General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
2d. Other folds, only formed by the mucous surface, exist also always
in a state of vacuity or fulness, less evident however than this; they
are owing to the circumstance that the mucous surface is much more
extensive than those upon which it is applied, so that it is folded
that it may not run a longer course; such are the valvulæ conniventes
of the small intestines, the structure of which we see very well
by cutting longitudinally one of these intestines. The edge of the
section exhibits the fleshy layer and the serous surface in a straight
direction, whilst the mucous layer describes a line resembling a loose
thread.
3d. The last species of folds is as it were accidental, and is only
observed during the contraction of the organ which is lined by the
mucous surface that is the seat of it; such are those of the interior
of the stomach, the great intestines, &c. In the greatest number of
subjects brought to the dissecting rooms, these folds of which so
much has been said as it respects the stomach, cannot be perceived in
it, because the subject has died after a disease that has so altered
the vital forces, as to prevent all action of this viscus; so that
though it is frequently found empty, its fibres are not contracted.
In experiments upon living animals, on the contrary, these folds
become very evident, and may be demonstrated in this way; make a dog
eat or drink copiously, open him an instant after and cut the stomach
in the length of its great curvature; no fold is then apparent; but
soon the viscus contracts, its edges are turned over and the aliments
escape; the whole mucous surface is covered with an infinite number
of very prominent ridges, which have as it were the form of cerebral
circumvolutions. We obtain the same result by taking out the stomach
of an animal recently killed, distending it with air and opening it
afterwards, or by cutting it immediately in its state of vacuity and
drawing it in opposite directions by its edges; it stretches, its
ridges disappear, and if we cease to distend it, they form again
immediately in an evident manner. I would observe on the subject of the
inflation of the stomach, that by distending it with oxygen, we do not
produce by the contact of this gas, greater ridges and consequently
a stronger contraction, than by using for the same purpose carbonic
acid gas. This experiment furnishes a result very similar to what I
have observed in rendering animals emphysematous by different aeriform
fluids. It follows from all that we have said upon the folds of the
mucous membranes, that in the ordinary contraction of the hollow organs
which these membranes line they undergo but a very slight diminution
of surface, that they contract scarcely at all, but fold within, so
that by dissecting them on an organ in contraction we should have a
surface almost equal in extent to that which they exhibit during its
dilatation. This assertion, which is true as it respects the stomach,
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