Absorption in alimentary canal
Anatomical
Basis of Absorption
The total quantity of fluid that must be absorbed
each day by the intestines is equal to the ingested fluid (about 1.5 liters)
plus that secreted in the various gastrointestinal secretions (about 7 liters).
This comes to a total of 8 to 9 liters. All but about 1.5 liters of this is
absorbed in the small intestine, leaving only 1.5 liters to pass through the
ileocecal valve into the colon each day.
The stomach is a poor absorptive area of the
gastrointestinal tract because it lacks the typical villus type of absorptive
membrane, and also because the junctions between the epithelial cells are tight
junctions. Only a few highly lipid-soluble substances, such as alcohol and some
drugs like aspirin can be absorbed in small quantities.
Folds of Kerckring, villi, and microvilli increase
the mucosal absorptive area by nearly 1000fold. The absorptive surface of the small intestinal
mucosa, showing many folds called valvulae conniventes (or folds of Kerckring),
which increase the surface area of the absorptive mucosa about threefold. These
folds extend circularly most of the way around the intestine and are especially
well developed in the duodenum and jejunum, where they often protrude up to 8
millimeters into the lumen.
Also located on the epithelial surface of the small
intestine all the way down to the ileocecal valve are millions of small villi.
These project about 1 millimeter from the surface of the mucosa, as shown on
the surfaces of the valvulae conniventes. The villi lie so close to one another
in the upper small intestine that they touch in most areas, but their
distribution is less profuse in the distal small intestine. The presence of
villi on the mucosal surface enhances the total absorptive area another
10-fold.
Each intestinal epithelial cell on each villus is
characterized by a brush border, consisting of as many as 1000 microvilli 1
micrometer in length and 0.1 micrometer in diameter protruding into the
intestinal chyme. This increases the surface area exposed to the intestinal
materials at least another 20-fold.
Thus, the combination of the folds of Kerckring, the
villi, and the microvilli increases the total absorptive area of the mucosa
perhaps 1000-fold making a tremendous total area of 250 or more square meters
for the entire small intestine
Longitudinal section of the general organization of
the villus, shows
(1) The advantageous arrangement of
the vascular system for absorption of fluid and dissolved material into the
portal blood
(2) The arrangement of the central
lacteal lymph vessel for absorption into the lymph. Small amounts of substances
are absorbed by the physical process of pinocytosis. Extending from the
epithelial cell body into each microvillus of the brush border are multiple
actin filaments that contract rhythmically to cause continual movement of the
microvilli, keeping them constantly exposed to new quantities of intestinal
fluid.
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