Gastrointestinal System
Gastrointestinal System
Gastrointestinal System
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Introduction
The gastrointestinal (GI) system comprises the GI tract and accessory
organs. The GI tract consists of the oral cavity, pharynx, esophagus,
stomach, small intestine, large intestine, and anal canal. The accessory
organs include the teeth, tongue, and glandular organs such as salivary
glands, liver, gallbladder, and pancreas. The main functions of the GI
system include ingestion and digestion of food, nutrient absorption,
secretion of water and enzymes, and excretion of waste products.
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Issues of Concern
The GI system is complex, and the amount of material that could be
covered is substantial. Therefore, this article serves as an overview of GI
tract physiology, with reference links diving deeper into complex topics.
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Cellular Level
There are four histologic layers of the GI tract. From the lumen outward:
Mucosa
The mucosa consists of a single layer of epithelium, which is highly folded
to increase its surface area for absorption. The mucosa contains
invaginations, which form tubular exocrine glands that secrete mucus,
electrolytes, water, and digestive enzymes. It also houses endocrine
glands, which release Gi hormones such as cholecystokinin (CCK). The
lamina propria, a connective tissue layer, supports the epithelium.
Submucosa
The submucosa, a connective tissue layer, houses blood and lymphatic
vessels that support the GI tract. The submucosal (Meissner) plexus is
found in this layer.
Muscularis Externa
The muscularis externa comprises two major smooth muscle layers: an
inner circular and an outer longitudinal muscular layer. Between these two
layers is where the myenteric (Auerbach) plexus is found. The coordinated
contraction of the muscular layers via the myenteric plexus controls
peristalsis. Of note, the stomach contains a third muscular layer, the inner
oblique, which assists in churning the stomach contents.
Serosa and A dventitia
The serosa is a smooth membrane comprising a thin layer of connective
tissue and a thin layer of cells that secrete serous fluid to lubricate internal
structures. This lubricating fluid aids in reducing friction during
movement. The serosa covers intraperitoneal organs, while the adventitia
covers retroperitoneal organs and functions to hold structures together
instead of reducing friction between them.
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Development
The digestive tube begins to form during the third week of gestation.
During this time, gastrulation occurs, and three germ layers (ectoderm,
mesoderm, and endoderm) are formed.
The endoderm forms the epithelial lining of the GI tract, gallbladder,
pancreas, and liver. The mesoderm gives rise to the connective tissue and
smooth muscle of the gut tube wall. The ectoderm separates into the
surface ectoderm, neural tube, and neural crest. The neural crest forms the
peripheral nervous system, including the enteric nervous system (ENS);
the ENS contains the neurons of the GI tract.[1]
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Function
The function of the digestive system is to digest and absorb food and then
excrete the waste products with the help of the liver, gallbladder, pancreas,
small intestine, large intestine, and rectum. Each of these organs plays a
specific role in the digestive system.