{"title":"The mouth, stomach and intestines","authors":"Shona McQuilken","doi":"10.1016/j.mpaic.2024.01.006","DOIUrl":null,"url":null,"abstract":"<div><p>The gastrointestinal (GI) tract comprises a long tube with anatomical and functional specializations, beginning at the mouth and ending at the anus. The histology of the tract wall is relatively regular from the oesophagus to the large intestine and comprises mucosa, submucosa, muscularis and serosa layers. The tract functions primarily in digestion and absorption of nutrients, which begins in the mouth with the chewing and mixing of food with saliva. Small boluses of food are then swallowed during a complex reflex process and make their way through the oesophagus to the stomach, where they can be stored while further digestion takes place. Gastric contents are slowly emptied into the small intestine, where the majority of digestion and absorption occurs, before any undigested components are moved into the large intestine. The final absorption of water and electrolytes takes place here to produce a stool that only contains around 100–200 ml of water. The large intestine has a diverse bacterial population that contributes to digestion and can influence the health of an individual. Each component of the digestive tract has secretions that contribute to digestive function, as well as immunity and the excretion of waste.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 4","pages":"Pages 286-292"},"PeriodicalIF":0.2000,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924000067","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
The gastrointestinal (GI) tract comprises a long tube with anatomical and functional specializations, beginning at the mouth and ending at the anus. The histology of the tract wall is relatively regular from the oesophagus to the large intestine and comprises mucosa, submucosa, muscularis and serosa layers. The tract functions primarily in digestion and absorption of nutrients, which begins in the mouth with the chewing and mixing of food with saliva. Small boluses of food are then swallowed during a complex reflex process and make their way through the oesophagus to the stomach, where they can be stored while further digestion takes place. Gastric contents are slowly emptied into the small intestine, where the majority of digestion and absorption occurs, before any undigested components are moved into the large intestine. The final absorption of water and electrolytes takes place here to produce a stool that only contains around 100–200 ml of water. The large intestine has a diverse bacterial population that contributes to digestion and can influence the health of an individual. Each component of the digestive tract has secretions that contribute to digestive function, as well as immunity and the excretion of waste.
期刊介绍:
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.