Role Of Pancreas In Vitamin B12 Absorption – The gastrointestinal (GI) system, in terms of food ingestion and digestion processes, includes the hollow organs including the oral cavity, esophagus, stomach, and small and large intestines. At the gross level, the GI system can be divided into the upper GI and the lower GI. The upper GI includes the mouth, esophagus, and stomach. The lower GI includes the small and large intestines and the rectum. In addition to these hollow organs, the ingestion and digestion of food requires several accessory glands and other organs that add secretions to the hollow organs of the GI tract. The primary accessory organs required for digestion are the salivary glands present within the oral cavity, pancreas and liver.

Production of disaccharidases necessary for carbohydrate digestion; terminal digestion of carbohydrates, proteins, and lipids; Absorption of nutrients and electrolytes

Role Of Pancreas In Vitamin B12 Absorption

Role Of Pancreas In Vitamin B12 Absorption

The GI organs are separated from each other at key locations by special structures called sphincters. Food entering the esophagus from the oral cavity requires passage through the upper esophageal sphincter. The bolus of food then enters the stomach through the lower esophageal sphincter. When food moves from the stomach into the duodenum of the small intestine, it passes through the pyloric sphincter. Leaving the small intestine at the level of the ileum, the digested food passes through the ileocecal valve into the large intestine, also known as the colon. Within the colon, waste is stored until it reaches the anus which triggers nerve impulses to initiate defecation.

Vitamin B12 Malabsorption

Each part of the GI tract has a specific function in the overall process of digestion. The mouth begins the process of breaking food into small pieces (mastication) and simultaneously begins the process of lubricating and digesting carbohydrates. When we swallow, food is pulled by the muscles of the esophagus past the lower esophageal sphincter into the stomach. The primary function of the esophagus is to serve as a tube from the mouth to the stomach.

The processes of chewing and swallowing food are completely voluntary, but all other processes of digestion are carried out through involuntary processes. Once food enters the stomach it can be temporarily stored (called the upper part of the stomach) or digested by stomach contractions that churn the food and mix it with gastric acid, gastric and lingual lipases, and the protease pepsin. Inside the lower abdomen.

Digestion continues in the small intestine after the digestive chyme moves from the stomach past the pyloric sphincter. The small intestine is also a major site for absorption of nutrients in food. The major function of the large intestine is to reabsorb fluids and electrolytes and to store feces before they are expelled from the body during the process of defecation.

Overview of the major organs of digestion. An anatomical representation of the location of the various organs of digestion from the mouth to the anus. Each major area of ​​digestion, along with the primary processes carried out in those areas, is indicated.

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When considering the amount of energy contained in different types of food components (eg fat, protein, carbohydrate) it is most important to understand that not all of this available energy can be delivered to the human body. It can cause loss during the digestive process, incomplete absorption of nutrients, and even non-digestible components in some foods. The total energy available in food can be calculated by burning it in a bomb calorimeter, but this process also reveals the energy available in indigestible fiber. The earliest studies of traditional food energy were carried out by American chemist Wilbur Atwater in the late 19th century but involved completely burning dried food in a bomb calorimeter.

Traditional assessment of the energy value of food takes into account factors such as losses during digestion and absorption and, thus, indicates the value of food to the body as fuel. The energy content of various food ingredients is reported on product labels as kilojoules/gram (kJ/g) or kilocalories/gram (kcal/g). Fat is the most energy-dense macronutrient, followed by alcohol, and then protein and carbohydrates. Amino acids derived from proteins, and monosaccharides derived from dietary carbohydrates contain more oxygen than carbon and hydrogen, so they are already partially oxidized and, therefore, yield less energy than fatty acids, which are reduced before their oxidation. live

Dietary fiber is not digested in the small intestine and therefore, has a limited caloric content in the human diet. Dietary fiber is also called roughage and has both soluble and insoluble components. Soluble fibers are so called because they dissolve in water. These are easily fermented by gut bacteria and are called prebiotics. Insoluble fiber can also be fermented by gut bacteria and thus can be considered a prebiotic. The benefit of insoluble fiber is that it absorbs water (especially bulking fiber) as it passes through the intestines, softening the stool and thus, facilitating bowel movements. Fermentation of fiber by intestinal bacteria is known to have physiological benefits because some products are absorbed and used for metabolic purposes such as short-chain fatty acids (SCFA), acetate, propionate, and butyrate (see below).

Role Of Pancreas In Vitamin B12 Absorption

Even before we put food in our mouths, our visual and olfactory senses trigger the release of salivary fluid in preparation for mixing with the food. The primary ingredients of saliva include water, enzymes and electrolytes.

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A mixture of mucopolysaccharides and glycoproteins containing sialic acid and sulfated sugars, mixed with water forms a lubricant for ease of swallowing.

An enzyme similar to gastric lipase except within the oral cavity, it is secreted by the acinar cells of von Ebner’s glands; remains inactive until entering the acidic environment of the stomach where it works with gastric lipase (secreted by gastric chief cells) to hydrolyze dietary triglycerides; Acts only at acidic pH; Bile acid is active in the absence of emulsification which is required for pancreatic lipases

High molecular weight kininogen (HMWK), secreted by acinar cells of all three major salivary glands, releases the vasodilator, bradykinin.

Commonly called haptocorrin; encoded by the TCN1 gene; To protect bindsvitamin B12 (cobalamin) from degradation in the acidic environment of the stomach, the duodenum releases cobalamin which allows it to be bound by intrinsic factor.

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Originally isolated from human saliva; encoded by the PROL1 (proline-rich, lacrimal 1) gene; A five amino acid functional peptide (QRFSR) is released from the N-terminus of the preprotein encoded by PROL1; Acts to reduce pain sensation through its ability to inhibit the enkephalin-inactivating peptidases neprilysin [encoded by the membrane metallo-endopeptidase (MME) gene] and ecto-aminopeptidase N [alanyl aminopeptidase, encoded by the membrane].

Saliva is secreted from the parotid, submandibular, and sublingual glands within the oral cavity. There are a pair of parotid glands and the largest of these salivary glands. These glands are located posterior to the mandibular ramus and anterior to the mastoid process of the temporal bone. The parotid gland secretes saliva into the oral cavity through Stensen’s duct. Parotid secretions are mainly serous in nature and facilitate kissing and swallowing. Enzymes found in saliva (α-amylase) are also responsible for the digestion of starch.

The submandibular glands are also a pair of glands. These glands are located beneath the lower jaw and are superior to the digastric muscles which lie beneath the body of the mandible. Submandibular secretions are a mixture of both serous fluid and mucus that enter the oral cavity through Wharton’s ducts. About 70% of the saliva in the oral cavity is derived from the submandibular glands.

Role Of Pancreas In Vitamin B12 Absorption

The sublingual glands are also a pair of glands located under the tongue and in front of the submandibular glands. The salivary secretion produced by the sublingual glands is mainly mucous in nature. Sublingual glands do not have striated ducts like the parotid and submandibular ducts. Sublingual fluid is released from the 8–20 excretory ducts and this fluid makes up about 5% of the saliva entering the oral cavity. Acidic lipase, originally known as lingual lipase, is secreted along with gastric lipase by the lingual serous glands (von Ebner glands of the tongue) in the acidic environment of the stomach and hydrolyzes medium- and long-chain triglycerides.

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Chewing food is designed to cut, season and mix the contents of the mouth. The mixing of food and saliva represents the initial process of digestion. The action of α-amylase on starch releases glucose in the mouth. Glucose is the sweet taste that enhances the taste of food and makes it more palatable and rewarding. When we swallow, food passes through the pharynx through the upper esophageal sphincter into the esophagus. The muscles of the esophagus then move the food up the lower esophageal sphincter and into the stomach. The esophagus passes through the posterior mediastinum of the chest and enters the stomach through the opening of the diaphragm at the level of the tenth thoracic vertebra. The esophagus is divided into three parts called cervical, thoracic and abdominal. As a result of the action of

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