The Digestive System Maintenance Systems Unit 7

Standards and Objectives Describe the basic functions of the digestive system: ingestion, digestion, absorption, and excretion Describe the basic functions of the digestive organs (mouth, pharynx, esophagus, stomach, small intestines, large intestines, rectum, and anus) and their role in digestion Describe the diseases and disorders of the digestive system: colon cancer, Crohn’s disease, celiac disease, appendicitis, and inguinal hernia Recognize levels of education, credentialing requirements, employment opportunities, workplace environments, and career growth potential for the following careers relating to the digestive system: dentist, dental assistant, dental hygienist, dietitian, and central services.

Medical Terminology GI – Gastro-intestinalSym/syn - together Dx- Diagnosis MA - medical Assistant Colo- Colon Cheilo – lips Gastro – stomach Gingivo – gums -ia – condition NPO – nothing by mouth Stomato – mouth Hepato – liver Cholecysto – gallbladder Procto – rectum Bx - biopsy PO - by mouth

Vocabulary Mastication - chew: biting and grinding food in your mouth so it becomes soft enough to swallow Maceration – softening by soaking in a liquid Emulsification – (in digestion) The breakdown of fat globules in the duodenum into tiny droplets, which provides a larger surface area on which the enzyme pancreatic lipase can act to digest the fats into fatty acids and glycerol. Deglutition – the act of swallowing Peristalsis – involuntary relaxation and contraction of a tubular organ to allow contents to move through.

The Basic Functions of the Digestive System Ingestion-taking nutrients into the body, i.e., eating Digestion-the mechanical and chemical breakdown of food into a usable form Absorption-the movement of molecules through the mucosal lining of the stomach and small intestine, and into the blood Excretion-the removal of solid waste from the body Sphincters-circular muscles that contract and move food through the GI tract.

Quick Write What are three questions you have about the digestive system? As we study the digestive system, look for the answers to your questions. Where does most of the digestion of food occur in the body? Share this with a neighbor, are your answers the same?

The Digestive Organs Mouth Pharynx Larynx Esophagus Stomach Small Intestines – 3 duodenum, jejunum, ileum Large Intestines – 4 ascending, transverse, descending, sigmoid Rectum Anus

Mouth Digestion starts here!!! Mechanical digestion-chewing or “mastication” Chemical digestion-digestion of carbohydrates

Teeth Enamel – hard, white covering protects tooth from wear and tear of chewing. The hardest substance in your body. Dentine – below the enamel, it is the yellow bone-like material that is softer than enamel and carry some of the nerve endings. Pulp – is the center of the tooth. It contains blood vessels and nerves. Where the tooth receives nourishment Cementum – covers root of tooth, attaches tooth to the bones in the jaw.

Pharynx Also called the throat Nasopharynx Oropharynx Laryngopharynx A passageway for food, liquids, and air

Esophagus Muscular tube located behind the trachea About 10 inches long Transports food from the pharynx to the stomach Upper and Lower esophageal sphincters

Stomach J-shaped pouch located below the diaphragm Chemical digestion of protein occurs in the stomach due to gastric juice secretion Mechanical digestion occurs in the stomach due to maceration (churning). Three layers of muscles in the stomach create the movement of maceration.

Liver Largest organ in the body Liver has many jobs –Changing food into energy –Cleaning alcohol and poisons from the blood –Creates Bile, a yellowish-green liquid that helps with the digestion of food.

Gallbladder Structure on the underside of the liver Function of the gallbladder is to store bile that is produced in the liver Bile is secreted into the intestines to help with the emulsification of fats.

Small Intestines Chemical digestion of nutrients and absorption of nutrients is completed in the small intestines Three divisions of the small intestines: –Duodenum – first portion of the small intestine where the majority of chemical digestion occurs. –Jejunum – middle portion of the small intestine where the majority of absorption of nutrients occurs. –Ileum – final portion of the small intestine where absorption occurs.

Large Intestines The large intestines are the last part of the digestive system. Absorption of water, vitamins, electrolytes, production of vitamin K, and formation of feces occurs in the large intestines Ascending, Transverse, Descending, Sigmoid colons

Rectum The last portion of the large intestine which functions as a temporary storage of solid wastes before excretion

Anus The final portion of the rectum where solid waste is excreted from the body

Diseases and Disorders of the Digestive System

Colon Cancer Most of the cancers of the large intestine are believed to have developed from polyps (benign tumors). Cancer of the colon and rectum, also called colorectal cancer can invade and damage adjacent tissues and organs. Symptoms include fatigue, weakness, shortness of breath, change in bowel habits including diarrhea or constipation, red or dark blood in stool, weight loss, abdominal pain, cramps, or bloating. Surgery is the most common treatment for colon cancer. Quick Write: Who is more likely to get colon cancer, men or women?

From Donna Myers, former About.com Guide Updated: July 8, 2007 About.com Health's Disease and Condition content is reviewed by the Medical Review BoardDonna MyersMedical Review Board Research has shown that in general, men are more likely to have colon polyps and colon tumors than women. The older we get, the bigger the gender gap gets. A study published in the American Journal of Gastroenterology found that men 69 and older were much more likely to have colorectal polyps and tumors than women in the same age group.colon polyps So how can people be right when they say women are more likely than men to get colorectal cancer? Research presented at the 70th Annual Scientific Meeting of the American College of Gastroenterology indicated that female smokers were more likely to get colorectal cancer than male smokers. So, all other things being equal, if a man and a woman smoke, the woman is more likely to get colorectal cancer.smokers Which gender is more susceptible to colorectal cancer also depends on the location of the tumor. Research published in the European Journal of Cancer Prevention found that men tend to get rectal cancer and left-sided colon cancers more often than women, and women tend to get right-sided colon cancer more often than men.rectal cancercolon cancers That may be more than you wanted to know about gender and colorectal cancer. But, now that you know both sides, if it ever comes up in conversation you'll be able to agree (or disagree) with whomever you want!

Crohn’s Disease Chron’s disease is an ongoing disorder that causes inflammation of the digestive tract. The disease can affect any area of the GI tract, from the mouth to the anus, but it most commonly affects the lower part of the small intestine, the ileum. The swelling extends deep into the lining of the affected organ. The swelling can cause pain and can make the intestines empty frequently, resulting in diarrhea. Chron’s disease may be caused by an abnormally functioning immune system. Treatment includes prescription medications, nutritional supplements, surgery, or a combination of these. There is no cure.

Celiac Disease Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food. People who have celiac disease cannot tolerate a protein called gluten, found in wheat, rye, and barley. When people with celiac disease eat foods or use products that contain gluten, their immune system responds by damaging the small intestine. Celiac disease is an autoimmune disease that is genetic. The most common symptoms include pain in the digestive system or other parts of the body. The only know treatment is a gluten-free diet.

Appendicitis Appendicitis, inflammation of the appendix, is the most common surgical disease. It results from the obstruction of the opening to the appendix by a mass, structure or infection. Symptoms of appendicitis include generalized abdominal pain, pain localized in the lower right abdomen, nausea, vomiting, possibly fever, and an elevated white blood cell count. Treatment involves the removal of the appendix and antibiotics.

Inguinal Hernia Inguinal hernias occur when a part of the intestine protrudes through a weak point or tear in the abdominal wall. This protrusion creates a buldge which can be painful. Some inguinal hernias occur at birth when the abdominal lining does not close properly. Other inguinal hernias occur later in life when muscles weaken or deteriorate. The most common treatment is surgery.

Careers Dentist Dental Assistant Dental Hygienist Dietitian Central Service Technician Proctologist

Dentist Doctor who study, diagnose, treat and prevent diseases and disorders of the oral cavity. Undergraduate degree plus four years of dental school $60,000 to start – over $100,000/yr is common after a few years of practice.

Dental Hygienist Teach patients oral hygiene, providing preventive dental care, examination of patient gums and teeth and recording oral problems as well as cleaning teeth. –Some states they can give local anesthetics by use of syringe, perform filling procedures, and remove stitches. Education – 4 years Salary - $74,000/yr

Dental Assistant Help with office services such as scheduling appointment, updating patient files, setting up tool packs for dentist or hygienist. Education – less than 12 month dental assisting course. Salary - $33,000/yr

Dietician Help others to develop and maintain a healthy diet. Can work in a variety of settings such as: hospitals, health care facilities, schools, and government agencies. Education – Bachelor’s degree and state licensure or certification. Salary - $50,000/yr

Central Services Technician Clean medical instruments, assemble surgical trays and examine medical equipment for repairs. –AKA central sterile supply technicians and medical equipment preparers. Education – technical school or community college, less than 6 months. Salary - $30,000/yr

Proctologist Field of internal medicine that aims to prevent diseases and disorders of the colon, rectum and anus through preventative medicine and treatments. Education – 4 years undergraduate plus 4 years of medical school and 6 years of residency as a proctologist and surgeon. Salary - $200,000/yr