12.3 – Physiology (Function) of the Digestive System
The main functions of the digestive system are:
- Ingesting food
- Digesting food
- Absorbing nutrients
- Elimination of waste products
Digestive Processes
The processes of digestion include six activities: ingestion, propulsion, mechanical or physical digestion, chemical digestion, absorption, and defecation.
The first of these processes, ingestion, refers to the entry of food into the alimentary canal through the mouth. There, the food is chewed and mixed with saliva, which contains enzymes that begin breaking down the carbohydrates in the food plus some lipid digestion via lingual lipase. Chewing increases the surface area of the food and allows an appropriately sized bolus to be produced.
Food leaves the mouth when the tongue and pharyngeal muscles propel it into the esophagus. This act of swallowing, the last voluntary act until defecation, is an example of propulsion, which refers to the movement of food through the digestive tract. It includes both the voluntary process of swallowing and the involuntary process of peristalsis. Peristalsis consists of sequential, alternating waves of contraction and relaxation of alimentary wall smooth muscles, which act to propel food along (see Figure 12.11). These waves also play a role in mixing food with digestive juices. Peristalsis is so powerful that foods and liquids you swallow enter your stomach even if you are standing on your head.
Digestion includes both mechanical and chemical processes. Mechanical digestion is a purely physical process that does not change the chemical nature of the food. Instead, it makes the food smaller to increase both surface area and mobility. It includes mastication, or chewing, as well as tongue movements that help break food into smaller bits and mix food with saliva. Although there may be a tendency to think that mechanical digestion is limited to the first steps of the digestive process, it occurs after the food leaves the mouth as well. The mechanical churning of food in the stomach serves to further break it apart and expose more of its surface area to digestive juices, creating an acidic “soup” called chyme. Segmentation, which occurs mainly in the small intestine, consists of localized contractions of circular muscle of the muscularis layer of the alimentary canal. These contractions isolate small sections of the intestine, moving their contents back and forth while continuously subdividing, breaking up, and mixing the contents. By moving food back and forth in the intestinal lumen, segmentation mixes food with digestive juices and facilitates absorption.
In chemical digestion, starting in the mouth, digestive secretions break down complex food molecules into their chemical building blocks (for example, proteins into separate amino acids). These secretions vary in composition but typically contain water, various enzymes, acids, and salts. The process is completed in the small intestine.
Food that has been broken down is of no value to the body unless it enters the bloodstream and its nutrients are put to work. This occurs through the process of absorption, which takes place primarily within the small intestine. There, most nutrients are absorbed from the lumen of the alimentary canal into the bloodstream through the epithelial cells that make up the mucosa. Lipids are absorbed into lacteals and are transported via the lymphatic vessels to the bloodstream.
In defecation, the final step in digestion, undigested materials are removed from the body as feces.
Digestive System: From Appetite Suppression to Constipation
Age-related changes in the digestive system begin in the mouth and can affect virtually every aspect of the digestive system. Taste buds become less sensitive, so food isn’t as appetizing as it once was. A slice of pizza is a challenge, not a treat, when you have lost teeth, your gums are diseased, and your salivary glands aren’t producing enough saliva. Swallowing can be difficult, and ingested food moves slowly through the alimentary canal because of reduced strength and tone of muscular tissue. Neurosensory feedback is also dampened, slowing the transmission of messages that stimulate the release of enzymes and hormones.
Pathologies that affect the digestive organs—such as hiatal hernia, gastritis, and peptic ulcer disease—can occur at greater frequencies as you age. Problems in the small intestine may include duodenal ulcers, maldigestion, and malabsorption. Problems in the large intestine include hemorrhoids, diverticular disease, and constipation. Conditions that affect the function of accessory organs—and their abilities to deliver pancreatic enzymes and bile to the small intestine—include jaundice, acute pancreatitis, cirrhosis, and gallstones.
In some cases, a single organ is in charge of a digestive process. For example, ingestion occurs only in the mouth and defecation only in the anus. However, most digestive processes involve the interaction of several organs and occur gradually as food moves through the alimentary canal (see Figure 12.12).
Some chemical digestion occurs in the mouth. Some absorption can occur in the mouth and stomach, for example, alcohol and aspirin.
Regulatory Mechanisms
Neural and endocrine regulatory mechanisms work to maintain the optimal conditions in the lumen needed for digestion and absorption. These regulatory mechanisms, which stimulate digestive activity through mechanical and chemical activity, are controlled both extrinsically and intrinsically.
Watch Digestive System, Part 3: Crash Course Anatomy & Physiology #35 (11 min) on YouTube
Media 12.3: CrashCourse (2015, September 22). Digestive system, part 3: Crash Course anatomy & physiology #35 [Video]. YouTube. https://youtu.be/jGme7BRkpuQ
Digestive System Medical Terms and Abbreviations
Medical Terms Not Easily Broken into Word Parts
Digestive System terms (Text Version)
Practice the following digestive system medical terms that are not easily broken into word parts.
- ascites
- abnormal intraperitoneal accumulation of fluid with large number of proteins and electrolytes
- hemorrhoids
- distended and swollen veins in the rectum and anus
- nausea
- urge to vomit
- stoma
- surgical opening between an organ and the surface of the body
- adhesion
- band of scar tissue that binds anatomic surfaces to each other
- emesis
- vomiting
- cirrhosis
- chronic degenerative disease of the liver
- polyp
- small tumour-like growth that extends from the surface of a mucous membrane
- feces
- stool, fecal matter
- obesity
- abnormal increase in the proportion of fat cells resulting in excess body weight for height
- dysentery
- inflammation of the intestine presenting with abdominal pain and bloody diarrhea
- melena
- black tarry stool that contains blood from the GI tract
- flatus
- gas in the GI tract
- reflux
- abnormal backward flow
- palpate
- physical examination technique: The examiner feels for texture, size, consistency, and location of body parts with hands.
Activity source: Digestive System terms not easily broken down into word parts by Kimberlee Carter, from Building a Medical Terminology Foundation by Kimberlee Carter and Marie Rutherford, licensed under CC BY- 4.0. /Text version added.
Common Digestive Abbreviations
Digestive System Abbreviations
- APR (abdominoperineal resection)
- BE (barium enema)
- EGD (esophagogastroduodenoscopy)
- ERCP (endoscopic retrograde cholangiopancreatography)
- EUS (endoscopic ultrasound)
- FOBT (fecal occult blood test)
- GERD (gastroesophageal reflux disease)
- GI (gastrointestinal)
- H.pylori (Helicobacter pylori)
- IBS (irritable bowel syndrome)
- N&V (nausea and vomiting)
- PEG (percutaneous endoscopic gastrostomy)
- UC (ulcerative colitis)
- UGI (upper gastrointestinal)
- UPPP (uvulopalatopharyngoplasty)
Activity source: Digestive System Abbreviations by Kimberlee Carter, from Building a Medical Terminology Foundation by Kimberlee Carter and Marie Rutherford, licensed under CC BY- 4.0. / Converted to text.
Image Descriptions
Figure 12.11 image description: This image shows the peristaltic movement of food. In the left image, the food bolus is towards the top of the esophagus and arrows pointing downward show the direction of movement of the peristaltic wave. In the center image, the food bolus and the wave movement are closer to the center of the esophagus and in the right image, the bolus and the wave are close to the bottom end of the esophagus. [Return to Figure 12.11].
Figure 12.12 image description: This image shows the different processes involved in digestion. The image shows how food travels from the mouth through the major organs. Associated textboxes list the various digestive processes: Absorption (nutrients and water to blood vessels and lymph vessels (small intestine), water to blood vessels (large intestine)), propulsion (swallowing (oropharynx), peristalsis (esophagus, stomach, small intestine, large intestine), chemical digestion, mechanical digestion (chewing (mouth), churning (stomach), segmentation (small intestine)). Parts of the digestive tract are labelled: ingestion of food, pharynx, esophagus, stomach, small intestine, large intestine, feces, anus, defecation. [Return to Figure 12.12].
Attribution
Except where otherwise noted, this chapter is adapted from “Digestive System” in Building a Medical Terminology Foundation by Kimberlee Carter and Marie Rutherford, licensed under CC BY 4.0. / A derivative of Betts et al., which can be accessed for free from Anatomy and Physiology (OpenStax). Adaptations: dividing Digestive System chapter content into sub-chapters.
The lymphatic vessels of the small intestine which absorb digested fats
Relating to afferent nerves
Location where the diaphragm has a small opening (hiatus) through which the esophagus passes before connecting.
Poor breakdown of food
A disorder that occurs when people are unable to absorb nutrients from their diets