since the taeniae coli are shorter than the actual
length of the colon, the wall of the colon form TUNICA ADVENTITIA
bulges:
• Last layer
• Haustrae coli
o Formation of sacculations of wall in colon FOLDS are Present
o Puckering of the wall 1. Plicae transversalis/Valves of Houston
• Located in the upper part of the rectum
TUNICA SEROSA
• Permanent transverse folds (3 folds)
• Significant feature: Appendices epiploicae • Made up of: mucosa and submucosa
o Tags of fats or adipose tissue attached to the T.
serosa of the colon
2. Columns of Morgagni
o Yellowish structures present ONLY in the colon
• Located in the lower part of the rectum and upper
FOLDS are ABSENT in the colon part of anal canal
• Non-permanent longitudinal folds
Additional information: • Made up of: mucosa and submucosa
Functions of Colon: 3. Anal valves
• Resident bacteria decompose undigested food • Look like arch folds which are permanent and are
residues forming anal sinus
o Vitamins K & B
o Production of flatus
• Production of abundant mucus for lubrication of feces
• Absorption of water, minerals and some vitamins
• Elimination of indigestible residues (feces)
TUNICA MUCOSA