Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas — John Shaqi
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
Further, these last-named observers found that, while the chyle in the
thoracic duct of a healthy dog contains 32 parts of fat per thousand,
that in the thoracic duct of a dog with a ligatured gall-duct, contains
only 2 parts per thousand. These facts clearly prove that bile plays an
important part in the absorption of the fatty portion of our food. Next
comes the question, "In what manner does bile aid in the absorption of
fatty matter?" {17} As is well known, fats or oils have no tendency to
mix with water, and hence diosmose between an aqueous and an oily fluid
is next to impossible. Matteucci has, however, shown that if an animal
membrane be moistened on both sides with a weak solution of potash, it
allows oil to pass through it. It has also been observed, that when the
intestine is moistened with bile, it allows oil to pass through, which
would not otherwise be the case. To illustrate this property of bile, I
performed the following experiments:--
Firstly,--A clean piece of duodenum was filled with oil, ligatured at
both ends, and suspended in water, holding in solution a small quantity
of albumen. (The albumen was added to the water merely to imitate
slightly the albuminous blood.) On examination, twenty-four hours
later, no oil was found to have escaped through the intestinal walls.
Secondly,--A second portion of intestine had its internal surface
moistened with sheep's bile before the introduction of the oil. It was
then treated in the same manner as the preceding, and on being examined
after the lapse of twenty-four hours, a small quantity of the oil was
found to have penetrated through the intestine.
Thirdly,--Into a third portion of intestine was poured equal parts of
sheep's bile, and chyme obtained from a dog in full digestion, through
a {18} fistulous opening into its stomach. After being treated for the
same length of time, and in precisely the same manner as the others,
evident signs of the oily matters of the chyme having passed through
the walls of the intestine were obtained, for they were seen as a scum
floating on the surface of the albuminous water. Moreover, the fatty
matters were not in the form of pure oil, but of a soapy substance.
The bile is thus seen to possess one of the more remarkable properties
of the pancreatic juice. There is this important difference between the
action of these two secretions on fats, however, that while bile merely
emulsions and saponifies that portion of our food which enters the
duodenum in the form of fatty acids, pancreatic juice, on the other
hand, possesses the power, not only of emulsioning and saponifying the
fatty acids, but also the neutral fats; indeed, its power seems chiefly
to be exerted upon the latter. Hence it appears that both secretions
are in a measure necessary to the complete digestion and absorption of
the oleaginous constituents of our food.
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