Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Gastric Digestion.~--The conditions existing in this region of the
gastric organ of digestion are particularly favorable to the
continuance of salivary digestion on account of the neutral character
of the juices secreted by the cells there, and because there is so
little movement taking place. The cells in the middle region,
however, secrete a fluid rich in acid, and as the food mass is
gradually pushed forward by the contraction of the stomach walls into
this portion of the stomach, further conversion of starch and dextrin
to maltose is checked. Gastric juice is secreted by cells situated in
all parts of the stomach. The character of the secretions differs in
different parts of the organ. However, that in the fundus is neutral
in character or even slightly alkaline, according to Howell, while
that in the middle region is highly acid. The pyloric end of the
stomach exhibits strong peptonizing powers and much of the hydrolysis
of protein takes place here. As the food is pushed out of the fundus
it is caught by the waves of peristaltic action and swept toward the
pylorus. This movement of the food mass to and from the pylorus under
the influence of the muscular constriction in the stomach tends to mix
it thoroughly with the juices in all parts of the stomach, and in a
measure to liquefy it to the "souplike" mixture known as chyme.
~Rate of Carbohydrates, Proteins, and Fats.~--Carbohydrates, for
example, do not require any acid for their digestion, hence all of the
acid with which they come in contact can go toward acidifying them,
while the proteins require hydrochloric acid before the enzymes can
begin to exert their activities. Consequently they leave the stomach
much more slowly than the carbohydrates. The fats leave more slowly
than any of the other food combinations. If carbohydrates and proteins
are taken together they leave the stomach more slowly than if the
carbohydrates were fed alone, but more quickly than they would if the
meal consisted of protein alone. When the meal consists of fats and
proteins, the stomach is emptied more slowly than is the case when
either is fed alone.
~Intestinal Digestion.~--Digestion proceeds in an orderly manner
throughout the intestinal canal. The pancreatic juice, bile, and
intestinal juice are poured upon the food mass on its entrance into
the duodenum. The enzymes work simultaneously. _Trypsin_ in the
pancreatic juice takes up the hydrolysis of the proteoses and peptones
and those proteins which have escaped gastric digestion. The
_amylopsin_ likewise in the pancreatic secretion acts upon the starch
and dextrin, changing them to maltose. The lipases split the fats to
fatty acids and glycerol.
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