There remains to be considered Meltzer’s latest investigation, in
which he endeavoured to ascertain whether liquids remain above the
cardia till the arrival of the peristalsis, or ooze down before. An
experimental answer was secured by Meltzer by the following method. The
abdominal and gastric walls of an anæsthetised dog were incised, and a
tube (vaginal speculum) introduced. Through this the entrance of food
into the stomach could be observed directly. In repeated experiments no
liquid was seen to pass through the cardia before the arrival of the
peristaltic wave. An incision through the diaphragm near its anterior
origin showed that the swallowed liquid was not squirted as far as a
point an inch above the diaphragm. To observe the œsophagus nearer its
beginning, the upper three ribs were resected on the left side. Thus
the swallowed liquid was seen to shoot along the œsophagus before any
peristalsis reached this point. The resection of the fifth rib exposed
the œsophagus half-way between the bifurcation of the trachea and the
diaphragm. Here a bulging was sometimes observed immediately after
the beginning of the act, and the swallowed mass remained there until
a peristaltic wave carried it down. If the mass swallowed was small,
or was projected with moderate force, it might not even reach as far
as the bifurcation. From these experiments Meltzer concluded that in
animals, as in man, liquid food is not carried down the œsophagus by
peristalsis, but is thrown rapidly into a deep part of the canal. The
depth reached depends on the quantity swallowed, the force used, and
the tonicity of the lower part of the œsophagus.
The difference between these methods of Meltzer and those employed in
our experiments has already been mentioned; and merely his results,
which were obtained with liquids alone, need be considered here.
According to our observations on the dog, there was no distinct pause
at any part of the canal. The movement simply became slower, and
continued at this rate until the stomach was reached. Neither was
the rate through the diaphragmatic part of the œsophagus slower than
through the thoracic. The quick propulsive movement noticed in the
dog was observed with solids and semi-solids as well as with liquids,
but the liquids descended further down the canal before the movement
changed to the slower peristalsis. While this difference was evident to
the eye, the total time consumed by liquids in passing from pharynx to
stomach was not enough shorter than the time for solids and semi-solids
to be determined by our measurements.
SUMMARY.
The phenomena of œsophageal deglutition as determined by our
experiments may then be described as follows:—
There is a difference in swallowing according to the animal and the
food which is used.
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