Chapter Three Gastroenterology

alimentary canal

gastrointestinal system

digestive system

gastrointestinal system and digestive tract

Gastrointestinal (GI) System

Digest food, absorbs nutrition, and removes waste materials. Includes; oral cavity, salivary gland, pharynx, esophagus, stomach, small and large intestines, rectum, anus, and accessory organs.

Larynx

Structure below the pharynx. Closes during swallowing when the neck muscles pull it up to the epiglottis. Lid like, so that swallowed food particles go into the esophagus and stomach.

Mucosa

Mucous membrane that lines the oral cavity and gastrointestinal system and produces mucus

oral cavity

Mouth; hallow area that contains teeth, gums, tongue, hard palate and soft palate.

palate

Hard palate (bone) and soft palate (posterior soft tissue) form the roof of the oral cavity.

Pharynx

throat; passageway for food particles and air. It is between the oral cavity and the esophagus.

salivary glands

Three pairs of glands on either side of the head; they release saliva into the oral cavity.

tongue

Large muscle that fills the oral cavity and assists with eating and talking. It contains receptors for the sense of taste.

cardia

First part of the stomach where the stomach joins the esophagus

Chyme

Semisolid mixture of food particles, saliva, and digestive enzymes in the stomach and small intestines

Esophagus

Flexible tube that connects the pharynx to the stomach.

fundus

rounded, top part of the stomach

lower esophageal sphincter

muscular ring at the distal end of the stomach. Keeps chyme in the stomach from flowing back into the esophagus

pyloric sphincter

muscular ring at the distal end of the stomach. Closes to keep chyme in the stomach or opens to let chyme flow into the duodenum.

pylorus

Narrowed, last part of the stomach just before it joins the duodenum.

rugae

thick, deep folds of gastric mucosa that expand as the stomach fills with food

stomach

large muscular sac that continues the mechanical and chemical digestion of food

anus

external opening of the rectum

appendix

Long, thin pouch on the exterior wall of the cecum. It contains lymphatic tissue and is active in the body's immune response.

cecum

a short sac-like portion of the large intestine. Contains ileocecal valve that keeps waste materials and water from flowing back into the ileum from the large intestine.

colon

Second and longest part of the large intestine.

duodenum

The 10 inch, first part of the small intestine.

ileum

The 12 feet long, third (and final) portion of the small intestine.

Jejunum

10 foot long, second part of the small intestine

Haustra

Puckered pouch in the intestinal wall that expand to receive large amounts of waste material

Large intestine

organ of absorption between the small intestine and the anus. it includes the cecum, colon, rectum, and anus.

Lumen

open channel inside a tubular structure such as the esophagus, small intestine, and large intestine

rectum

final part of the large intestine

small intestine

organ of digestion between the stomach and large intestine. It includes the duodenum, jejunum, and ileum. produce digestive enzymes such as lactase to break down sugar.

Villi

Thousands of microscopic thin structures in the mucosa that project into the lumen of the small intestine. Increase the surface area to maximize absorption of digestive nutrients and water from the small intestine.

abdominopelvic cavity

Continuous cavity formed by the abdominal and pelvic cavities

bile

Thick, yellow-green digestive enzyme produced by the live; flows through bile duct and is stored in the gallbladder. Breaks down fats in the chyme into small fat globules.

bile duct or biliary tree

Bile from the live flow through the common hepatic duct into the common bile duct; once full bile fills the cystic duct and gallbladder.

Gallbladder

Dark green sac posterior to the live that stores and concentrates bile. Chyme in the duodenum causes the gallbladder to contract and release bile into the duodenum

liver

Large organ in the right upper quadrant of the abdominal cavity. Produces bile.

mesentery

Thick fat sheets of peritoneum that support loops of the jejunum and ileum

omentum

Broad, fatty apron of peritoneum. It supports the stomach and protects the small intestine.

pancreas

GI organ posterior to the stomach. Secretes amylase, lipase, and protein-digesting enzymes through the pancreatic duct into the duodenum.

peritoneum

double-folded membrane that lines the abdominal cavity and surrounding GI organs. Secretes peritoneal fluid.

Absorption

Water and fluids in the oral cavity move into the blood that is in blood vessels under the tongue; water and some fluids/dissolved drugs are absorbed in the stomach; majority of water and food nutrients absorbed in ileum; remaining water is absorbed into

amylase

Enzyme in saliva that begins the digestion of carbs in the oral cavity.

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cholecystokinin

Hormone produced by the duodenum when it receive fatty chyme from the stomach. Stimulates gallbladder to release bile and the pancreases to secrete digestive enzymes.

Defication or elimination

process by which undigested food fibers, waste materials, and water are eliminated from the body as a BM or feces.

deglutition

process of swallowing

Digestion

Process of breaking down food into nutrients that can be used by the body.

emulsification

process in which bile breaks down fats in the chyme into small globules.

enzyme

a substance that speeds up a chemical reaction

gastrin

Hormone in the stomach that stimulates the release of hydrochloric acid and pepsinogen.

glucose

simple sugar that is the only source of energy the body cells can use

Hydrochlorc acid

strong acid in the stomach that breaks down food fibers and converts pepsinogen to pepsin.

intrinsic factor

Substance produced by the stomach that is required for vitamin B12 absorption.

lactase

Digestive enzyme in the small intestine. It breaks down lactose, the sugar in milk to the simple sugar glucose.

lipase

Digestive enzyme secreted by the pancreas. It breaks down fat globules into fatty acids.

Mastation

The teeth tear, chew, and grind food in the oral cavity. The tongue moves food particles and mixes them with saliva.

pepsin

Digestive enzyme in the stomach that breaks down protein foods.

pepsinogen

Inactive substance in the stomach converted into pepsin by hydrochloric acid.

Peristalsis

Involuntary waves of muscle contraction that keep food moving along in one direction through the digestive system.

anorexia

Decreased appetite bc of disease or GI side effect of a drug.

dysphagia

painful eating or swallowing

polyphagia

excessive overeating due to an overactive thyroid gland, diabetes mellitus, or a psychiatric illness

glossitis

infection or inflammation of the tongue

sialolithiasis

a stone that forms in the salivary gland and becomes lodged in the duct, blocking the flow of saliva; causes swelling and pain

stomatitis

inflammation of the mucosa in the oral cavity.

dyspepsia (indigestion)

Mild, temporary epigastric pain, sometimes with gas or nausea.

esophageal varix

swollen protruding vein of the mucosa of the esophagus.

gastritis

Acute or chronic inflammation of the stomach due to spicy foods, excess acid production, or a bacterial infection.

gastroenteritis

acute inflammation or infection of the stomach and intestines due to a virus or bacterium

GERD

gastroesophageal reflux disease

hematemesis

vomiting of blood from bleeding in the stomach or esophagus

N&V

nausea and vomiting

PUD

peptic ulcer disease

stomach cancer

cancerous tumor of the stomach that usually begins in glands in the gastric mucosa

ileus

Absence of normal peristalsis in the small and large intestines.

intussusception

Telescoping of one segment of intestine inside the lumen of the next segment. There is vomiting and abdominal surgery

volvulus or malrotation

Twisting of the intestine around itself. There is vomiting and abdominal pain.

appendicitis

Infection and inflammation of appendix as waste materials become trapped in the lumen of the appendix. The abdominal pain increase and then localizes to the right lower quadrant.

colon cancer

Cancerous tumor of the colon. It occurs when colonic polyps or ulcerative colitis become cancerous.

diverticulum

Weakness in the wall of the colon where the mucosa forms an abnormal pouch or tube-shaped sac that opens into the lumen of the colon. Causes inflammation, infection, abdominal pain, and fever.

Gluten-sensitive enteropathy or celiac disease

Autoimmune disorder and toxic reaction to the gluten found in certain grains.

IBD

inflammatory bowel disease

IBS

irritable bowel syndrome

polyposis

Condition of numerous polyps.

hemorrhoids

swollen, protruding veins in the rectum or on the skin around the anus

proctitis

inflammation of the rectum and anus due to radiation therapy done to treat cancer.

rectocele

The wall of the rectum protrudes into the adjacent vaginal wall, causing it to collapse inwardly and block the vaginal canal in a female.

peritonitis

Infection and inflammation of the peritoneum. Stomach or intestinal contents and bacteria spill into the abdominopelvic cavity.

ascites

Accumulation of ascitric fluid in the abdominopelvic cavity. This pressure pushes fluid out of the blood into the abdominopelvic cavity and grossly distends the abdomen.

Cirrhosis

Chronic, progressive inflammation and finally irreversible degeneration of the liver, with nodules and scarring. Impairs liver function.

Hepatitis or viral hepatitis

infection and inflammation of the liver from the hepatitis virus.

hepatomegaly

enlargement of the liver

liver cancer or hepatoma or hepatocellular carcinoma

cancerous tumor of the liver that usually begins in another part of the body and spreads to the liver.

gallbladder cancer

also known as cholangiocarcinoma

cholangitis

Acute or chronic inflammation of the bile ducts because of cirrhosis or gallstones

Cholecystitis

gallstone is blocking the cystic duct of gallbladder causing severe pain

Albium

Blood test known as liver function test. Produced by the liver, low levels indicated liver disease.

CLO

Campylobacter-like organism

C&S

culture and sensitivity

fecal occult blood test

fecal test for hidden blood in feces.

gastric analysis

stomach test to determine the amount of hydrochloric acid in the stomach.

LFTs

liver function tests

O&P

ova and parasites

BE

barium enema

cholangiography

radiologic procedure that uses an iodinated contrast dye to outline the bile duct. Looks for gallstones.

cholescintigraphy

Radioactive drug given intravenously to detect areas of decreased uptake related to an obstruction in the cystic duct.

CAT or CT scan

Computerized axial tomography

MRI

magnetic resonance imaging

OCG

oral cholecystography

UGI

upper gastrointestinal series

NG tube

insertion of nasogastric tube

antiemetic drug

treat nausea and vomiting and motion sickness

H2 blocker drugs

treat GERD and PUD by blocking H2 (histamine 2) receptors in the stomach that trigger the release of hydrochloric acid

abdominocentesis

procedure to remove fluid from the abdomen using a needle and a vacuum container

appendectomy

procedure to remove the appendix because of appendicitis

bowel resection and anastomosis

procedure to remove a section of diseased intestine and rejoin the intestine

cholecystectomy

surgical removal of the gallbladder

choledocholithotomy

Procedure to make an incision in the common bile duct to remove a gallstone

colostomy

procedure to remove the diseased part of the colon and create a new opening in the abdominal wall where feces can leave the body

endoscopy

A procedure that uses an endoscope to look inside the body. Endoscopes have a tiny camera attached to a long, thin tube. The doctor moves it through a body passageway or opening to see inside an organ.

exploratory laparotomy

abdominal operation for the purpose of examining the abdominal organs and tissues for signs of disease or other abnormalities

gastrectomy

surgical removal of part or all of the stomach bv of cancerous or benign tumor

gastrostomy

Procedure to create a temporary or permanent opening from the abdominal wall into the stomach to insert a gastrostomy feeding tube.

jejunostomy

Procedure to create a temporary or permanent opening from the abdominal wall into the jejunum through which to insert a jejunostomy feeding tube.

herniorrhaphy

procedure that uses sutures or surgical mesh to close a defect in the muscle wall where there is a hernia