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ENGLISH FOR MEDICAL SPECIALISTS Знаменська І.В. 1частина.doc
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Portions of the digestive system

PHARYNX

The pharynx consists of three parts: the nasopharynx, the oropharynx, and laryngopharynx. Normally, only the oropharynx and laryngopharynx transmit food. The oropharynx communicates with the nasopharynx superiorly, the larynx and laryngopharynx inferiorly, and mouth anteriorly. The laryngopharynx extends from the oropharynx to the esophagus and is posterior to the larynx. The posterior walls of the oropharynx and laryngopharynx consist of three muscles, the superior, middle, and inferior pharyngeal constrictions, which are arranged like three stacked flower pots, one inside the other. The oropharynx and the laryngopharynx are lined with moist, stratified squamous epithelium, and the nasopharynx is lined with ciliated pseudostratified epithelium.

ESOPHAGUS

The esophagus is that portion of the digestive tube that extends between the pharynx and the stomach. It is approximately 20-25 cm long and lies in the mediastinum. The esophagus transports food from the pharynx to the stomach. It has thick walls consisting of the four tunics common to the digestive tract: mucosa, submucosa, muscularis, and adventitia.

SMALL INTESTINE

The small intestine consists of three portions: the duodenum, the jejunum, and the ileum. The entire small intestine is approximately 6.5 m long; the duodenum is approximately 25 cm long (the term duodenum means 12, suggesting that is 12 inches long); the jejunum, constituting approximately two fifths of the total length of the small intestine, is approximately 2.5 m long, and the ileum, constituting three fifths of the small intestine, is approximately 3.5 m long. Two major glands, the liver and pancreas, are associated with the duodenum.

Gallbladder

The gallbladder is a saclike structure on the inferior surface of the liver that is approximately 8 cm long and 4 cm wide. Three layers form the gallbladder wall: an inner mucosa folded into rugae that allow the gallbladder to expand; a muscularis of smooth muscle that allows the gallbladder to contract; and outer covering of connective tissue. The gallbladder is connected to the common bile by the cystic duct.

Pancreas

The pancreas is a complex organ composed of both endocrine and exocrine tissues that perform several functions. The pancreas consists of a head, a body, and a tail, which extends to the spleen.

The endocrine portion of the pancreas consists of pancreatic islets (islets of Langerhans). The islet cells produce insulin and glucagons, which are very important in controlling blood levels of nutrients such as glucose and amino acids, and somatostatin, which regulates insulin secretion.

The exocrine portion of the pancreas consists of acini (grapes), which produce digestive enzymes. The acini connect to a duct system that forms the pancreatic duct, which empties into the duodenum.

Large intestine

The large intestine consists of the cecum, colon, rectum, and anal canal. The cecum is the proximal end of the large intestine and is the portion where the large and small intestines meet. The colon consists of four portions. The mucosal lining of the large intestine consists of simple columnar epithelium. It has numerous straight tubular glands. The rectum is a straight, muscular tube. It begins at the termination of the sigmoid colon and ends at the anal canal. The last 2 to 3 cm of the digestive tract is the anal canal. It begins at the inferior end of the rectum and ends at the anus. The smooth muscle layer of the anal canal forms the internal anal sphincter and external anal sphincter.

Ex. 21. Retell the text “Portions of the digestive system”. The following expressions may be helpful:

… is a part of the digestive system.

It consists of … .

… is located .. .

Its function is to … .

Ex. 22. Insert the missing words given below:

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