Mhm. In this program we will examine discuss the microscopic and the light microscopic appearance of selected portions of the gi tract objectives for this program may be found in the accompanying study guide. This cross sectional diagram Shows the four basic layers of the gi tract First the mucosa, the sub mucosa, muscular as external, and the cirrhosis variations on this basic plan can help identify the specific area of the gi tract. Understudy. This drawing is divided Into two sections. The left side represents the characteristic structure of the small intestine. The right side represents a section of the colon beginning on the Luminal side. We see the covering epithelium which may be either stratified squamous or simple kilometer epithelium depending upon the area immediately underline the epithelium. We have a loose connective tissue layer termed the lamb inappropriate. The next layer contains smooth muscle and it's called the muscular eras mucosa. These three layers together I called the mucosa. Next there's a layer of connective tissue, the sub mucosa and within the sub mucosa there's a group of nerve cells and bundles of nerve fibers termed the mice ners plexus. The next layer is usually made up of smooth muscle but may under certain conditions be made up of skeletal muscle. This layer is termed the muscular rose X. Turn up and generally consists of an inner circular and an outer longitudinal layer. There is a group of nerve cells and fibers located within the muscular sex terna termed the our box plexus. Both the meisters and our box plexus is formed the intrinsic nerve supply of the intestinal wall immediately outside of the must get rs external. We see a layer of connective tissue with a covering mesophyll idea layer. This is termed the cirrhosis. On the left side. We see mucosal glands and projections of the lamb inappropriate characteristic of the small intestine. These projections are termed Valli. In addition, we see sub mucosal folds, term clicky circular areas. We also see large ducks penetrating the wall like those coming from the pancreas. Then after their secretions into the gi tract, we also see sub mucosal glands characteristic of the duodenum. The right side represents a section of the colon with the lymphatic tissue, and there are no. They live. Now let's look at a series of slides of the gi tract beginning with the lip. This is the all side, all the lip. We see a thickened non carotene eyes, stratified squamous epithelium. As we move around the edge of the lip, we see the transition at this point to the carotene. Ized, stratified squamous epithelium with numerous hair follicles, and associated sebaceous glands. In this area we see numerous mucous glands, as well as the skeletal muscle fibers present within the obituaries Oris muscle. As we can see in this area here. Well, next demonstrate three types of pili with three different slides of the tongue. The first slide shows the fill, a form capelli. On the surface we see the carrot, ionized, stratified squamous epithelium with an underlying lamb inappropriate. We see that the lamb inappropriate is thrown into basil folds to reflect it as surface projections. These folds are called happily. There are elevations are both connective tissue and the epithelium. There may be smaller projections, connective tissue in the epithelium, resulting in secondary, properly on the surface of the epithelium. We could see threadlike projections of the stratified squamous epithelium, which contains a small core of connective tissue. These projections are termed the fill a form happily the years. Capelli do not contain taste buds. We can also now see skeletal muscle fibers arranged in a very characteristic criss cross pattern within the substance of the tongue. On the next slide we see foliate papillae. They are more common in certain rodents than man, but do resemble the fungi form Papillion, man. The foliate capelli, our dome shaped and are more dome shaped than the fill, a form papillae, note that the secondary projections of connective tissue are not reflected by the covering epithelium. Therefore, the vascular supply is brought in very close contact to the outside surface. This creates a pinkish appearance in the living state. In the substance of the tongue, we see that there are large groups of syria's glands, which are termed the glands of von Ebner. On the lateral border of the people, we see the lighter stained areas which are the taste buds. Mhm. Now in this field we see first the opening all of the taste buds, which is called the taste poor. We see that there are two general cell types within the taste buds. First there would be the supporting sustain tacular cells which contain lightly stained nuclei and are arranged like staves of a barrel, around the taste poor between the substance of the cells. Our darker stained neural epithelial cells. On the next slide we'll examine the validate happily. On our low power objective, we see that the valid happily tends to be recessed below the surface of the town, therefore they frequently appear to be isolated. It is important to remember that they do open to the surface of the tongue. Note the general characteristics of the tongue with the covering epithelium, the underlying connective tissue, skeletal muscle and the serious glands notice on the lateral surface of the validate. Hopefully the taste buds as we continue down the gi tract, we will next Examine The Upper 1/3 of the Esophagus. This is a macroscopic cross sectional view of the esophagus. If we began on the Luminal side, we can see first the epithelium, the underlying lamb inappropriate, The sub mucosa and the outer more darkly sustained muscular areas. External. We're on our low power objective. On the microscope. Beginning on the Luminal side, we see the covering non carotene. Ized stratified squamous epithelium. Next we see the connective tissue layer, the lamb inappropriate, followed by a smooth muscle layer termed the muscular as mucosa. Outside of the muscular S. Mucosa, we see the sub mucosa, another connective tissue layer containing blood vessels. Yeah, and connective tissue fibers. As we move to the muscularity external, we see that the muscle and skeletal muscle with the characteristic peripheral nuclei the presence of skeletal muscle and the muscular sex turner is evidence that this is the upper 1/3 of the Esophagus. Next we will examine the lower 1/3 of the esophagus. As we began on the Luminal side, we see again a non carotene. Ized stratified squamous epithelium with its underlying lamb inappropriate. We see below that the muscular areas, mucosa and a very thin underlying sub mucosal connective tissue layer. As we move to the muscular is external, we see that it consists of an inner circular layer and an outer longitudinal layer of smooth muscle. On high power. We can now see a junction all area between the inner circular seen in cross section and the outer longitudinal layers of smooth muscle fibers During contrast to the skeletal muscle fibers of the Upper 1/3 of the Esophagus. To distinguish between the upper third, one third and the lower third of the esophagus. One must examine the type of muscle present within the muscular as external. There is skeletal muscle present in the upper part, A blending of the two types in the middle 3rd and a predominance of smooth muscle in the lower part. As we continue, we will examine the junction all area between the esophagus and the stomach. On our low power objective we can see the abrupt transition between the esophagus and the stomach. We can see the stratified squamous epithelium, non character knives to the esophagus and in this area the simple kilometer epithelial lining of the cardiac portion of the stomach. Note the presence of glands within the lamb inappropriate of the stomach. These may be either simple or compound tubular types of lands and generally function to secrete mucus. They have little impact on the total function of the stomach. The following slide is from the funders of the stomach. This is a microscopic view We see first what appears to be a very thick epithelium. In fact this area consists of glandular in folding from the surface. We can also see large sub mucosal folds which in the stomach are termed Rudy. To the outside we can see the muscular us external. And before proceeding to the microscopic study of this slide we will examine a diagram are the characteristic gastric glands. This diagram shows the gastric gland which is divided into four basic parts. Beginning on the surface we see the covering service epithelial cells and the imaginations of the apathy ideal surface which is termed the pit. Second we see an area it contains the isthmus. It has pink staining parietal cells and the surface epithelial cells. Below this we see the neck of the gland, which again contains the ready stained parietal cells and the mucus. Next cells in the deepest portion of the gland we see the base of the gland containing again parietal cells and the base of filic zima genic cells. We are now on the low power objectives with the funding of the stomach. Take special note of the very thick mucosa which contains numerous glands changing to her high power. On the surface we see the surface epithelial cells and the pit. Below this we see several piggy stain cells term the parietal cells that will in combination with the surface epithelial cells comprise the isthmus. Below this we begin to pick up the parietal cells and more darkly stained cells which are termed the mucus Next cells This area would be the neck of the gland. In the deeper areas we see basa filic cells two term the zimet and cells with occasional parietal cells immediately below the glands. We see a very thin muscular mucosa and then the underlying seven mucosa note in this area, the presence of fibers of my sinners plexus. To the outside, we can now begin to see beginning of the muscular sx turn up containing smooth muscle and in this case showing the characteristic inner circular and to the outside the outer longitudinal layers. In some places within the stomach, you may see an additional circular layer. Okay, note in this area the presence of fibers of the our box plexus. We will continue our examination of the gi tract with the polaris of the stomach On our 10 x. objective. Take note of the very deep and elongate pits within the polaris. The pets are lined by surface epithelial cells. Note that these extend down at least halfway through the mucosal layer. In the basal area, the glands become coiled and contain mucus producing cells. Below this we see the musket, irish mucosa and the underlying sub mucosa. The muscular s, external is cut in an oblique section, but in this area one can see nerve fibers and cells of the our box plexus, again noting the nerve fibers and the bluish staining ganglion cells. Mhm. Now in review there are two general features which serve to distinguish the polaris from the funders portion of the stomach, first very deep pit in the polaris compares with a very shallow pit in the fungus. Secondly, the homogeneous cell types present within the polaris contrast with the heterogeneous cells lining the funding glands. The next slide will show the first portion of the small intestine called the duodenum. We're looking at a macroscopic view and beginning on the Luminal side, one can see first the presence of Valli or folds of the lamb inappropriate. These light stained patches within the sub mucosa, our glands and to the outside we see a thick, muscular as external. On our scan objective, we can see the characteristic Valli or folds of lamb inappropriate. With some of the valley cut in cross section. Note the presence of the mucosal glands and a rather conspicuous mucosa In the 70 Koza, no the presence of the light staining mucous producing glands, which are termed Brunner's glands. Again in the muscular wrist X. Turn up, we can see the inner circular and the outer longitude and the layers. Note the presence of several lymphatic Nigel's which can be present either in the mucosa or the sub mucosa. The amount of lymphatic tissue present within the connective tissue tends to increase as one moves down the gi tract. Changing to our 10 X. Objective note that as the Valli project above the surface there are small glandular imaginations which project into the lamb inappropriate. And these mucosal glands are termed the crips of liberty. Changing now to our high power objective. As we began to examine the surface epithelium, we see the presence of first goblet cells and these are not present in the stomach and are unique to the small and large intestine. Note the presence of the brush border on the service of the epithelial cells, the lamb inappropriate within the Valli contained in this case several plasma cells and other lymphoid cells within the core. one can see very small emphatic channels which are termed lacked eels. To review this section can be identified as small intestine because of the presence of Valli and goblet cells. To distinguish the duodenum from the other portions of the small intestine. You must identify the sub mucosal Brunner's glands which are not present in any other part of the gi tract. Let's now examine the next section of the small intestine, the Juno, this is on low power with an asian e stain. We again see both Valli and the presence of individual goblet cells to all characteristic of the small intestine, changing to our high power as we move deeper into the glandular portion of the crips of labor coun we see at the extreme basil portion of the land, the presence of reddish cells. These cells are termed pan. It sells the cells such as the Ar Gentlemen cells are also present but will not show with a standard Hema toxin and es and stain. Now in review we see the Valli. It's a characteristic of the small intestine. We do not see sub mucosal Brunner's glands. This fact will serve to distinguish the june um from the duodenum. Although the number and the shape of the village, I will change gradually from the jejune um to the ilium. You will not be required to distinguish between the june um and the ilium. We will now examine the structure of the colon or large intestine. On the microscopic view, we see the epithelial surface and the dark stained area which contains the sub mucosa and the muscular as external. Notice that the colon does not contain ville I as the small intestine does but does contain sub mucosal folds. On high power. We see first the surface epithelial cells and begin to then pick up presence of goblet cells. These are indicated here this combination of godless cells but novell I tells you it is the colon. Below this we see the muscular as mucosa and a relatively thin sub mucosa. Yes, you may see frequently within the mucosa and the sub mucosa, lymphatic modules. Externally we see the muscular is external with a characteristic inner circular and outer longitudinal arrangement. Note the presence of both cells and fibers of our box plexus. Changing back to our scan objective note that the outer circular muscle is thickened into bands that are known as Tenia coli. Will now examine a cross section of the appendix beginning on the Luminal side. Yeah, we see first goblet cells and no Valli. This finding is compatible with the distinguishing characteristics in the colon. Within the lamb inappropriate. We see a very heavy invasion of lymphocytic cells and a conspicuous muscular as mucosa. Okay, and the sub mucosa we again see several modular masses of lymphatic tissue. And on the outside we see a rather than muscular eras external. Again, we have an inner circular and an outer longitudinal arrangement of smooth muscle cells. So in review the appendix has the structure of the colon, but it's always heavily infiltrated with lymphoid cells. Therefore, the appendix can be considered as a council. This mask within the lumen is partially digested material. On the last slide we'll examine the rectal anal canal. Yeah, in the rectum we continue to have the glands, our cribs, nobody broken with no Valli and a large number from God, but cells, this finding is consistent with the morphology of the colon. However, there are no 10ia coli in the rectum due to the oblique section of this slide, the outer longitudinal and the inner circular layers of the muscular s. External do not show. As we move toward the anal canal. We see that in the anal canal there is a transition from a simple kilometer epithelium to a non carotene. Ized, stratified squamous epithelium. There is not a sharply defined muscular as mucosa, and therefore the separation between the mucosa and the sub mucosa is not clear due to the heavy concentration of the lymphatic tissue within the mucosal and sub mucosal areas. These features will help to differentiate this part of the anal canal from the esophagus. Now, as we move down the anal canal, there will be a transition from the non character in Ized stratified squamous epithelium to the carotene. Ized empathy Veum as seen in these areas, and this will become continuous then with the skin thin skin. At this point this area contains para follicles and sebaceous glands, all of which are consistent with the structure of thin skin. This completes the tape on the GI tract.