Digestive System – College Level (First Year Notes)
1. Introduction
The digestive system (alimentary system) is responsible for the ingestion, digestion, absorption,
and assimilation of nutrients, and elimination of undigested waste. It includes the alimentary canal
(a continuous tube from mouth to anus) and accessory digestive organs (salivary glands, liver,
gallbladder, pancreas).
2. Functions of Digestive System
• Ingestion – intake of food and drink.
• Propulsion – movement of food (swallowing and peristalsis).
• Mechanical digestion – chewing, churning, segmentation.
• Chemical digestion – enzymatic breakdown of macromolecules.
• Absorption – passage of digested products into blood/lymph.
• Defecation – elimination of indigestible substances.
3. Anatomy of Digestive System
A) Alimentary Canal: Mouth, Pharynx, Esophagus, Stomach, Small Intestine (duodenum, jejunum,
ileum), Large Intestine (cecum, colon, rectum, anus). B) Accessory Organs: Salivary glands, Liver,
Gallbladder, Pancreas.
4. Histology of Digestive Tract
The GI tract wall has four layers: 1) Mucosa (epithelium, lamina propria, muscularis mucosa), 2)
Submucosa (connective tissue, blood vessels, glands, nerves), 3) Muscularis externa (circular &
longitudinal muscle for peristalsis), 4) Serosa/Adventitia (outermost covering).
5. Physiology of Digestion
• Carbohydrates – digested by amylases → monosaccharides.
• Proteins – digested by pepsin, trypsin, chymotrypsin → amino acids.
• Lipids – emulsified by bile salts, digested by lipase → fatty acids & glycerol.
• Absorption – carbs & proteins in small intestine, fats via micelles & lymph, vitamins/minerals at
specific sites.
6. Neural & Hormonal Control
• Enteric Nervous System (ENS) – intrinsic 'brain of the gut'.
• Parasympathetic NS – stimulates digestion; Sympathetic NS – inhibits.
• Hormones: Gastrin (acid secretion), Secretin (bicarbonate), Cholecystokinin/CCK (bile &
pancreatic enzymes), GIP, motilin.
7. Clinical Correlations
• GERD – reflux due to weak sphincter.
• Peptic ulcers – H. pylori, excess acid, NSAIDs.
• Gallstones – obstruct bile flow.
• Pancreatitis – inflammation of pancreas.
• Diarrhea/Constipation – altered motility.
• Colorectal cancer – malignant tumor.
8. Summary
The digestive system: breaks down food (mechanical & chemical), absorbs nutrients, eliminates
waste, and is regulated by neural & hormonal mechanisms.