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
An important question presents itself in the history of the vascular
system of the mucous membranes, viz. whether this system admits more
or less blood according to different circumstances. As the organs
within which these membranes are spread, are almost all susceptible of
contraction and dilatation, as we see in the stomach, the intestines,
the bladder, &c. it has been thought that during the dilatation, the
vessels being more expanded, receive more blood, and that during the
contraction on the contrary, being folded up, as it were choaked,
they admit but a small quantity of this fluid which then flows into
the neighbouring organs. Chaussier has made an application of these
principles to the stomach, whose circulation he has considered as being
alternately inverse of that of the omentum, which receives during the
vacuity of this organ, the blood which this when it is contracted
cannot admit. An analogous use has also been attributed to the spleen
since the time of Lieutaud. The following is what the inspection of
animals opened during abstinence and at different periods of digestion,
has shown me upon this point.
1st. During the fulness of the stomach the vessels are more apparent on
the exterior of this viscus, than when it is empty. Within, the mucous
surface is not more red, sometimes it has appeared to me to be less
so. 2d. The omentum, less extended during the fulness of the stomach,
exhibits nearly the same number of vessels, as long, but more tortuous,
than when it is empty. If they contain less blood, the difference is
hardly sensible. I would observe, that in order to distinguish this
well, it is necessary to take care that in opening the animal, the
blood does not fall on the omentum which presents itself, and thus
prevent its state from being ascertained. This is besides a necessary
consequence of the arrangement of the vascular system of the stomach.
In fact the great stomachic coronary being situated transversely
between it and the omentum, and furnishing branches to each, it is
evident that when the stomach is lodged between the layers of the
omentum by separating these layers, and this by applying itself upon
it becomes shorter; it is evident, I say, that the branches which it
receives from the coronary cannot be equally applied to it also. In
order to do this, it would be necessary that they should go from one
to the other without the intermediate trunk that cuts them at right
angles; then, in distending, the stomach would separate them as it
does the omentum, and would be lodged between them; whereas it pushes
them before it with their common trunk, the stomachic coronary, and
makes them fold. 3d. I am confident that there is no such constant
relation between the size of the spleen and the emptiness or fulness
of the stomach, and that these two circumstances coincide necessarily,
and that if the first organ increases or diminishes under different
circumstances, it is not always precisely the reverse of the stomach.
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