Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
If during the time of contraction, we wished, by mechanical
pressure made on the stomach, to make a part of the aliments which
it contained pass into the œsophagus, it would be necessary, in
order to accomplish it, to employ a very considerable force; and
often even we should not succeed. It seems that pressure increases
the intensity of the contraction, and prolongs its duration. If, on
the contrary, the stomach is pressed during relaxation, it is very
easy to make the substances it contains pass into the cavity of the
œsophagus. If it be a liquid, the slightest pressure, sometimes
even its own weight, or the tendency which the stomach itself has
to contract, will bring about this result. When the stomach is laid
bare and distended above measure, fluid does not usually enter into
the œsophagus, because, as we have said, the distension of the
stomach is a cause which prolongs the contraction of the œsophagus.
The passage of a fluid in the œsophagus is usually followed by its
entrance into the stomach. Sometimes however the fluid is thrown
out. When it goes into the stomach, the œsophagus contracts nearly
the same as in deglutition, sometimes almost immediately after it
has entered it; at other times the œsophagus allows itself to be
considerably distended before it pushes it into the stomach.
It was at the moment of deglutition that Haller observed the
motions of the œsophagus, and the description which he has given
of them is very accurate for the two superior thirds of the canal;
but the action of the inferior third is essentially different;
and this distinction seems to have escaped him. Haller says that
the relaxation of each circular fibre immediately follows the
contraction; and this is true of the portion of the canal situated
in the neck and in the superior part of the thorax; but it is
not accurate for the inferior portion, in which we see that the
contraction of all the circular fibres is continued long after
the entrance of solids or fluids into the stomach. At this moment
the mucous membrane of the cardiac extremity of the œsophagus,
pushed by the contraction of the circular fibres, forms a very
considerable projection into the cavity of the stomach. The
contraction usually coincides with the period of inspiration, when
the stomach is more strongly compressed; the relaxation takes place
most often at the time of expiration. When the aliments have once
entered the stomach, it is this contraction of the inferior part
of the œsophagus which opposes their return. The resistance that
is offered at the other orifice is not of the same species. In
living animals, whether the stomach be empty or full, the pylorus
is uniformly shut by the contraction of its fibrous ring and the
contraction of its circular fibres. There is frequently seen in the
stomach another contraction, at one or two inches distance, which
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