Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
The activity of the gastric juice on lead is directly caused by the
quantity of organic acids present in addition to the hydrochloric acid,
and by the presence of foodstuffs--(1) in the undigested and (2) in the
semidigested condition. In considering the absorption of lead products
from the gastro-intestinal canal, the normal digestive processes should
not be lost sight of--that is, the sequence of events which occur
during digestion of food. On swallowing food, no definite acidity is
present in the stomach for fifteen to twenty minutes, and even after
that time the hydrochloric acid is only commencing to be secreted. As
digestion proceeds, and the whole mass becomes partially dissolved,
such portions as are in a soluble condition are passed through the
pyloric opening at intervals, and the whole contents of the stomach do
not pass straight through the pyloric opening as through an ordinary
straight drain-pipe. As each mass of food passes onwards through the
pylorus, it comes into contact in the duodenum with pancreatic juice,
and with the bile, these alkaline fluids rapidly change the reaction,
and allow the other ferments, trypsin, etc., to become active. As the
mass proceeds onwards through the intestine, the succus entericus also
exerts its function. Finally the fluid contents of the intestine are
passed onwards through the ileo-cæcal valve. During the passage from
the pylorus to the ileo-cæcal valve, the reaction of the intestinal
contents undergoes variations, from an alkaline in the duodenum
or upper parts of the jejunum, to acid at the ileo-cæcal valve.
Practically no absorption takes place from the stomach itself; a small
quantity of water and such highly volatile fluids as alcohol may be
absorbed, but the main absorption is not commenced until the food
has left the stomach; in fact, the stomach contains no mechanism for
food absorption. The work of absorption of the products of digestion
is carried on actively through the small intestine until finally the
materials have reached the large intestine through the ileo-cæcal
valve; water is then mainly absorbed, and albuminous fluids and
substances in solution to some extent, but the amount of absorption
which takes place is infinitesimal as compared with that of the small
intestine.
These points in the physiology of digestion require to be taken
into account when discussing the absorption of lead salts in the
gastro-intestinal canal.
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