The musculature of the stomach consists of smooth muscle fibres,
the chief physiological characteristics of which are slowness of
contraction, rhythmic alternation of contraction and relaxation, and
a very great tonicity, or power of prolonged contraction. The action
of these muscles in the process of gastric digestion is now to be
considered.
THE NORMAL MOVEMENTS OF THE STOMACH
Since the time of Haller the chief contributors to the knowledge of the
mechanics of the stomach have been Beaumont, Hofmeister and Schütz, and
Rossbach.
Beaumont’s famous investigations on Alexis St. Martin are recorded in
almost all general works on physiology. Through a gastric fistula he
introduced a thermometer-tube and observed how it was affected by the
motions of the stomach. His conclusions are as follows: “The circular
or transverse muscles contract progressively from left to right. When
the impulse arrives at the _transverse band_, this is excited to a more
forcible contraction, and closing upon the alimentary matter and fluids
contained in the pyloric end, prevents their regurgitation. The muscles
of the pyloric end, now contracting upon the contents detained there,
separate and expel some portion of the chyme.... After the contractile
impulse is carried to the pyloric extremity, the circular band and all
the transverse muscles become relaxed, and a contraction commences in a
reversed direction, from right to left, and carries the contents again
to the splenic extremity to undergo similar revolutions.”
In close accord with Beaumont’s description of the activities of the
human stomach are the records of the investigations on the stomach
of dogs by Hofmeister and Schütz. They removed the stomach from the
body and placed it in a moist chamber, kept at body-heat and covered
with glass. Under such conditions the organ remained active for from
sixty to ninety minutes. A typical movement is described by these
observers as composed of two phases. In the first phase a constriction
of the circular fibres, deeper on the greater curvature, starts a
few centimetres from the cardia and passes towards the pylorus. As
the constriction proceeds it increases in strength until a maximum
is reached about two centimetres in front of the antrum. This
annular contraction, called by Hofmeister and Schütz the “preantral
constriction,” closes the first phase. Immediately thereafter the
strong sphincter antri pylorici, or transverse band, contracts. Now,
while the preantral constriction is relaxing, the sphincter antri
pylorici tightens still more, and the antrum is shut off from the rest
of the stomach. As soon as this has occurred a general contraction of
the muscles of the antrum follows. Relaxation begins at the sphincter
antri pylorici and progresses slowly towards the pylorus; it is
sometimes accompanied by an antiperistaltic movement.
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