Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
=The Esophagus.=--From the pharynx the food passes to the cardiac
orifice of the stomach, opposite the tenth dorsal vertebra, through
the esophagus, a muscular tube about nine inches long, which collapses
when empty, its lumen then appearing as a transverse slit. It, too,
has three coats: 1. an inner mucous coat; 2. an areolar coat, and 3.
a muscular coat, the muscles being arranged in two sets, an outer
longitudinal layer and an inner circular layer. By a series of rhythmic
contractions, especially of the circular fibers, the food is pushed
along, though sometimes with liquid food there is no peristaltic action
of the esophagus, the pharyngeal muscles alone sending it to the
stomach. At the lower end of the esophagus an especially strong band
of circular muscle fibers form a sort of sphincter, which prevents the
regurgitation of food. The whole act of swallowing is a reflex, not a
voluntary act and is due to irritation set up by the stimulus of the
foreign body, the food. _Stricture of the esophagus_ is common and
may be of three kinds: 1. spasmodic, occurring in nervous women; 2.
fibrous, due to scar tissue, or 3. malignant, due to cancer.
=The Stomach.=--The stomach is a pear-shaped dilatation of the
alimentary canal, lying under the liver and diaphragm in the epigastrium
and left hypochondrium and connecting the esophagus with the small
intestine. It lies largely behind the ribs, but the greater curvature
is only two fingers’ breadth above the umbilicus and can be manipulated
through the skin. The _cardiac end_, into which the esophagus enters,
is the larger and points upward to the left. The lesser and lower end,
known as the _pylorus_, is at the right and its opening into the small
intestine is guarded by the _pyloric sphincter_. The lesser curvature
is concave and on the upper surface; the greater, convex and on the
under surface. The great omentum is attached to the latter.
In _size_ the stomach varies more or less, that of a man generally
being larger than that of a woman, but it is usually about ten inches
long and four or five inches across. It has a capacity of about five
pints and serves as a storehouse for food.
The stomach has four _coats_: 1. a serous coat derived from the
peritoneum; 2. a muscular coat of three layers with longitudinal fibers
continuous with those of the esophagus, circular fibers, and oblique
fibers; 3. an areolar coat, and 4. a mucous coat, which, when the
stomach is empty, is thrown into longitudinal folds or _rugæ_, and
whose surface is covered with glands, the _gastric glands_, for the
secretion of the digestive fluids.
The _arteries_ come from the celiac axis and the _nerves_ from the
pneumogastric and the solar plexus.
Public-domain text, read in full here on John Shaqi.
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