Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
After the salivary glands the most important structure for the
digestion of starches in the animal economy is the pancreas. It was
early evident, however, that the pancreatic secretion effected more
than the conversion merely of starch into sugar. Its most important
rôle, that of influencing the digestion and absorption of fats, was
only recognized as the result of a classical observation of Bernard's
upon the rabbit. He noticed that fat introduced into the digestive
tract of a rabbit undergoes no change until it has advanced a
considerable distance beyond the stomach. When fat is introduced into
the dog's digestive apparatus a marked change {278} begins in it
almost as soon as it leaves the stomach. At first this seemed very
mysterious. Observations were made over and over again, always with
the same result. There was evidently some important distinction
between the intestines of the two animals. Careful investigation
showed that the difference between the behavior of the fat in the
rabbit and the dog was due to the presence or absence of the
pancreatic fluid from the intestinal contents. In the dog the
pancreatic duct which carries the secretion of the gland to the
intestine empties into the intestine just beyond the stomach. In the
rabbit the duct and its secretion empty into the intestine only some
eight to ten inches below the intestinal orifice of the stomach. It is
just beyond where the pancreatic duct reaches the intestine in both
animals that the digestion of fat begins. This observation solved the
seeming mystery of fat digestion, and at the same time made clear the
importance of the pancreatic secretion in the general work of
digestion.
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