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Chapter 27

Digestive System

Organi principali dell'apparato digerente
Organi principali dell'apparato digerente
The human digestive system consists of two major parts: the gastrointestinal — GI — tract and the accessory organs. The GI tract begins with ...
Peritoneo
Peritoneo
The peritoneum is the body's largest serous membrane enveloping the abdominal cavity. It has two portions — the parietal and visceral peritoneum ...
Istologia del tratto gastrointestinale (GI)
Istologia del tratto gastrointestinale (GI)
The gastrointestinal tract has four tissue layers. The innermost layer, mucosa, is characterized as a mucous membrane. It consists of an epithelium, ...
Rifornimento nervoso del tratto gastrointestinale
Rifornimento nervoso del tratto gastrointestinale
The gastrointestinal tract has its own intrinsic set of nerves forming the enteric nervous system or ENS,  which is partly controlled by the ...
Regolazione dell'apparato digerente
Regolazione dell'apparato digerente
Along with the enteric nervous system, digestive activity is regulated by mechanical and chemical stimuli and hormones. Various receptors located within ...
Afflusso di sangue all'apparato digerente
Afflusso di sangue all'apparato digerente
Blood supply to the digestive system is facilitated through the splanchnic circulation. The celiac trunk and the mesenteric arteries provide oxygenated ...
Cavo orale
Cavo orale
The oral cavity, or mouth, comprises the lips, cheeks, palate, and tongue. The walls of the mouth are lined with thick, stratified squamous epithelium, ...
Lingua
Lingua
The tongue, an accessory digestive organ, forms the floor of the oral cavity and extends into the oropharynx. It is composed of two types of skeletal ...
Ghiandole salivari e saliva
Ghiandole salivari e saliva
Saliva is composed of 97 to 99.5% water. The remaining proportion includes enzymes such as lipases and amylases, electrolytes, dissolved gasses, IgA, ...
Denti
Denti
Teeth are accessory digestive organs that aid in physically breaking down food.  The gums, or gingivae, of both the mandible and maxilla hold the ...
Anatomia dei denti
Anatomia dei denti
The tooth has a crown and a root connected via a constricted area known as the neck. The crown is visible above the gingivae and is protected by enamel. ...
Esofago
Esofago
The esophagus is a muscular conduit approximately 25 cm long that helps transport food from the mouth to the stomach. It courses through the mediastinum ...
Deglutizione
Deglutizione
Deglutition, or swallowing, is a mechanism that transports food from the mouth to the stomach. This process has three stages — the buccal, ...
Anatomia macroscopica dello stomaco
Anatomia macroscopica dello stomaco
The stomach is a J-shaped organ connecting the esophagus to the duodenal end of the small intestine in the abdominal cavity. The size and shape of the ...
Istologia dello stomaco
Istologia dello stomaco
The stomach wall consists of several layers, including the serosa, muscularis externa, submucosa, and mucosa. The outermost layer, the serosa, is composed ...
Ormoni secreti dallo stomaco
Ormoni secreti dallo stomaco
The specialized enteroendocrine cells of the gastric glands secrete most of the digestive hormones. These cells, such as the G, D, and ...
Fase cefalica della digestione
Fase cefalica della digestione
Digestion has three overlapping phases — cephalic, gastric, and intestinal — based on the location of their control center. The cephalic phase ...
Fase gastrica della digestione
Fase gastrica della digestione
Local, neural and hormonal mechanisms trigger the gastric phase after food enters the stomach, lasting approximately 3-4 hours. The incoming food bolus ...
Fase intestinale della digestione
Fase intestinale della digestione
After the gastric phase, the chyme from the stomach moves into the small intestine, gradually decreasing the stomach distention. In contrast, the arrival ...
Barriera mucosa dello stomaco
Barriera mucosa dello stomaco
In the gastric glands, the parietal cells are involved in hydrochloric acid or HCl formation. These cells first synthesize carbonic acid, which ...
Motilità gastrica
Motilità gastrica
Gastric motility is the coordinated movement of stomach muscles and secretions, which propels food and liquids through the stomach. As the swallowed food ...
Svuotamento gastrico
Svuotamento gastrico
Gastric emptying is the gradual release of chyme from the stomach into the duodenum. Stomach distention triggers the gastroenteric reflex, releasing ...
Anatomia macroscopica del fegato
Anatomia macroscopica del fegato
The liver is the largest gland in the body, weighing approximately 1.4 kg in adults. It is wedge-shaped and located more in the right hypochondriac and ...
Istologia epatica
Istologia epatica
The liver comprises several histological components, such as hepatocytes, bile canaliculi, and sinusoids. Hepatocytes are specialized epithelial cells ...
Bile
Bile
Bile is a yellow-green alkaline liquid secreted by the liver into the right and left hepatic ducts and then into the common hepatic duct. From here, it ...
Cistifellea
Cistifellea
The gallbladder is a muscular sac located in a shallow fossa on the inferior surface of the liver. It measures about 10 cm in length and is roughly the ...
Fisiologia del fegato
Fisiologia del fegato
Liver functions primarily include bile production, metabolic regulation, and hematological functions. During carbohydrate metabolism, the liver regulates ...
Malattie del fegato e della cistifellea
Malattie del fegato e della cistifellea
Prominent liver and gallbladder diseases include cirrhosis, hepatitis, non-alcoholic fatty liver disease or NAFLD, and gallstones. Cirrhosis is a liver ...
Pancreas
Pancreas
The pancreas is a pinkish-gray organ located behind the stomach. It extends from the duodenum to the spleen. It can be divided into a broad head located ...
Succo e secrezione pancreatica
Succo e secrezione pancreatica
Pancreatic juice is a colorless liquid composed of water, salts, sodium bicarbonate, and enzymes secreted by the exocrine cells. During digestion, chyme ...
Intestino tenue
Intestino tenue
The small intestine is a tubular structure extending from the pyloric sphincter of the stomach to the ileocecal valve of the large intestine. This long, ...
Istologia dell'intestino tenue
Istologia dell'intestino tenue
The histology of each part of the small intestine varies. The jejunum has the most prominent folds and villi, while the distal ileum has fewer folds but ...
Digestione meccanica e chimica nell'intestino tenue
Digestione meccanica e chimica nell'intestino tenue
Mechanical digestion in the small intestine involves two types of movements — segmentations and migration motility complexes or MMC. Segmentations ...
Intestino crasso
Intestino crasso
The large intestine surrounds the small intestine on three sides and extends from the ileocecal valve to the anus. The large intestine starts at the ...
Istologia dell'intestino crasso
Istologia dell'intestino crasso
The wall of the large intestine comprises four layers: the mucosa, submucosa, muscularis, and serosa. The mucosa, lined by intestinal glands, consists of ...
Flora batterica dei grandi

Intestino
Flora batterica dei grandi Intestino
The vast and varied community of bacteria colonizing the large intestine forms the gut microbiome. Bacteria start residing in the gut at birth and ...
Funzioni digestive dell'intestino crasso
Funzioni digestive dell'intestino crasso
The final stages of digestion occur in the large intestine when the cecum receives chyme, which has little nutritional value except for the indigestible ...
Assorbimento dei nutrienti
Assorbimento dei nutrienti
During digestion in the small intestine, macromolecules— carbohydrates, proteins, and fats — are broken down into their simplest forms. These ...
Formazione delle feci e defecazione
Formazione delle feci e defecazione
After 3 to 10 hours in the large intestine, chyme undergoes considerable water loss to form feces, the end product of digestion. It comprises undigested ...
Altri disturbi dell'apparato digerente
Altri disturbi dell'apparato digerente
The gastrointestinal tract of the digestive system is susceptible to various disorders. The incompetence of the lower esophageal sphincter results in the ...
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