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The Stomach: Second Phase of Digestion, Following Mastication in The Mouth (Chewing) - It Secretes
The Stomach: Second Phase of Digestion, Following Mastication in The Mouth (Chewing) - It Secretes
The stomach:
Is a muscular, hollow, dilated part of the gastrointestinal tract that functions as an
important organ in the GIT. In humans and many other vertebrates it is involved in the
second phase of digestion, following mastication in the mouth (chewing). It secretes
digestive enzymes and gastric acid to aid in food digestion. The pyloric sphincter
controls the passage of partially digested food (chyme) from the stomach into the
duodenum where peristalsis takes over to move this through the rest of the intestines.
(Fig. 1): The stomach is located centre left in the human body.
The stomach lies between the esophagus and the duodenum. It is in the left upper
part of the abdominal cavity. The top of the stomach lies against the diaphragm. Lying
behind the stomach is the pancreas. A large double fold of visceral peritoneum called
the greater omentum hangs down from the greater curvature of the stomach. Two
sphincters keep the contents of the stomach contained; the lower esophageal
sphincter (found in the cardiac region), at the junction of the esophagus and stomach,
and the pyloric sphincter at the junction of the stomach with the duodenum.
The stomach is surrounded by parasympathetic (stimulant) and sympathetic
(inhibitor) plexuses (networks of blood vessels and nerves in the anterior gastric,
posterior, superior and inferior, celiac and myenteric), which regulate both the
secretions activity and the motor (motion) activity of its muscles. In adult humans, the
stomach has a relaxed, near empty volume of about 75 millilitres. Because it is a
distensible organ, it normally expands to hold about one litre of food. The stomach of
a newborn human baby will only be able to retain about 30 millilitres.
Stomach histology:
The gastric mucosa is the mucous membrane layer of the stomach which contains
the glands and the gastric pits. In humans it is about 1 mm thick and its surface is
smooth, soft, and velvety. It consists of epithelium, lamina propria, and the muscularis
mucosae.
In its fresh state, it is of a pinkish tinge at the pyloric end and of a red or reddish-
brown color over the rest of its surface. In infancy it is of a brighter hue, the vascular
redness being more marked.
It is thin at the cardiac extremity, but thicker toward the pylorus. During the
contracted state of the organ it is thrown into numerous plaits or rugae, which, for the
most part, have a longitudinal direction, and are most marked toward the pyloric end
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of the stomach, and along the greater curvature. These folds are entirely obliterated
when the organ becomes distended.
Duodenum:
The duodenum is the first section and the short part of the small intestine which
precedes the jejunum and ileum. In humans, the duodenum is a hollow jointed tube
about 25-38 cm (10-15 inches) long connecting the stomach to the jejunum with a C-
shaped structure lying adjacent to the stomach. It begins with the duodenal bulb and
ends at the suspensory muscle of duodenum. Anatomically, it can be divided into four
parts or 4 sections. The first part of the duodenum lies within the peritoneum but its
other parts are retroperitoneal.
The pancreatic duct and common bile duct enter the descending duodenum, through
the major duodenal papilla. The second part of the duodenum also contains the minor
duodenal papilla, the entrance for the accessory pancreatic duct.
Histology:
Microscopically, the duodenum has a villous mucosa, distinct from the mucosa of
the pylorus, which directly joins to the duodenum. Like other structures of
the gastrointestinal tract, the duodenum has a mucosa, submucosa, muscularis externa,
and adventitia. Glands line the duodenum, known as Brunner's glands, which
secrete mucus and bicarbonate in order to neutralise stomach acids. These are distinct
glands not found in the ileum or jejunum, the other parts of the small intestine.
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The jejunum has less fat inside its mesentery than the ileum.
The jejunum is typically of larger diameter than the ileum.
The villi of the jejunum look like long, finger-like projections, and are a
histologically identifiable structure.
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While the length of the entire intestinal tract contains lymphoid tissue, only
the ileum has abundant Peyer's patches, which are unencapsulated lymphoid
nodules that contain large numbers of lymphocytes and immune cells,
like microfold cells.
Ilium:
The ileum is the third and final part of the small intestine which follows the
duodenum and jejunum and is separated from the cecum by the ileocecal valve (ICV).
In humans, the ileum is about 2-4 m long, and the pH is usually between 7 and 8
(neutral or slightly alkaline). Ileum is derived from the Greek word eilein, meaning
"to twist up tightly. There is no line of demarcation between the jejunum and the
ileum. There are, however, subtle differences between the two:
The ileum has more fat inside the mesentery than the jejunum.
The diameter of its lumen is smaller and has thinner walls than the jejunum.
Its circular folds are smaller and absent in the terminal part of the ileum.
While the length of the intestinal tract contains lymphoid tissue, only the
ileum has abundant Peyer's patches, unencapsulated lymphoid nodules that
contain large numbers of lymphocytes and other cells of the immune system.
The 4 layers that make up the wall of the ileum are consistent with those of the
gastrointestinal tract:
a. A mucous membrane, itself formed by three different layers: A single layer of tall
cells that line the lumen of the organ. The epithelium that forms the innermost part of
the mucosa has five distinct types of cells that serve different purposes, these are:
enterocytes with microvilli, which digest and absorb nutrients; goblet cells, which
secrete mucin, a substance that lubricates the wall of the organ; Paneth cells, most
common in the terminal part of the ileum, are only found at the bottom of
the intestinal glands and release antimicrobial substances such as alpha defensins and
lysozyme; microfold cells, which take up and transport antigens from the lumen to
lymphatic cells of the lamina propria; and enteroendocrine cells, which secrete
hormones.
(Fig. 6): General structure of the gut wall. Brunner's glands are not found in the
ileum, but are a distinctive feature of the duodenum.
(Fig. 7): Goblet cells in the wall of an ileum vili. At its sides, enterocytes are
visible over a core of lamina propria.
The wall of the large intestine is lined with simple columnar epithelium with
invaginations. The invaginations are called the intestinal glands or colonic crypts.
There are about 100 colonic crypts per square millimeter of the colonic epithelium.
Since the average length of the human colon is 160.5 cm and the average inner
circumference of the colon is 6.2 cm the inner surface epithelial area of the human
colon has an average area of about 995 sq cm, which includes 9,950,000 (close to 10
million) crypts.
(Fig 11): The mucosa of large intestine demonstrates the goblet cells and the shape
of the rugae.
(Fig. 12): The junction of colon with the anal canal. Note the change in the
epithelial tssue.