Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Motor Processes in the Stomach.~--There are no peristaltic waves in
the fundus of the stomach, and the movement of the food mass is
accomplished through the stretching and contraction of the muscular
walls of the organ which tends to churn and further mix it with the
salivary juices as it is gently pushed out into the middle region. In
this region the peristaltic waves begin and travel toward the pylorus
and increase in force as digestion progresses, ceasing only with the
emptying of the organ. When the first stratum of food reaches the
middle of the stomach it is caught by these oscillating peristaltic
waves and forced forward through the pyloric region and against the
pylorus, from whence it is returned back through rings of
constriction. This forward and backward movement continues as long as
there is food in the stomach, thus thoroughly mixing the mass with the
gastric juice and allowing the enzymes existing in the juices to have
an opportunity for action (chemical digestion).
~Passage of Food from Stomach.~--The material prepared in the stomach,
known as ~chyme~, is passed into the duodenum through the pylorus. The
opening of this sphincter is controlled, according to Cannon, to a
certain extent by the liquefication of the chyme, but more especially
by the presence of free acid in the stomach side of the pyloric
orifice.
~Behavior of Food in the Intestines.~--The food does not pass at once
along the canal, but waits in the duodenum until several portions have
passed through. As the food mass is made alkaline in the presence of
the intestinal juices, the pyloric valve closes, opening again as the
contents nearest it on the stomach side are acidified.
~Intestinal Movements.~--The peristaltic waves in the small intestines
begin in the upper part and start a course ever downward. These waves
in the intestines are two-fold in character; the quick shallow wave
which forces the food string forward, breaking it up into segments,
and backward joining the segments together again, and the strong deep
wave which carries the entire mass forward after each segmentation.
This method of movement in the small intestines is the best one
possible under the conditions which prevail in this region of the
digestional apparatus, since it not only mixes the food material with
the juices necessary for its digestion, but likewise spreads it out
over a wide space, insuring a greater contact with the absorbing walls
of the small intestines.
~The Effect of Muscular Constrictions.~--The muscular constrictions
occurring in the intestines producing segmentation of the food string
have, according to Sherman, the effect of "(1) further mixing of the
food and digestive juices, (2) bringing the digested food into contact
with the absorbing membrane, (3) emptying the venous and lymphatic
radicles in the membrane, the material which they have absorbed being
forced into the veins and lymph vessels by the compression of the
intestinal walls."[53]
Public-domain text, read in full here on John Shaqi.
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