The small intestine is a vital organ in the digestive system, a long, coiled tube approximately 20 feet long, where the final stages of digestion and the vast majority of nutrient absorption take place. Its unique structure, featuring circular folds, villi, and microvilli, increases the surface area for absorption significantly, creating an extensive "brush border". Here, digested food, or chyme, is efficiently absorbed into the bloodstream or lymphatic system.
Macronutrient Absorption
Macronutrients—carbohydrates, proteins, and fats—are broken down into simpler forms for absorption.
- Carbohydrates: Absorbed as simple sugars (monosaccharides) like glucose, fructose, and galactose. Glucose and galactose use active transport, often with sodium, while fructose uses facilitated diffusion, before entering the bloodstream.
- Proteins: Broken down into amino acids, dipeptides, and tripeptides, absorbed via active transport into blood capillaries.
- Fats (Lipids): Emulsified by bile salts, then broken into fatty acids and monoglycerides. These form micelles, diffuse into cells, reassemble into triglycerides, and are packaged into chylomicrons for absorption into the lymphatic system's lacteals.
Micronutrient and Water Absorption
Essential vitamins, minerals, and water are also absorbed.
- Vitamins: Water-soluble vitamins are absorbed actively. Fat-soluble vitamins are absorbed with fats in micelles and chylomicrons. Vitamin B12 requires intrinsic factor and is absorbed in the ileum.
- Minerals: Absorbed through various processes. Iron and calcium are primarily absorbed in the duodenum, with calcium absorption regulated by Vitamin D. Other minerals like magnesium, potassium, and zinc are absorbed throughout.
- Water: Approximately 7 to 8 liters are absorbed daily via osmosis.
Section-Specific Absorption
Absorption is specialized along the small intestine's length:
| Section | Primary Absorption Functions |
|---|---|
| Duodenum | Iron, calcium, magnesium, water-soluble vitamins, some fats and carbohydrates |
| Jejunum | Most carbohydrates, amino acids, fatty acids, fat-soluble vitamins (A, D, E, K), and water |
| Ileum | Vitamin B12, bile salts, and any remaining nutrients not absorbed earlier |
The Role of Villi and Microvilli
The inner wall of the small intestine is covered with villi and microvilli, dramatically increasing the surface area for efficient nutrient transfer. Villi contain capillaries and lacteals. Water-soluble nutrients enter the capillaries and go to the liver, while fats and fat-soluble vitamins enter the lacteals and the lymphatic system.
Conclusion
The small intestine efficiently absorbs macronutrients, micronutrients, and water, crucial for health. Its structure, with villi and microvilli, maximizes this process. Understanding what nutrients the small intestine absorbs is vital, as malfunctions can lead to deficiencies. For further information, the NCBI offers an authoritative resource on the small intestine's anatomy and physiology: NCBI - Anatomy, Abdomen and Pelvis, Small Intestine.
Lists of Absorbed Nutrients
Macronutrients
- Carbohydrates: Absorbed as simple sugars like glucose, fructose, and galactose.
- Proteins: Absorbed as amino acids, dipeptides, and tripeptides.
- Fats: Absorbed as fatty acids and monoglycerides.
Micronutrients
- Vitamins: Includes water-soluble (B vitamins, C) and fat-soluble (A, D, E, K) vitamins.
- Minerals: Includes iron, calcium, magnesium, zinc, and potassium.
Other
- Water: Large amounts absorbed through osmosis.
- Bile Salts: Recycled and reabsorbed in the terminal ileum.
Key Factors Influencing Absorption
- Transit Time: Affects the duration of nutrient contact for absorption.
- Surface Area: Villi and microvilli increase surface area for efficiency.
- Enzymes and Bile: Essential for breaking down nutrients.
- Transport Mechanisms: Various methods move nutrients across the intestinal wall.
How Absorption Pathways Differ
- Bloodstream: Water-soluble nutrients go to the liver via capillaries.
- Lymphatic System: Fats and fat-soluble vitamins enter via lacteals.
Regional Specialization
- Duodenum: Key for iron and calcium.
- Jejunum: Absorbs most macronutrients.
- Ileum: Absorbs Vitamin B12 and recycles bile salts.