The GI system is the only system in the body open to the
external environment Composed of one continuous tube o Begins at the mouth o Progresses through the esophagus, stomach, and small and large intestines o Ends at the anus Accessory Organs o Pancreas o Liver o Gallbladder
Major Activities of the GI System Secretion: Of enzymes, acid, bicarbonate, and mucus Absorption: Of water and almost all of the essential nutrients needed by the body Digestion: Of food into usable and absorbable component Motility: Movement of food and secretions through the system
Control of the GI System GI system is controlled by the nerve plexus o Maintains basic electrical rhythm o Responds to local stimuli to increase or decrease activity Activity of GI tract can be influenced by the autonomic system Initiation of activity depends on local reflexes
Types of Secretions of the GI Tract Saliva Mucus Acid and Digestive Enzymes (Gastrin) Secretin Sodium Bicarbonate Pancreatic Enzymes, Other Lipases, and Amylases Bile Endocrine Hormones
Digestion Is the process of breaking food into usable, absorbable nutrients Begins in the mouth with enzymes in the salvia The stomach continues the digestion process In the small intestines, the food mixes with bile which breaks down the fat molecules
Absorption Is the active process of removing water, nutrients, and other elements from the GI tract Once removed from the GI tract, they are delivered to the bloodstream for use in the body
Motility GI tract depends on an inherent motility to keep things moving through the system. In the esophagus, the basic movement is peristalsis. The stomach uses its three muscle layers to produce a churning action. Small intestines use a process of segmentation. Large intestines use a process of mass movement.
Local Gastrointestinal Reflexes Gastroenteric Reflex: Stimulation of the stomach by stretching Gastrocolic Reflex: Stimulation of the stomach causing increased activity in the colon Duodenal–Colic Reflex: Stimulation of colon activity and mass movement by the presence of food or stretch in the duodenum
Centrally Mediated Reflexes of the GI Tract Swallowing Reflex o Stimulated when a food bolus stimulates pressure receptors in the back of the throat and pharynx Vomiting Reflex o Protects the system from unwanted irritants o Stimulated by two centers in the medulla
Swallowing Reflex Stimulated whenever a food bolus stimulates pressure receptors in the back of the throat and pharynx. This send impulses to the medulla, which stimulates a series of nerves. Involves more than 25 pairs of muscles This reflex can be facilitated in a number of ways if swallowing is a problem.
Stimulation of the Chemoreceptor Trigger Zone (CTZ) Tactile stimulation of the back of the throat Excessive stomach distention Increasing intracranial pressure by direct stimulation Stimulation of the vestibular receptors in the inner ear
Stimulation of stretch receptors in the uterus and bladder
Intense pain fiber stimulation Direct stimulation by various chemicals
Maintaining Homeostasis of the GI Tract A series of local reflexes within the GI tract helps maintain homeostasis within the system Overstimulation can result in: o Constipation (underactivity) o Diarrhea (overactivity)
Vonoprazan Fumarate, A Novel Potassium-Competitive Acid Blocker, in The Management of Gastroesophageal Reflux Disease: Safety and Clinical Evidence To Date