The movements of deglutition, in common with many other physiological
processes, were explained by the older physiologists on anatomical
grounds. Thus, Magendie divided the act into three parts, corresponding
to the anatomical regions of the mouth, pharynx, and œsophagus. The
muscles of each of these divisions were considered the active agents
in propelling the food onward. The function of moving the mass to the
pharynx was variously ascribed to the tongue itself, to the mylohyoid
muscles, and to gravity. For the second part, the movement through the
pharynx, there was more unanimity of opinion, since the constrictors,
especially the middle and lower, were evidently concerned.
Direct observations on the movement of swallowed masses in the
œsophagus were first made by Mosso. The œsophagus of a dog was laid
bare, and a transverse incision made through it, or a piece of it
excised. A small wooden ball was placed in the canal below the excised
part, and the animal was then stimulated to swallow. One or two seconds
after the contraction of the pharyngeal muscles a peristaltic wave
began to traverse the œsophagus. This wave did not stop at the point of
excision, but in due time reappeared below, and carried the ball to the
stomach. Thus the act was shown to be controlled by the central nervous
system. Peristalsis was so plainly the motive power that the action was
never doubted. Yet this belief was soon to be questioned.
In 1880 Falk and Kronecker studied the movements in the mouth and
pharynx, and advanced the theory that deglutition was accomplished by
the rapid contraction of the muscles of the mouth. During the act of
swallowing the air-tight buccal cavity shows a manometric pressure of
twenty centimetres of water. The same pressure was demonstrated to be
present also in the œsophagus, but not in the stomach. This pressure
was considered sufficient to force food through the œsophagus before
the peristaltic wave traversed it. Another argument for rapid descent
was found in the fact that cold water can be felt in the epigastric
region almost immediately after being swallowed. Further, when strong
acids pass through the gullet, they corrode but small parts of it, and
not the entire mucous membrane, as would be the case were the acid
carried to the stomach by peristalsis.
Public-domain text, read in full here on John Shaqi.
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