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Gastro Intestinal
tract- BPT
Digestion
• Process by which food is broken into
simpler chemical substances that can be
absorbed and used as nutrients
Primary digestive organs
• Mouth
• Pharynx
• Esophagus
• Stomach
• Small intestine
• Large intestine
Accessory digestive organs
• Teeth
• Tongue
• Salivary glands
• Liver
• Gall bladder
• Exocrine part of pancreas
Functions of digestive system
• Ingestion and digestion of food
• Nutrient absorption
• Secretion of water and enzymes
• Excretion of waste products
Nerve supply of GIT
Two types
1. Intrinsic nerve supply [enteric nervous
system]
2. Extrinsic nerve supply
Enteric nervous system
• Present within the wall of GIT
• From esophagus to anus
• Nerve fibers are interconnected and
form two 2 major networks
1. Auerbach’s plexus
2. Meissner’s plexus
Auerbach’s plexus
• Also called myenteric plexus
• Regulates the movement of GIT
• Accelerates the movements by
secreting excitatory NTs like Ach,
serotonin etc
• Inhibits the movements by secreting
inhibitory NTs like VIP
Meissner’s plexus
• Submucus nerve plexus
• Regulates the secretory functions of
GIT
• These cause constriction of blood
vessels of GIT
Extrinsic nerve supply
• Controls the enteric NS
• Nerves are from autonomic nervous
system
Composition of Saliva
• 99.5 % water
• 0.5 % organic and inorganic salts
• Daily output : 1.5 l
• Secreted by salivary glands
• Enzymes: salivary amylase
• pH : 6-7
Salivary glands
1. Parotid glands
2. Sub maxillary glands
3. Sub lingual glands
Functions of saliva
• Preparation of food for swallowing
• Appreciation of taste
• Digestive function- salivary amylase
• Cleansing and protective functions
• Role in speech
• Excretory function-nitrogenous waste
• Regulation of body temperature
• Regulation of water balance
Regulation of salivary
secretion
• Regulated by nervous mechanism
• ANS is involved
• Salivary glands are supplied by
sympathetic and parasympathetic nerve
fibers
Mastication
• Chewing
• First mechanical process
• Food substances are cut into small
particles
• Reflex process
• Center is medulla and cerebral cortex
• Supplied by vth cranial nerve
• DEGLUTITION
-swallowing
-a complex reflex mechanism-food is
pushed- from oral cavity-esophagus-
stomach
-3 stages :
1) oral
2) pharyngeal
3) esophageal
Oral stage
• Food enters pharynx from the mouth
• Voluntary stage
Pharyngeal stage
• Bolus is pushed from pharynx into
esophagus
• Involuntary stage
Esophageal stage
• Involuntary; food enters the stomach
from esophagus
• When bolus enters the esophagus,
peristaltic occurs [contraction and
relaxation of muscles in wave pattern]
1. Primary
2. Secondary
• Primary peristaltic contraction
-when bolus reaches the upper part of
esophagus, pesristalsis starts
• Secondary peristaltic contraction
-when the primary contractions are
unable, this appear and push the bolus
Deglutition reflex
• Stimulus: food enters the oropharynx
• Afferent fibers: oropharyngeal
receptors- glossopharyngeal nerve
fibers- center
• Center: medulla oblongata
• Efferent fibers: glossopharyngeal and
vagus nerves
• Response: peristalsis in esophagus

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Gastro Intestinal tract- BPT.pptx physiotherapy

  • 2. Digestion • Process by which food is broken into simpler chemical substances that can be absorbed and used as nutrients
  • 3.
  • 4. Primary digestive organs • Mouth • Pharynx • Esophagus • Stomach • Small intestine • Large intestine
  • 5. Accessory digestive organs • Teeth • Tongue • Salivary glands • Liver • Gall bladder • Exocrine part of pancreas
  • 6. Functions of digestive system • Ingestion and digestion of food • Nutrient absorption • Secretion of water and enzymes • Excretion of waste products
  • 7. Nerve supply of GIT Two types 1. Intrinsic nerve supply [enteric nervous system] 2. Extrinsic nerve supply
  • 8. Enteric nervous system • Present within the wall of GIT • From esophagus to anus • Nerve fibers are interconnected and form two 2 major networks 1. Auerbach’s plexus 2. Meissner’s plexus
  • 9. Auerbach’s plexus • Also called myenteric plexus • Regulates the movement of GIT • Accelerates the movements by secreting excitatory NTs like Ach, serotonin etc • Inhibits the movements by secreting inhibitory NTs like VIP
  • 10. Meissner’s plexus • Submucus nerve plexus • Regulates the secretory functions of GIT • These cause constriction of blood vessels of GIT
  • 11. Extrinsic nerve supply • Controls the enteric NS • Nerves are from autonomic nervous system
  • 12. Composition of Saliva • 99.5 % water • 0.5 % organic and inorganic salts • Daily output : 1.5 l • Secreted by salivary glands • Enzymes: salivary amylase • pH : 6-7
  • 13. Salivary glands 1. Parotid glands 2. Sub maxillary glands 3. Sub lingual glands
  • 14. Functions of saliva • Preparation of food for swallowing • Appreciation of taste • Digestive function- salivary amylase • Cleansing and protective functions • Role in speech • Excretory function-nitrogenous waste • Regulation of body temperature • Regulation of water balance
  • 15. Regulation of salivary secretion • Regulated by nervous mechanism • ANS is involved • Salivary glands are supplied by sympathetic and parasympathetic nerve fibers
  • 16. Mastication • Chewing • First mechanical process • Food substances are cut into small particles • Reflex process • Center is medulla and cerebral cortex • Supplied by vth cranial nerve
  • 17. • DEGLUTITION -swallowing -a complex reflex mechanism-food is pushed- from oral cavity-esophagus- stomach -3 stages : 1) oral 2) pharyngeal 3) esophageal
  • 18. Oral stage • Food enters pharynx from the mouth • Voluntary stage Pharyngeal stage • Bolus is pushed from pharynx into esophagus • Involuntary stage
  • 19. Esophageal stage • Involuntary; food enters the stomach from esophagus • When bolus enters the esophagus, peristaltic occurs [contraction and relaxation of muscles in wave pattern] 1. Primary 2. Secondary
  • 20. • Primary peristaltic contraction -when bolus reaches the upper part of esophagus, pesristalsis starts • Secondary peristaltic contraction -when the primary contractions are unable, this appear and push the bolus
  • 21. Deglutition reflex • Stimulus: food enters the oropharynx • Afferent fibers: oropharyngeal receptors- glossopharyngeal nerve fibers- center • Center: medulla oblongata • Efferent fibers: glossopharyngeal and vagus nerves • Response: peristalsis in esophagus