The human digestive system consists of the gastrointestinal tract plus the accessory organs of digestion (the tongue, salivary glands, pancreas, liver, and gallbladder). Digestion involves the breakdown of food into smaller and smaller components, until they can be absorbed and assimilated into the body. The process of digestion has three stages: the cephalic phase, the gastric phase, and the intestinal phase. The first stage, the cephalic phase of digestion, begins with secretions from gastric glands in response to the sight and smell of food, and continues in the mouth with the mechanical breakdown of food by chewing, and the chemical breakdown by digestive enzymes in the saliva. Saliva contains amylase, and lingual lipase, secreted by the salivary glands, and serous glands on the tongue. Chewing mixes the food with saliva to produce a food bolus to be swallowed down the esophagus to enter the stomach. The second stage, the gastric phase, takes place in the stomach, where the food is further broken down by mixing with gastric juice until it passes into the duodenum, the first part of the small intestine. The intestinal phase where the partially digested food is mixed with pancreatic digestive enzymes completes the process of digestion. Digestion is helped by the chewing of food carried out by the muscles of mastication, the tongue, and the teeth, and also by the contractions of peristalsis, and segmentation. Gastric juice containing gastric acid, and the production of mucus in the stomach, are essential for the continuation of digestion. Peristalsis is the rhythmic contraction of muscles that begins in the esophagus and continues along the wall of the stomach and the rest of the gastrointestinal tract. This initially results in the production of chyme which when fully broken down in the small intestine is absorbed as chyle into the lymphatic system. Most of the digestion of food takes place in the small intestine. Water and some minerals are reabsorbed back into the blood in the large intestine. The waste products of digestion (feces) are excreted from the rectum via the anus.
Components
There are several organs involved in the digestion of food. The organs that are outside of the gastrointestinal tract (GI tract) but associated with digestion, are known as the accessory digestive organs and include the mouth, and tongue, and glandular organs – the salivary glands, the liver, gall bladder and pancreas. Other components considered are the teeth and epiglottis. A number of sphincters in the GI tract are also involved in digestion, including those of the esophagus (esophageal sphincters) and stomach (pyloric sphincter). The largest structure of the digestive system is the GI tract. This starts at the mouth and ends at the anus, covering a distance of about nine metres (30 ft). A major digestive organ is the stomach. Within its mucosa are millions of embedded gastric glands. Their secretions as gastric juice are vital to the functioning of the organ. Most of the digestion of food takes place in the small intestine, which is responsible for chemical digestion and the absorption of water and nutrients into the bloodstream. It is followed by the large intestine, which further absorbs water and electrolytes from digestive contents, and stores the remaining waste matter (faeces) until it is expelled through defecation. The small intestine is the longest part of the GI tract but has a smaller diameter than the large intestine. There are many specialised cells of the GI tract. These include the taste receptors, various cells of the gastric glands, centroacinar cells of the pancreas, enterocytes lining the intestinal epithelium, and microfold cells also known as mucosal cells, mainly found in gut-associated lymphoid tissue of the small intestine. Some parts of the digestive system are also part of the excretory system, including the large intestine.
Mouth
The mouth is the first part of the upper gastrointestinal tract and is equipped with several structures that begin the first processes of digestion. These include salivary glands, teeth and the tongue. The mouth consists of two regions; the vestibule and the oral cavity proper. The vestibule is the area between the teeth, lips and cheeks, and the rest is the oral cavity proper. Most of the oral cavity is lined with oral mucosa, a mucous membrane that produces a lubricating mucus, of which only a small amount is needed. Mucous membranes vary in structure in the different regions of the body but they all produce a lubricating mucus, which is either secreted by surface cells or more usually by underlying glands. The mucous membrane in the mouth continues as the thin mucosa which lines the bases of the teeth. The main component of mucus is a glycoprotein called mucin and the type secreted varies according to the region involved. Mucin is viscous, clear, and clinging. Underlying the mucous membrane in the mouth is a thin layer of smooth muscle tissue and the loose connection to the membrane gives it its great elasticity. It covers the cheeks, inner surfaces of the lips, and floor of the mouth, and the mucin produced is highly protective against tooth decay. The roof of the mouth is termed the palate and it separates the oral cavity from the nasal cavity. The palate is hard at the front of the mouth since the overlying mucosa is covering a plate of bone; it is softer and more pliable at the back being made of muscle and connective tissue, and it can move to swallow food and liquids. The soft palate ends at the uvula. The surface of the hard palate allows for the pressure needed in eating food, to leave the nasal passage clear. The opening between the lips is termed the oral fissure, and the opening into the throat is called the fauces. At either side of the soft palate are the palatoglossus muscles which also reach into regions of the tongue. These muscles raise the back of the tongue and also close both sides of the fauces to enable food to be swallowed. Mucus helps in the mastication of food in its ability to soften and collect the food in the formation of the bolus.
Salivary glands
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