git histology 1
TRANSCRIPT
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Histology of upper GIT
Dr. Lutfun Nahar
GIT 311
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Contents
Oral cavityTongueEsophagusStomach
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IntroductionGastrointestinal tract is
a long , hollow tube or tract
Extends from oral cavity to anus
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General structure of GIT
Consists of four layers:
Mucous layerSubmucous layerMuscular layerSerous layer
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Mucous layer
Mucosa comprises:Epithelial lining
Lamina propria Consists of loose connective tissue
rich in blood and lymph vessels
Muscularis mucosae Consists of inner circular layer and an
outer longitudinal layer of smooth muscle cells
It separates the mucosa from the submucosa
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Function of mucosaSecretionAbsorptionBarrierImmunologic protection
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Submucous layer
Composed of dense irregular connective tissue and contains:
blood and lymph vessels submucosal or Meissner’s nerve plexus glands and lymphoid tissue
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Muscular layer
It contains smooth muscle cells that are spirally oriented and divided into two sublayers:
Internal sublayer is circular
External sublayer is longitudinal
Myenteric or Auerbach’s nerve plexus lies between two muscle sublayers
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Serous layer
Consists of thin layer of loose connective tissue
Rich in blood and lymph vessels, and adipose tissue
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Oral cavityOral cavity is lined with stratified squamous epithelium,
keratinized or nonkeratinized, depending on the region
The keratin layer protects the oral mucosa from damage during masticatory function
The keratin layer is present in the gingiva and hard palate
Nonkeratinized stratified squamous epithelium covers the soft palate, lips, checks and the floor of the mouth
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TongueThe tongue is a mass of striated muscle covered by a
mucous membrane
The dorsal surface of tongue is rough due to presence of papillae
The ventral surface of tongue is smooth
The posterior one-third of dorsal surface is separated from the anterior two-thirds by a V-shaped boundary
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Papillae Papillae are elevations of epithelium and lamina
propria. There are four types of papillae:
Filiform papillae - slender, conical shape, most numerous, cover the entire dorsal surface
Fungiform papillae - less numerous, have broad round surface resemble mushrooms
Foliate papillae – poorly developed in humans
Circumvallate papillae – large circular papillae with flattened surfaces, distributed in the V region in the posterior portion of the tongue
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Tongue: circumvalate papillae
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Muscles of tongue (Anterior part of tongue)
The tongue consists of criss-crossing bundles of skeletal muscle
The muscles are longitudinal, transverse or oblique
The connective tissue around the muscle bundle contain blood vessel
Anterior lingual gland – lies in the lower half of the tongue and opens on the ventral surface of the tongue
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Anterior region of the tongue
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Posterior tongue behind circumvallate papilla
Dorsal surface of posterior region exhibits large mucosal ridges
Nonkeratinized stratified squamous epithelium covers the mucosal ridges
Lamina propria of the mucosa is wider but similar to that in the anterior two-thirds
Lamina propria contains diffuse lymphatic tissue, accumulation of adipose tissue, nerve fibers and blood vessels
Skeletal muscle lies beneath the lamina propria
The posterior lingual gland opens onto the dorsal surface
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Posterior tongue behind circumvallate papillae
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Esophagus
Esophagus is a muscular tube extends from the pharynx to the stomach
Histologically it consists of four layers: mucosa submucosa muscularis externa adventitia / serosa
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Upper esophagus
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Mucosa Mucosa consists of three parts:
epithelium – nonkeratinized stratified squamous epithelium
lamina propria – lies below the epithelium, consists of thin layer of fine connective tissue, contains small blood vessels, diffuse lymphatic tissue and a small lymphatic nodule
muscularis mucosae – consists of a layer of longitudinal smooth muscle fibers
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Submucosa
Submucosa:
a wide layer of moderately dense irregular connective trissue,
Contains adipose tissue, esophageal glands and blood vessels
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Muscularis externa
Muscularis externa located inferior to the submucosa
Composed of two well-defined muscle layers: inner circular and outer longitudinal
Muscularis externa in: Upper third of esophagus consists of skeletal muscles
Middle third consists of both skeletal and smooth muscle
Lower third, only smooth muscle is present
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Adventitia / serosa
Adventitia / Serosa : In the thoracic cavity, the outer most layer of the
esophagus is called adventitia
In the abdominal cavity, the outer most layer of the esophagus is called serosa
It consists of connective tissue layer and contains adipose tissue, blood vessels and nerves
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Esophageal-stomach junction
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StomachStomach is a dilated segment of the digestive tract, that
digest food and secrets hormoneThere are three histological regions:CardiaFundus and bodyPylorusThe fundus and body are identical in microscopic
structureThe mucosa and submucosa of the undistended stomach
lie in longitudinally directed folds known as rugaeWhen the stomach is filled with food, folds flatten out
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Histological structure
Stomach has four histologic layers:
MucosaSubmucosaMuscularis externaSerosa
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Stomach mucosa of the fundus and body
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Mucosa Mucosa consists of:Surface epithelium – simple columnar, that invaginates
to various extents into the lamina propria, forming gastric pits
Lamina propria – composed of loose connective tissue, contains gastric glands, lymphatic tissue or small lymph nodule
Gastric glands contain two distinct cell types – acidophilic parietal cells and basophilic chief cells
Muscularis mucosae
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Submucosa
Submucosa lies below the muscularis mucosae
It is composed of dense irregular connective tissue
It contains small blood vessels, and isolated or clusters of parasympathetic ganglia of the submucosal (Meissner’s) nerve plexus
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Muscularis externaMuscularis externa consists of three layers of smooth
muscle
Inner oblique muscle layer
Middle circular muscle layer
Outer longitudinal muscle layer
Myenteric (Auerbach’s) nerve plexus of parasympathetic ganglia and nerve fibers is located between the circular and longitudinal smooth muscle layers
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Serosa
Serosa consists of thin connective tissue that overlies the muscularis externa
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Fundic mucosa
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Basal region of fundic mucosa
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Mucosa of pyloric region
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Difference between cardia, fundus & body, and pylorus
Cardia Fundus & body Pylorus
Contain cardiac gland Contain gastric gland Contain pyloric gland
Gastric pit less deeper than pyloric gland
Gastric pit less deeper than pyloric gland
Gastric pit more deeper than gastric or cardiac gland
Parietal cells absent or very few
Parietal cells more Parietal cells few
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ReferencesBasic Histology – Luis Carlos Junqueira, 11th edition
diFiore’s Atlas of Histology – 10th edition
Histology A Text and Atlas – Michael H. Ross, 4th edition
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