DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from...

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DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS

Transcript of DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from...

Page 1: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

DIGESTIVE SYSTEM 2

Intestine

LIVER

PANCREAS

Page 2: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Small intestine

Functions:• digestion – by enzimes from liver,

pancreas, and enterocytes (Membrane and luminal digestion)

• absorption – by enterocytes

Page 3: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

IleumDuodenum

Villus

lacteal

serosa

Page 4: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Villus

1. Epithelium

Page 5: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Epithelium: simple columnar . Cells:1. Enterocytes -- Columnar absorptive cells --

have microvilli = brush border for absorption of digested food. 2. Goblet cells produce a protective mucus.

Lamina propria: Connective tissue, has fenestrated capillaries and central lacteal

-- lymphatic capillaryLymphocytes and plasma cells are very

numerous.

Page 6: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Epithelium(villus) bb

gc

L

Page 7: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Villus,lacteal

LOOK! The lamina propria (lp), blood-filled capillaries ©, and lacteal (l),smooth muscle cells (sm)GALT - lymphocytes

v

gc

ivs

ivs

llp

csm

GALT

low

Page 8: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

== invaginations of epithelium in the lamina propria == intestinal glands

p

g

a

Crypt

Page 9: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

1.Goblet and 2.absorptive cells.

3. the granule-containing Paneth cells - produce Lysozyme (. at the bottom

• 4. enteroendocrine cells

• 5. undifferentiated stem cells

Epithelium of crypt

Page 10: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

p

g

a

Crypt

Page 11: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

3. Paneth cells, 4. enteroendocrine cells (CCK, secretin, GIP),

5. undifferentiated cells

3

4

5

Page 12: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Submucosa filled with Brunner’s mucous glands - alkaline mucus

Duodenum

v

v

m

m

ig

sm

sm

lpmm

bg

me

s

low

med

v

Page 13: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

medlow

Jejunum

The jejunum is like the duodenum & ileum

but has no submucosal glands and Peyer’s patches.

Contains bigger amount of goblet cells

v

ig

ig

g

a

P

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• The major distinguishing feature is the aggregated lymphatic nodules (ln) called Peyer’s patches in the mucosa or submucosa

Ileum

medlow

v

v cr.

sm sm ln

ln

muscul.mucosa

Page 15: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Large intestine (bowal) - general

• Function = Reabsorbtion of water and electrolytes + Elimination of wastes

• Inner lining - permanent internal folds of its mucosa + submucosa called plicae circulares and crypts.

• Its mucosa lacks of villi.• muscularis externa: The inner circular layer is

uniform but the outer longitudinal layer has 3 thicker bands, the taenia coli.

• where the colon faces the abdominal cavity there is a serosa.

Page 16: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Taenia coli

Page 17: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

High.Magn.

Page 18: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Liver & Gall Bladder

Page 19: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Liver has lobulated structure

Page 20: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Liver lobule is hexagonal in shape

① at its center - central

vein

② hepatic plates ( cords of cells – hepatocytes locate radially

③ hepatic sinusoids locate

between plates

Page 21: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Liver lobule

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• Hepatic plate (cord) is one or two cells thick

• Between cells the bile canaliculi locate

The bile canaliculus wall is made up of hepatocytes

hepatocyte

sinusoid

Kupffer cell

Bile canaliculus

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•Hepatocytes:

Polyhedral (6 surfaces)

!- Vascular and bile surfaces

Organelles - a. RERb. SERc. Golgi complexd. MitochondriaInclusions

Page 24: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

The bile canaliculus form a network that eventually empty into bile duct at the periphery of the lobule.

h

h

b

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Hepatic sinusoid

Lined by endotheliumandHepatic macrophages(Kupffer cell)

SSpace of Dissepace of Disse

sinusoidsinusoid

Kupffer cellKupffer cell

Page 26: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Look!

Sinusoids (s) are lined by highly fenestrated endothelial cells (e). Between the endothelial cells and hepatocytes (h), is the space of Disse (arrow).

s

e

h

h

RBC

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In the Disse space lie Adipose cells - storage vitamin A

Page 28: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Blood circulation of the liver• Hepatic artery interlobular artery• Portal vein interlobular vein• hepatic sinusoid

• central vein• cv• sublobular vein• hepatic veinv

a

d

s

cv

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At the lobule coners the portal triads are found:

Page 30: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Pancreas --mixed gland

• Functions:–Exocrine

• Trypsinogen, pepsinogen, peptidase• Amylase• Lipase• Deoxyribonuclease, ribonuclease

–Endocrine

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Pancreas – compound acinar serous gland

• Exocrine – 98-99%• Endocrine – 1-2%

• Anatomy:

• Capsule

• Septae (have Interlobular duct)

• Lobules (Serous secretory units + ducts)

low

med

lobule id

lobule

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Pancreas. Exocrine secretory units

• Zymogen granules

• Intercalated duct is intercalated into the s. unit =

centroacinar cells

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Pancreas. Endocrine

• Islets of Langerhans, - low & med. mag.

Scattered among exocrine secretory units spherical collections of light-staining cords of endocrine cells

.

low, H&E

med, trichrome

Page 34: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Pancreas. Endocrine

• islets of Langerhans:

• 1. B cell

• 2. A cell

• 3. D cell

• 4. minor cells:PP, D1, EC,

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Islets of Langerhans• B - insulin blood glucose

70%

• A – glucagon blood glucose

15-20%

• D – somatostatin insulin

5-10% glucagon

• PP – PP,

• D1 – VIP,

• EC – secretin, motilin

Page 36: DIGESTIVE SYSTEM 2 Intestine LIVER PANCREAS Small intestine Functions: digestion – by enzimes from liver, pancreas, and enterocytes (Membrane and luminal.

Control question

• Group, name

• 1. Compare Duodenum, Ileum and Colon Transversum

• 2. Liver: Blood supply. (What peculiar in the blood supply of the Liver?)