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Chapter 9 Digestive system

Key Point

The digestive system of the carnivore is described as monogastric. The tract is relatively short, as meat is easy to digest, and the stomach is simple.
The teeth of the carnivore are sharp, pointed and powerful and the jaw has a scissor-like action. This enables meat to be cut and torn off the bones of prey.
The majority of the tract is a long tube of varying diameter. Each part has a similar structure but shows functional adaptations.
Food passes down the tract and is mixed with digestive juices by coordinated muscular movements known as peristalsis and rhythmic segmentation.
Digestion occurs by the action of enzymes, each of which is specific to a particular food type.
Digestive juices containing enzymes are secreted by intrinsic exocrine glands in the stomach and small intestine and by extrinsic glands such as the pancreas and gall bladder.
Digestion results in the production of soluble molecules that can pass through the epithelium of the small intestine into the blood capillaries (amino acids and monosaccharides) or lacteals (fatty acids and glycerol).
The products of digestion are carried around the body where they are metabolised and used by the tissues.
Any unwanted or indigestible food remains are excreted in the faeces.

The maintenance of life depends on a constant supply of energy. Food provides energy and the digestive system has evolved to extract it from the nutrients taken into the body and then to excrete the indigestible remains. The digestive process occurs in several stages:

Ingestion – the process of taking food into the body; this takes place in the mouth
Digestion – the process of breaking down the food into small chemical units; this occurs in the stomach and small intestine
Absorption – the process whereby the chemical units pass into the blood and are carried to the liver; this occurs in the small intestine
Metabolism – the process in which the chemical units are converted into energy for use by all the organs of the body; this takes place mainly in the liver
Excretion – the removal of any remaining indigestible material.

The digestive system (Figs 9.1, 9.2) consists of the following parts:

Oral cavity or mouth – lips, tongue, teeth
Pharynx
Oesophagus
Stomach
Small intestine – duodenum, jejunum, ileum
Large intestine – caecum, colon, rectum, anus.
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Fig. 9.1 Organs of the digestive system of the dog, left lateral view.

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Fig. 9.2 The digestive tract removed from the body.

There are also several accessory glands, without which the digestive process cannot be completed:

Salivary glands
Pancreas
Gall bladder
Liver.

The oral cavity

The oral cavity (Fig. 9.3) is also known as the mouth or buccal cavity and contains the tongue, teeth and salivary glands. The function of the oral cavity is as follows:

1 To pick up the food – this is known as prehension and involves the use of the lips and tongue
2 To break up the food into small boluses to aid swallowing – this is known as mastication or chewing and involves the use of the tongue, cheeks and teeth
3 Lubrication of the food with mucus and saliva making it easier to swallow
4 In omnivores and herbivores, digestion of carbohydrates begins in the mouth with the secretion of salivary enzymes. This does not occur in carnivores, e.g. dog and cat, as food is held in the mouth for a very short time before it is swallowed.
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Fig. 9.3 Lateral view of the dog’s head to show the oral cavity/digestive system.

The oral cavity is formed by the following bones of the skull:

The incisive bone and the maxilla form the upper jaw
The palatine bone forms the roof of the mouth – the hard palate
The mandible forms the lower jaw; the paired mandibles join in the midline at the mandibular symphysis.

The mandibles articulate with the temporal bones of the skull forming the temporomandibular joint. In carnivores the action of the joint is scissor-like to shear flesh off the bones of their prey.

The upper and lower jaws are linked by skin, forming the cheeks, under which lie the muscles of mastication (see Ch. 4). These muscles lie over the temporomandibular joint and give strength to the biting action. The entrance to the mouth is closed by the lips, composed of muscle covered in skin. The upper lip is split vertically by a division known as the philtrum (see Ch. 8, Fig. 8.1).

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The entire oral cavity is lined by a layer of mucous membrane. It is reflected on to the jawbones, forming the gums. The mucous membrane covers the hard palate and extends over a flap of soft tissue at the back of the oral cavity – this is the soft palate, which extends caudally between the oral and nasal cavities and divides the pharynx into the oropharynx and nasopharynx (Fig. 9.3) (see also Ch. 8).

The tongue

The functions of the tongue are:

1 To aid the ingestion of food
2 To carry the receptors (taste buds) for the sensation of taste or gustation
3 To help in the formation of a food bolus ready for swallowing
4 To groom the fur, particularly in cats
5 To assist thermoregulation – the tongue is used to apply saliva to the fur, which smoothes it down into a thinner and cooler layer; in dogs, panting, during which saliva evaporates from the tongue, helps to cool the body
6 To produce vocalisation – production of sound involves complicated movements of the tongue and lips.

The tongue lies on the floor of the oral cavity and is made of striated muscle fibres running in all directions. This enables the tongue to make delicate movements. The muscles are attached at the root of the tongue to the hyoid bone (see Ch. 8) and to the sides of the mandibles. The tip of the tongue is unattached and very mobile.

In an anaesthetised animal, the sublingual vein, running under the tongue, may be used for intravenous injections or for collecting blood samples, while the sublingual artery may be used for monitoring the pulse rate.

The tongue is covered in mucous membrane. The dorsal surface is thicker and arranged in rough papillae, which assist in control of the food bolus and in grooming. Some papillae are adapted to form taste buds, mainly found at the back of the tongue. Taste buds are well supplied with nerve fibres, which carry information about taste to the forebrain (see Ch. 5). Running along the underside of the tongue are the paired sublingual veins and arteries.

The teeth

The teeth are hard structures embedded in the upper and lower jaw. Each jaw forms a dental arch or dentary – there are four dental arches in total. The teeth pierce the gums to sit in sockets or alveoli. The membrane covering the gums is known as the gingival membrane or periodontal membrane.

Structure

All teeth have a basic structure (Fig. 9.4). In the centre of each tooth is a pulp cavity. This contains blood capillaries and nerves, which supply the growing tooth. In young animals the cavity is relatively large but, once the tooth is fully developed, it shrivels and contains only a small blood and nerve supply. After a tooth has stopped growing the only changes occurring will be due to wear.

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Fig. 9.4 A Shape and features of incisor and canine teeth. B Shape and features of premolar, molar and carnassial teeth.

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Function

The teeth of a carnivore are adapted to shearing and tearing the flesh off the bones of their prey. There are four types of tooth, which are classified by their shape and position in the jaw (Fig. 9.5). This is summarised in Table 9.1.

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Fig. 9.5 Skull of an adult dog showing the permanent dentition.

Table 9.1 Tooth types and functions

Type Position and shape Function
Incisor (I) Lie in the incisive bone of the upper jaw and in the mandible of the lower jaw; small, pointed with a single root Fine nibbling and cutting meat; often used for delicate grooming
Canines (C) – ‘eye teeth’ One on each corner of the upper and lower jaws; pointed, with a simple curved shape; single root deeply embedded in the bone Holding prey firmly in the mouth
Premolars (PM) – ‘cheek teeth’ Flatter surface with several points known as cusps or tubercles; usually have two or three roots arranged in a triangular position to give stability in the jawbone Shearing flesh off the bone using a scissor-like action; flattened surface helps to grind up the flesh to facilitate swallowing and digestion
Molars (M) – ‘cheek teeth’ Similar shape to premolars; usually larger with at least three roots Shearing and grinding meat – NB There are no molars in the deciduous dentition
Carnassials Largest teeth in the jaw; similar shape to other cheek teeth; these are the first lower molar and the last upper premolar on each side Very powerful teeth sited close to the angle of the lips; this type is only found in carnivores

Infection of the roots of the upper carnassial teeth is known as a malar abscess. The abscess bursts through the bone and the skin to discharge pus just below the eye.

Dentition

Dogs and cats have two sets of teeth in their lifetime:

Deciduous dentition – also called the milk or temporary teeth. These are present in the jaw at birth and erupt (push through the gums) as the animal grows. They are usually smaller and whiter than the permanent teeth and fall out as the adult teeth begin to erupt.
Permanent dentition – also called the adult teeth. These are larger than milk teeth and as the animal ages they show signs of wear. They last a lifetime.

Eruption times vary with the species, the type of tooth and the species of animal and are summarised in Table 9.2.

Table 9.2 Eruption times

Tooth type Dog Cat
Deciduous dentition
Incisors 3–4 weeks Entire dentition starts to erupt at 2 weeks and is complete by 4 weeks
Canines 5 weeks
Premolars 4–8 weeks
Molars Absent
Permanent dentition
Incisors 3.5–4 months 12 weeks
Canines 5–6 months  
Premolars 1st premolars 4–5 months; remainder 5–7 months Variable; full dentition present by 6 months
Molars 5–7 months

Dental formulae

Each species has a characteristic dental formula and this enables the veterinary surgeon to monitor the numbers of teeth lost as a result of disease or ageing. Each type of tooth is referred to by its initial letter: I is for incisor, etc. The following numbers show how many teeth of each type there are in the upper and lower jaws on one side of the head. The numbers are then multiplied by two to give the total number of teeth in the mouth.

Dog dental formula

Permanent: I3/3, C1/1, PM4/4, M2/3×2 = 42 teeth

Deciduous: I3/3, C1/1, PM3/3×2 = 28 teeth

Cat dental formula

Permanent: I3/3, C1/1, PM3/2, M1/1×2 = 30 teeth

Deciduous: I3/3, C1/1, PM3/2×2 = 26 teeth

Salivary glands

These are paired glands lying around the area of the oral cavity. Their secretions, known collectively as saliva, pour into the cavity via ducts. Saliva contains 99% water and 1% mucus – there are no enzymes in the saliva of the dog and the cat (Fig. 9.6).

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Fig. 9.6 Location of the salivary glands in the dog.

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The positions of the glands are:

Zygomatic – close to the eyeball within the orbit
Sublingual – medial to the mandible, under the mucosa covering the underside of the tongue
Mandibular – caudal to the angle of the jaw; can be palpated but may be mistaken for the mandibular lymph nodes, which are in this area
Parotid – between the base of the ear and the mandibular glands; can be palpated.

Production of saliva is continuous but may be increased by such factors as the sight and smell of food (particularly in dogs), fear, pain and irritant gases or other chemicals such as organophosphates. Salivation also often occurs just prior to vomiting and may be a warning sign to the owner!

The function of saliva is:

1 To lubricate the food, so making mastication and swallowing easier
2 Thermoregulation – evaporation of saliva from the tongue during panting or from the fur when applied during grooming causes cooling of blood in the underlying blood capillaries; this reduces the core temperature of the body
3 In omnivores and herbivores, secretions from the parotid gland contain amylase, which begins carbohydrate digestion.

Pharynx

The pharynx forms a crossover point between the respiratory and digestive systems. It is a muscular tube lined with mucous membrane, connecting the back of the nasal and oral cavities with the oesophagus and the larynx and trachea. The soft palate extends caudally towards the epiglottis of the larynx and divides the pharynx into the nasopharynx and oropharynx (Fig. 9.3; see also Ch.8). The walls of the pharynx contain diffuse areas of lymphoid tissue known as the tonsils. Their function is to protect the animal against disease (see Ch. 7). The most obvious are the palatine tonsils lying one on each side of the pharynx in a shallow recess. The Eustachian or auditory tube connects the pharynx to the middle ear. It enables the air pressure on either side of the tympanic membrane to equalise and thus maintains the flexibility and function of the ear drum (see Ch. 5).

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The pharynx conveys food from the mouth into the oesophagus by means of a process known as deglutition or swallowing (Fig. 9.7). This occurs in the following stages:

1 The food is rolled into a bolus by the tongue and cheeks and is passed to the back of the mouth by the base of the tongue.
2 The pharyngeal muscles contract and force the bolus towards the oesophagus.
3 At the same time, the epiglottis closes to prevent food entering the larynx.
4 A wave of muscular contraction – peristalsis – pushes the food down the oesophagus.
5 When the food has passed through the pharynx, the epiglottis falls open and respiration starts again.
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Fig. 9.7 Function of the pharynx. A Positions of structures during swallowing of food. B Position of structures during nose breathing.

Oesophagus

This is a simple tube that carries food from the pharynx to the stomach (Figs 9.1, 9.2). In the neck, the oesophagus lies dorsal to the trachea and slightly to the left of it. It passes through the thoracic cavity, running within the mediastinum, dorsal to the heart base and between the two lungs. The oesophagus enters the abdominal cavity via the oesophageal hiatus of the diaphragm, which separates the thorax and abdomen.

The walls of the oesophagus are lined with stratified squamous epithelium arranged in longitudinal folds. This protects against damage by food and allows for widthways expansion as the boluses pass down. Within the walls are circular and longitudinal bands of smooth muscle fibres. Contraction of these muscles brings about a series of peristaltic waves that force the food along the tube (Fig. 9.8). Food can pass in the reverse direction – antiperistalsis – seen during vomiting. The average time taken for food to pass down the oesophagus is 15–30 seconds but this depends on the type of food: liquids take a shorter time than dry foods.

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Fig. 9.8 Representation of peristalsis. Muscular contraction within the tube forces the food bolus along.

Diagnosis of conditions of the digestive tract may be helped by the use of a ‘barium meal’ or barium series. Liquid barium sulphate is administered orally and a series of radiographs are taken over a period of several hours. Figure 9.9 shows the result of the use of barium as a contrast medium and illustrates the anatomy of the canine digestive tract.

The abdominal part of the digestive system

The majority of the digestive tract lies within the abdominal cavity and can be divided into three parts:

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Stomach – used to store and mix ingested food
Small intestine – the main site for enzymic digestion and the absorption of nutrients
Large intestine – the site for absorption of water, electrolytes and water-soluble vitamins; any indigestible remains pass out of the anus as faeces.

Stomach

The stomach of the dog and cat is described as being simple and digestion is said to be monogastric. The functions of the stomach are:

1 To act as a reservoir for food – wild carnivores (particularly dogs) may only eat every 3–4 days and then rest while food slowly digests
2 To break up the food and mix it with gastric juices
3 To begin the process of protein digestion.

The stomach is a C-shaped, sac-like organ lying on the left side of the cranial abdomen. Food enters from the oesophagus via the cardiac sphincter and leaves from the pyloric sphincter (Fig. 9.2). The inner curve of the sac is called the lesser curvature and the outer curve the greater curvature. The entire organ is covered in a layer of visceral peritoneum or mesentery, as are all the organs in the abdominal cavity. The mesentery attached to the inner curvature is called the lesser omentum, while that attached to the greater curvature is called the greater omentum. The spleen lies within the layers of the greater omentum. The walls of the stomach are thick and easily distended by food. When empty, the stomach lies under the ribs but when full the stomach may occupy a third of the abdomen.

Gastric dilatation and volvulus (GDV) is a condition of large breeds of dog, such as the German Shepherd. It occurs when the stomach distends with gas and half-fermented food, becomes unstable and twists around on itself, preventing the escape of the gas. The dog suffers extreme discomfort and may go into shock and die if not treated to relieve the distension. In such cases, the stomach feels tight and drum-like and may fill half the abdomen.

Structure of the stomach wall

The stomach can be divided into three regions: the cardia, fundus and pylorus. Most of the gastric glands lie within the fundic region of the stomach. The walls of the stomach are lined with mucous membrane, the gastric mucosa. This is thrown into deep longitudinal folds known as rugae which flatten out when the stomach fills with food. Within the mucosa are the gastric pits (Fig. 9.10), consisting of three types of cell responsible for the secretion of gastric juices:

Goblet cells – found in all parts of the stomach. They secrete mucus to lubricate the food and to protect the stomach wall from damage by digestive enzymes (autodigestion)
Chief cells – found within the fundus. They secrete pepsinogen, the precursor to the active enzyme pepsin; pepsin breaks down proteins to peptides
Parietal cells – found within the fundus. They secrete hydrochloric acid (HCl); this creates an acid pH which enables pepsin to work effectively.
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Fig. 9.10 A Structure of the stomach. B Enlargement to show a gastric pit.

Food enters the stomach via the cardiac sphincter. Distension of the stomach stimulates the secretion of the hormone gastrin from the stomach walls, which initiates the production of the gastric juices. Two types of muscular movement of the stomach break up and mix the food with the juices:

Peristalsis – pushes the food through the stomach (Fig. 9.8) and contributes to the rumbling of an empty stomach
Rhythmic segmentation – breaks up and mixes the food boluses (Fig. 9.11).
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Fig. 9.11 Rhythmic segmentation within the gastrointestinal tract serves to break up and mix food boluses.

Gastric emptying

Food in the stomach is broken up and partially digested, resulting in a soup-like liquid with an acid pH known as chyme. Chyme is released in spurts through the pyloric sphincter into the duodenum, where digestion continues. The time taken for food to pass through the stomach depends on the type of food – liquids may take about half an hour, while more fatty or solid foods take about 3 hours.

Vomiting is the ‘return of ingesta and fluids against the normal direction of swallowing and peristalsis’. This is a very common presenting sign and there are three types:

True vomiting – preceded by salivation and a feeling of nausea, followed by active abdominal contractions and expulsion of the vomitus. This may be caused by viral or bacterial infections, gastric irritation, foreign bodies, travel sickness, endoparasites, abdominal neoplasia and many metabolic diseases.
Passive vomiting or regurgitation – caused by overflow of oesophageal contents, e.g. megaoesophagus, or an oesophageal foreign body.
Projectile vomiting – a violent ejection of stomach contents. This is characteristic of pyloric stenosis, a condition seen in neonates. It occurs when the muscle of the pyloric sphincter is overdeveloped and restricts the passage of chyme out into the duodenum.
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Small intestine

The small intestine is the major site of enzymic digestion and absorption. It is a long, relatively narrow tube and may be up to 3.5 times the body length. Food passes along the small intestine and is mixed with digestive juices by peristalsis and by rhythmic segmentation. It is divided into three parts, each of which has a similar structure but shows functional adaptations (Figs 9.2, 9.9):

Duodenum – a U-shaped tube with the pancreas lying in the loop of the ‘U’. The duodenum lies in a fixed position as the mesentery, the mesoduodenum, is short. The pancreatic duct leading from the pancreas and the common bile duct from the gall bladder open into it. Within the walls are glands, known as Brunner’s glands, that secrete a mixture of digestive enzymes known as succus entericus. The duodenum leads into the jejunum.
Jejunum and ileum – it is difficult to distinguish between these two parts. They constitute a long tube with no fixed position as the mesojejunum and mesoileum are long, allowing the tract to fill any available space in the peritoneal cavity. Within the walls are digestive glands known as the crypts of Lieberkühn. The ileum ends at the ileocaecal junction, where it joins the caecum.

Structure of the intestinal wall

Each part of the small intestine has a similar structure (Fig. 9.12). The epithelial layer is folded into millions of tiny, leaf-shaped folds called villi (sing. villus). Their function is to increase the surface area of the epithelium to maximise the efficiency of the digestive and absorptive processes. Extending from each epithelial cell is a border of tiny microvilli, which form a ‘brush border’ to further increase the surface area. (see Ch. 2, Fig. 2.2)

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Fig. 9.12 A Cross-section through an area of intestine to show structure. B Enlargement to show the villi and absorptive epithelium.

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Inside each villus is:

A network of blood capillaries that convey small molecules from the breakdown of carbohydrates and proteins to the liver via the hepatic portal vein
A lymphatic capillary known as a lacteal. Each lacteal carries chyle, a milky fluid resulting from fat digestion, from the small intestine to the cisterna chyli in the dorsal abdomen.

The pancreas

The pancreas is a pale pink, lobular gland lying in the ‘U’ of the duodenum, whose secretions are essential to the digestive process. It lies outside the digestive tract and is described as an extrinsic gland. The pancreas has an endocrine part (see Ch. 6) and an exocrine part and is classed as a mixed gland. The exocrine part secretes digestive enzymes and bicarbonate into the duodenum via the pancreatic duct (Fig. 9.2).

The gall bladder

The gall bladder lies within the lobes of the liver and is a reservoir for bile, produced by the liver. Bile contains bile salts needed for fat digestion and is stained yellow-green by bile pigment or bilirubin produced from the breakdown of old erythrocytes. It is secreted into the duodenum via the common bile duct.

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Digestion

Food is ingested in the form of proteins (polypeptides), carbohydrates (polysaccharides) and fats (lipids). For food to be a useable source of energy, it must be broken down into soluble molecules that are small enough to be absorbed through the wall of the small intestine and into the bloodstream – this is digestion. In mammals this process occurs by the use of chemicals called enzymes. Each enzyme is designed to act on a specific material or substrate, and not on any other. They are usually named after the substrate on which they act, e.g. lipase acts on lipids (fats); maltase acts on maltose.

An enzyme is a protein that acts as a catalyst, increasing the speed of a reaction. Some enzymes may be produced in an inactive form, known as a precursor, which must be converted to the active form by another enzyme before they can work.

There are four sources of digestive juices containing the enzymes: gastric juices, pancreatic juices, bile salts and intestinal juices. Digestion in the carnivore begins in the stomach.

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Gastric juice

This is secreted by the gastric pits in response to production of the hormone gastrin from the stomach wall (see Ch. 6). It contains:

Mucus – secreted by goblet cells to lubricate the food and protect the gastric mucosa from autodigestion
Hydrochloric acid – secreted by parietal cells. This denatures or breaks down proteins, making digestion easier. It creates an acid pH of 1.3–5.0, which facilitates protein digestion
Pepsinogen – secreted by chief cells. It is converted to the active enzyme pepsin by hydrochloric acid
Pepsin – converts protein molecules to peptides (smaller molecules) by a process known as hydrolysis.

The liquid food resulting from this process of gastric juice digestion is known as chyme.

Pancreatic juice

This secretion is produced by the exocrine part of the pancreas and occurs in response to the hormones cholecystokinin and secretin (from the wall of the duodenum) and gastrin (from the stomach wall), and stimuli from the autonomic nervous system (see Ch. 6). It contains:

Bicarbonate – neutralises the affects of the acid in the chyme, allowing other enzymes to work
Digestive enzymes – many are inactive precursors, which prevent autodigestion and destruction of the pancreas
Proteases – act on proteins and include:
image Trypsinogen, converted to active trypsin by another enzyme, enterokinase, present in succus entericus
image Trypsin, which activates other enzyme precursors. It acts on peptides and other proteins to produce amino acids. A trypsin inhibitor within the pancreas prevents spontaneous conversion of trypsinogen to trypsin and autodigestion
Lipases – activated by bile salts. They convert fats to fatty acids and glycerol
Amylases – act on starches, a form of plant carbohydrate, and convert them to maltose.

Bile salts

The presence of chyme in the duodenum causes the gall bladder to contract and produce bile. Bile emulsifies fat globules so that they have a larger surface area on which enzymes can act, and also activates lipases.

Intestinal juice

Secretion of intestinal juice is stimulated by the hormone secretin produced in response to the passage of chyme through the pyloric sphincter (see Ch. 6). The intestinal juices are produced by:

Brunner’s glands in the duodenum – the secretions are known as succus entericus
Crypts of Lieberkühn in the jejunum and ileum.

A number of enzymes are present, many of which are also produced by the pancreas:

Maltase converts maltose to glucose
Sucrase converts sucrose to glucose and fructose
Lactase converts lactose to glucose and galactose
Enterokinase converts trypsinogen to trypsin
Aminopeptidase converts peptides to amino acids
Lipase converts fats to fatty acids and glycerol.

The result of the digestive process is that the basic constituents of food are converted into small molecules that can now be absorbed.

Protein (polypeptides) converted to→ amino acids

Carbohydrates (polysaccharides and disaccharides) converted to→ Glucose and other simple sugars (monosaccharides)

Fats converted to→ Fatty acid and glycerol (monoglycerides)

Absorption

The main site for absorption is the villi of the small intestine. The efficiency of the absorptive process is increased by:

The long length of the small intestine
The internal surface area (increased by the presence of the villi)
The fact that each villus is well supplied with blood capillaries and lacteals.

During absorption amino acids and simple sugars are absorbed by the blood capillaries and are carried by the hepatic portal vein to the liver. Fatty acids and glycerol are absorbed by the lacteals. They form a fatty milky liquid known as chyle, which is carried to the cisterna chyli, lying in the dorsal abdomen (see Ch. 7, Fig. 7.7). Here it is mixed with lymph and carried to the heart by the thoracic duct, where it joins the blood circulation.

Large intestine

This is a short tube of a wider diameter than the small intestine. Each part has a similar structure to that of the small intestine. However, in the lumen there are no villi and no digestive glands, but there are more goblet cells. These secrete mucus, which lubricates the faeces as it passes through. The large intestine is divided into:

Caecum – a short, blind-ending tube joining the ileum at its junction with the ascending colon: this is the ileocaecal junction (Fig. 9.2). In carnivores it has no significant function
Colon – divided into the ascending, transverse and descending colon (Fig. 9.1) according to the relative position in the peritoneal cavity, but all are a continuation of the same organ. The descending colon is held close to the dorsal body wall by the mesocolon. Within the colon water, vitamins and electrolytes are absorbed, ensuring that the body does not lose excessive water and become dehydrated
Rectum – the part of the colon running through the pelvic cavity. It is held close to the dorsal body wall by connective tissue and muscle (Fig. 9.9)
Anal sphincter – this marks the end of the digestive tract. It is a muscular ring that controls the passage of faeces out of the body. It has two parts:
image Internal anal sphincter: inner ring of smooth muscle; control is involuntary
image External anal sphincter: outer ring of striated muscle; control is voluntary
image image image image image

Fig. 9.9 Barium X-ray series illustrating the digestive tract. A The barium (radio-opaque white material) is in the oesophagus after being swallowed. B Barium enters the stomach. C Barium starts to leave the stomach and enter the duodenum. D Most of the barium is now in the small intestine (a small amount remains in the stomach and some has entered the large intestine). E Barium in the colon and rectum applied by enema.

The lumen of the sphincter is constricted and lined with deep longitudinal folds of mucous membrane that stretch to allow the passage of bulky faeces.

Defaecation

The faecal mass passes through the large intestine by means of peristalsis, antiperistalsis, rhythmic segmentation and infrequent but strong contractions known as mass movements. These movements are involuntary but, as the faecal mass enters the pelvic cavity, stretching of the rectal wall stimulates voluntary straining brought about by abdominal contractions. The anal sphincter, which is normally held tightly closed, relaxes, the abdominal muscles contract and the mass is forced out.

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Composition of faeces

Normal faeces have a colour and smell that is characteristic of the species. They are described as being ‘formed’ – the water content is such that the faeces keep their shape (watery faeces do not). Normal faeces contain:

Water and fibre
Dead and living bacteria – normal commensals of the large intestine, which may contribute to the smell
Sloughed intestinal cells
Mucus
Contents of anal sacs
Stercobilin – a pigment derived from bile that gives faeces their colour.

Lying between the two anal rings, in the ‘20 to 4’ position, are the anal sacs. These are modified sebaceous glands, which vary from pea to marble size depending on the species and breed of animal. Their secretions coat the faeces as it passes out and the characteristic smell is used by the animal for territorial scent marking, particularly in wild species. Impacted anal sacs may be a problem in dogs fed on softer diets.

The sequence of muscle contraction and nervous control involved in defaecation requires coordination by the nervous system. Any damage to the spinal cord, e.g. disc prolapse or severe trauma, may result in faecal incontinence or faecal retention.

Diarrhoea is ‘frequent evacuation of watery faeces’. This is a common presenting sign. It may be acute or chronic and is an indication of some form of intestinal disturbance, e.g. maldigestion, malabsorption, increased peristalsis or gastrointestinal irritation. However, the most common cause of diarrhoea, in dogs especially, is dietary mismanagement. This can be easily corrected by starvation for 24 hours followed by a light diet of fish or chicken and rice for a further 24 hours.

The liver

The liver is the largest gland in the body and lies in the cranial abdomen. The cranial aspect is convex and is in contact with the diaphragm. The caudal aspect is concave and is in contact with the stomach, duodenum and right kidney (Fig. 9.1). The liver is deep red in colour as it has a large volume of blood flowing through it. It is divided into several large lobes, in the centre of which is the falciform ligament. This is the remains of fetal blood vessels from the umbilicus and is of little significance in the adult animal (see Ch. 7). The gall bladder lies between the lobes in the centre of the caudal aspect. It stores bile, which pours into the duodenum via the common bile duct.

Histologically, the liver consists of thousands of cells known as hepatocytes (Fig. 9.13). These are responsible for all the many functions of the liver. The hepatocytes are arranged in hexagonal liver lobules surrounded by connective tissue. Running through the lobules between the hepatocytes are minute blood sinusoids carrying blood from the hepatic portal vein. Each hepatocyte is bathed in plasma, which percolates across the lobule to drain into the central vein. The central veins flow into the hepatic vein and so to the caudal vena cava. Thus the products of digestion are carried from the small intestine by the blood to every hepatocyte where they are used for metabolism. The liver tissue receives arterial blood in the hepatic artery.

image

Fig. 9.13 Structural organisation of the liver.

Between the hepatocytes are tiny channels known as bile canaliculi, into which bile is secreted. The canaliculi form an interconnecting network that eventually drains into the gall bladder. There is no direct connection between the sinusoids and the canaliculi.

The liver has many functions and is essential to normal health.

1 Carbohydrate metabolism – glucose is a source of energy for the body but it can only be used by the cells in the presence of the hormone insulin, secreted by the pancreas. Excess glucose is stored as glycogen (glycogenesis) in the liver. This is broken down to release glucose (glycogenolysis) when blood glucose levels are low. In this way, the liver keeps blood glucose levels within a narrow range (see Ch. 6 Fig. 6.3).
2 Protein metabolism – the liver has several important roles here:
image Formation of plasma proteins: Albumin maintains the balance of fluids in the body; fibrinogen and prothrombin are involved in the blood clotting mechanism; globulins form part of the immune mechanism
image Regulation of amino acids: there are 20 amino acids that are essential to form body protein. The liver cells use these amino acids to make new proteins and as the ‘building blocks’ of other organic compounds. Amino acids that are not essential may be converted into more useful ones by a process known as transamination
image Production of urea: surplus amino acids cannot be stored in the body and are converted by the liver to ammonia and then to urea. This process is known as deamination. Urea is excreted in the urine.
3 Fat metabolism – fat is a source of energy for the body. The liver converts fatty acids and glycerol into phospholipids, for the formation of cell membranes, and to cholesterol for bile salts. Excess fat is stored in deposits around the body.
4 Formation of bile – stored in the gall bladder.
5 Destruction of old red blood cells – haemoglobin is excreted as bilirubin in the bile.
6 Formation of new red blood cells – the liver carries out this task only in the fetus.
7 Storage of vitamins – mainly the fat-soluble vitamins A, D, E and K, but some water-soluble ones may also be stored.
8 Storage of iron
9 Regulation of body temperature and production of heat
10 Detoxification of certain substances – e.g. alcohol
11 Detoxification and conjugation of steroid hormones.Fig. 9.13Structural organisation of the liver.