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 same _coats_ continue in the small intestine as were found in the
stomach, but they are here much thinner and the inner coat is shaggy,
like velvet, with innumerable minute processes called _villi_, which
greatly increase the absorbing surface. In fact, the great length of
the intestine as well as the presence of the villi is aimed to provide
a large surface to absorb the food as it passes, an even greater
increase of surface being provided by the fact that the intestinal wall
is thrown into folds, the _valvulæ conniventes_. Each villus is covered
with a layer of columnar epithelial cells and has within connective
tissue, in which are found a fine capillary network and open lymph
spaces from which leads a single lacteal vessel.
Closely connected with the lymphatic vessels are the _solitary glands_,
small round bodies the size of a small pin’s head. _Peyer’s glands_
or _patches_ are patches of solitary glands opposite the mesenteric
attachment and are largest and most numerous in the ileum. In typhoid
fever they are involved and may become the seat of ulcers. There are
also the _glands of Lieberkühn_ which secrete the succus entericus.
The _arteries_ of the small intestine, which include the superior
mesenteric, are from the celiac axis and the _nerves_ are from the
superior mesenteric plexus of the sympathetic. The _veins_ empty
chiefly into the portal system.
The _movements_ of the intestine, like those of the esophagus, are
peristaltic, but the action is complicated by the fact that the tube is
not straight but in coils.
=Intestinal Digestion.=--The food, which enters the duodenum as chyme,
there comes in contact with the bile and the pancreatic juice, which
together but unmixed enter the duodenum from their respective ducts
by a common orifice. As in the stomach, the digestive juices are
called forth by the presence of food. The _bile_ is secreted in the
liver, from which it flows away through the hepatic duct, which joins
the cystic duct from the gall-bladder to form the common bile duct.
Through this it flows into the intestine during digestion, but between
whiles it passes up into the gall-bladder, where it is stored for
future use and whence it is expelled when needed. When pure it is a
thick, viscid liquid, varying from a bright red to a greenish-yellow in
color according to the pigments present, and of an alkaline reaction.
It consists chiefly of the bile pigments, _biliverdin_, which gives
the green color, and _bilirubin_, which gives the red color, and of
bile salts in solution, _cholesterin_, which probably forms the basis
of many gall stones, is also present. Bile is a disinfectant to the
bowel and a lubricant for the feces. How much digestive action it has
is a question, but it affords the necessary alkaline medium for the
pancreatic juice to act in.
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