{"id":284,"date":"2017-10-23T19:59:39","date_gmt":"2017-10-23T19:59:39","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunynutrition\/?post_type=chapter&#038;p=284"},"modified":"2017-11-10T18:38:33","modified_gmt":"2017-11-10T18:38:33","slug":"3-4-small-intestine","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/chapter\/3-4-small-intestine\/","title":{"raw":"3.4 Small Intestine","rendered":"3.4 Small Intestine"},"content":{"raw":"<div class=\"__UNKNOWN__\">\r\n\r\nThe small intestine is the primary site of digestion. It is divided into three sections: the duodenum, jejunum, and ileum (shown below). After leaving the stomach, the first part of the small intestine that chyme will encounter is the duodenum.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"640\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195555\/1000000000000280000001DA97C74E8E.png\" alt=\"\" width=\"640\" height=\"474\" \/> Figure 3.41 Three sections of the small intestine<sup>1<\/sup>[\/caption]\r\n\r\n<\/div>\r\nThe small intestine consists of many layers, which can be seen in the cross section below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"588\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195558\/100000000000024C0000020AF3384309.png\" alt=\"\" width=\"588\" height=\"522\" \/> Figure 3.42 Cross section of the small intestine<sup>2<\/sup>[\/caption]\r\n\r\n<\/div>\r\nExamining these layers closer, we are going to focus on the epithelium, which comes into contact with the chyme and is responsible for absorption. The lumen is the name of the cavity that is considered \u201coutside the body\u201d that chyme moves through.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"1221\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195601\/10000000000007CF0000068C3409778E.jpg\" alt=\"\" width=\"1221\" height=\"1024\" \/> Figure 3.43 Cross section of small intestine with the structures labeled<sup>2<\/sup>[\/caption]\r\n\r\n<\/div>\r\nThe organization of the small intestine is in such a way that it contains circular folds and finger-like projections known as villi. The folds and villi are shown in the next few figures.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"839\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195604\/10000000000003470000017242DC917E.png\" alt=\"\" width=\"839\" height=\"370\" \/> Figure 3.44 Folds in the small intestine<sup>2<\/sup>[\/caption]\r\n\r\n<\/div>\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"328\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195607\/1000000000000148000000B414154754.jpg\" alt=\"\" width=\"328\" height=\"180\" \/> Figure 3.45 Villi in the small intestine<sup>3<\/sup>[\/caption]\r\n\r\n<\/div>\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"1000\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195609\/10000000000003E800000220E9050C68.png\" alt=\"\" width=\"1000\" height=\"544\" \/> Figure 3.46 Villi line the surface of the small intestine<sup>2,4<\/sup>[\/caption]\r\n\r\n<\/div>\r\nIf we were to zoom in even closer, we would be able to see that enterocytes (small intestine absorptive cells) line villi as shown below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"724\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195612\/10000000000002D40000023A4F7696A6.png\" alt=\"\" width=\"724\" height=\"570\" \/> Figure 3.47 Enterocytes line villi<sup>4<\/sup>[\/caption]\r\n\r\n<\/div>\r\nThe side, or membrane, of the enterocyte that faces the lumen is not smooth either. It is lined with microvilli, and is known as the brush border (aka apical) membrane, as shown below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"831\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195614\/100000000000033F0000027B2883D8CF.png\" alt=\"\" width=\"831\" height=\"635\" \/> Figure 3.48 Enterocyte, or small intestinal absorptive cell is lined with microvilli. This lined surface is referred to as the brush border membrane.[\/caption]\r\n\r\n<\/div>\r\nTogether these features (folds + villi + microvilli) increase the surface area ~600 times versus if it was a smooth tube<sup>5<\/sup>. More surface area leads to more contact with the enterocytes and thus, increased absorption.\r\n\r\nGoing even closer, we discover that the surface of the microvilli is covered by the hair-like glycocalyx, which is glycoproteins and carbohydrates as shown below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"900\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195616\/1000000000000384000001C108D9E97A.png\" alt=\"\" width=\"900\" height=\"449\" \/> Figure 3.49 Glycocalyx lines the microvilli[\/caption]\r\n\r\n<\/div>\r\nNow that you have learned about the anatomy of the small intestine, the following subsections go through the different digestive processes that occur there.\r\n\r\nSubsections:\r\n\r\n<a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-41-digestive-hormones-accessory-organs-secretions\/\">3.41 Digestive Hormones, Accessory Organs, &amp; Secretions<\/a>\r\n\r\n<a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-42-carbohydrate-digestion-in-the-small-intestine\/\">3.42 Carbohydrate Digestion in the Small Intestine<\/a>\r\n\r\n<a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-43-protein-digestion-in-the-small-intestine\/\">3.43 Protein Digestion in the Small Intestine<\/a>\r\n\r\n<a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-44-lipid-digestion-in-the-small-intestine\/\">3.44 Lipid Digestion in the Small Intestine<\/a>\r\n\r\n<b>References &amp; Links<\/b>\r\n\r\n1. http:\/\/commons.wikimedia.org\/wiki\/Image:Illu_small_intestine_catal%C3%A0.png\r\n\r\n2. Author unknown, NCI, http:\/\/visualsonline.cancer.gov\/details.cfm?imageid=1781\r\n\r\n3. http:\/\/digestive.niddk.nih.gov\/ddiseases\/pubs\/celiac\/\r\n\r\n4. http:\/\/commons.wikimedia.org\/wiki\/Image:Gray1061.png\r\n\r\n5.\u00a0 Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw's perspectives in nutrition. New York, NY: McGraw-Hill.\r\n\r\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<p>The small intestine is the primary site of digestion. It is divided into three sections: the duodenum, jejunum, and ileum (shown below). After leaving the stomach, the first part of the small intestine that chyme will encounter is the duodenum.<\/p>\n<div>\n<div style=\"width: 650px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195555\/1000000000000280000001DA97C74E8E.png\" alt=\"\" width=\"640\" height=\"474\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.41 Three sections of the small intestine<sup>1<\/sup><\/p>\n<\/div>\n<\/div>\n<p>The small intestine consists of many layers, which can be seen in the cross section below.<\/p>\n<div>\n<div style=\"width: 598px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195558\/100000000000024C0000020AF3384309.png\" alt=\"\" width=\"588\" height=\"522\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.42 Cross section of the small intestine<sup>2<\/sup><\/p>\n<\/div>\n<\/div>\n<p>Examining these layers closer, we are going to focus on the epithelium, which comes into contact with the chyme and is responsible for absorption. The lumen is the name of the cavity that is considered \u201coutside the body\u201d that chyme moves through.<\/p>\n<div>\n<div style=\"width: 1231px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195601\/10000000000007CF0000068C3409778E.jpg\" alt=\"\" width=\"1221\" height=\"1024\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.43 Cross section of small intestine with the structures labeled<sup>2<\/sup><\/p>\n<\/div>\n<\/div>\n<p>The organization of the small intestine is in such a way that it contains circular folds and finger-like projections known as villi. The folds and villi are shown in the next few figures.<\/p>\n<div>\n<div style=\"width: 849px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195604\/10000000000003470000017242DC917E.png\" alt=\"\" width=\"839\" height=\"370\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.44 Folds in the small intestine<sup>2<\/sup><\/p>\n<\/div>\n<\/div>\n<div>\n<div style=\"width: 338px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195607\/1000000000000148000000B414154754.jpg\" alt=\"\" width=\"328\" height=\"180\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.45 Villi in the small intestine<sup>3<\/sup><\/p>\n<\/div>\n<\/div>\n<div>\n<div style=\"width: 1010px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195609\/10000000000003E800000220E9050C68.png\" alt=\"\" width=\"1000\" height=\"544\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.46 Villi line the surface of the small intestine<sup>2,4<\/sup><\/p>\n<\/div>\n<\/div>\n<p>If we were to zoom in even closer, we would be able to see that enterocytes (small intestine absorptive cells) line villi as shown below.<\/p>\n<div>\n<div style=\"width: 734px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195612\/10000000000002D40000023A4F7696A6.png\" alt=\"\" width=\"724\" height=\"570\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.47 Enterocytes line villi<sup>4<\/sup><\/p>\n<\/div>\n<\/div>\n<p>The side, or membrane, of the enterocyte that faces the lumen is not smooth either. It is lined with microvilli, and is known as the brush border (aka apical) membrane, as shown below.<\/p>\n<div>\n<div style=\"width: 841px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195614\/100000000000033F0000027B2883D8CF.png\" alt=\"\" width=\"831\" height=\"635\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.48 Enterocyte, or small intestinal absorptive cell is lined with microvilli. This lined surface is referred to as the brush border membrane.<\/p>\n<\/div>\n<\/div>\n<p>Together these features (folds + villi + microvilli) increase the surface area ~600 times versus if it was a smooth tube<sup>5<\/sup>. More surface area leads to more contact with the enterocytes and thus, increased absorption.<\/p>\n<p>Going even closer, we discover that the surface of the microvilli is covered by the hair-like glycocalyx, which is glycoproteins and carbohydrates as shown below.<\/p>\n<div>\n<div style=\"width: 910px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/23195616\/1000000000000384000001C108D9E97A.png\" alt=\"\" width=\"900\" height=\"449\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 3.49 Glycocalyx lines the microvilli<\/p>\n<\/div>\n<\/div>\n<p>Now that you have learned about the anatomy of the small intestine, the following subsections go through the different digestive processes that occur there.<\/p>\n<p>Subsections:<\/p>\n<p><a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-41-digestive-hormones-accessory-organs-secretions\/\">3.41 Digestive Hormones, Accessory Organs, &amp; Secretions<\/a><\/p>\n<p><a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-42-carbohydrate-digestion-in-the-small-intestine\/\">3.42 Carbohydrate Digestion in the Small Intestine<\/a><\/p>\n<p><a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-43-protein-digestion-in-the-small-intestine\/\">3.43 Protein Digestion in the Small Intestine<\/a><\/p>\n<p><a href=\"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/3-44-lipid-digestion-in-the-small-intestine\/\">3.44 Lipid Digestion in the Small Intestine<\/a><\/p>\n<p><b>References &amp; Links<\/b><\/p>\n<p>1. http:\/\/commons.wikimedia.org\/wiki\/Image:Illu_small_intestine_catal%C3%A0.png<\/p>\n<p>2. Author unknown, NCI, http:\/\/visualsonline.cancer.gov\/details.cfm?imageid=1781<\/p>\n<p>3. http:\/\/digestive.niddk.nih.gov\/ddiseases\/pubs\/celiac\/<\/p>\n<p>4. http:\/\/commons.wikimedia.org\/wiki\/Image:Gray1061.png<\/p>\n<p>5.\u00a0 Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw&#8217;s perspectives in nutrition. New York, NY: McGraw-Hill.<\/p>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-284\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Kansas State University Human Nutrition Flexbook. <strong>Authored by<\/strong>: Brian Lindshield. <strong>Provided by<\/strong>: Kansas State University. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"http:\/\/goo.gl\/vOAnR\">http:\/\/goo.gl\/vOAnR<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":311,"menu_order":5,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Kansas State University Human Nutrition Flexbook\",\"author\":\"Brian Lindshield\",\"organization\":\"Kansas State University\",\"url\":\"goo.gl\/vOAnR\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-284","chapter","type-chapter","status-publish","hentry"],"part":265,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/pressbooks\/v2\/chapters\/284","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/wp\/v2\/users\/311"}],"version-history":[{"count":6,"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/pressbooks\/v2\/chapters\/284\/revisions"}],"predecessor-version":[{"id":1685,"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/pressbooks\/v2\/chapters\/284\/revisions\/1685"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/pressbooks\/v2\/parts\/265"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/pressbooks\/v2\/chapters\/284\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/wp\/v2\/media?parent=284"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/pressbooks\/v2\/chapter-type?post=284"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/wp\/v2\/contributor?post=284"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-herkimer-nutritionflex\/wp-json\/wp\/v2\/license?post=284"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}