The early writings on the subject of gastric movements are
characterised by general inferences from physical laws and from the
anatomical structure of the stomach. According to Galen the stomach
had four functions: to draw the food from the mouth (_facultas
attractrix_), to retain the food (_facultas retentrix_) during the
process of chemical digestion (_facultas alteratrix_), and, finally,
to pass the changed material onward (_facultas expultrix_). In later
writings the _facultas attractrix_ failed to appear as one of the
functions of the stomach. Fallopius, in the sixteenth century, changed
the notion of the _facultas retentrix_ by suggesting that the pylorus
alone performed this office, and that the muscles of the gastric wall
could help only by remaining quiet. Thus the _facultas alteratrix_ and
the _facultas expultrix_ are left as true gastric functions. It is with
the latter activity and its effects that this paper is concerned.
The ideas of the early writers concerning the pylorus and cardia are
of interest. The cardia, they were agreed, is closed during normal
digestion in order to keep the food from re-entering the œsophagus. The
pylorus they looked upon as the ruler of the actions of the stomach.
Such names as pylorus (keeper of the gate), janitor justus, and rector,
which the first investigators gave to the sphincter, indicate their
theories of its functions. The passage of chyme into the duodenum, the
keeping of undigested food in the stomach, the act of vomiting, were
all dependent, they believed, on the “will” of the pylorus.
No substantial advance was made beyond these hypotheses until the
beginning of the eighteenth century, when Wepfer and Schwartz applied
the experimental method to the study of the gastric movements and laid
the foundation of a more accurate knowledge. Wepfer vivisected wolves,
dogs, and cats, and observed constrictions following stimulation of
the stomach. He remarked a general contraction of the pyloric part in
vomiting and noted peristaltic and antiperistaltic movements passing
over the organ. About the middle of the stomach he frequently saw a
deep constriction. The investigations of Schwartz are more valuable in
that his search was for the normal action of the muscular coats. The
movements, as he observed them, were generally only slight. They began
either at the pylorus and passed to the left, half-way to the cardia,
or started at the fundus and went to the pylorus. The contractions
and relaxations, following one another, formed larger or smaller
depressions and elevations, _i. e._, more or less definite waves.
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