the antrum during that single digestive period.
From the above review it will be manifest that my observations of the
movements of the pyloric part agree closely with those of Rossbach,
but differ considerably from the harmonious results of the work of
Beaumont, and Hofmeister and Schütz. Beaumont’s methods, however, may
be justly criticised on the ground that the thermometer-tube which he
held in the stomach was wholly unlike food and very liable to bring
about unwonted contractions in so sensitive an organ as the stomach.
Further, the movements observed by Hofmeister and Schütz, as Ewald has
pointed out, may easily have resulted from the abnormal stimulus due
to lack of blood--a potent cause of peristalsis. And it will be shown
later that the accounts given by these investigators describe very well
the actions of the stomach when stimulated by an unusual irritant.
In this connection it may be added that since the publication of the
preliminary notice of my work, Roux and Balthazard, using the Röntgen
rays, have published the results of observations on the stomachs of the
dog and man similar to those thus far described in this paper.
The fact that my observations and those of Roux and Balthazard
were conducted under normal conditions, and that the conditions of
Rossbach’s experiments were more nearly normal than those of the other
observers mentioned, warrants the conclusion that the pyloric part has
a more important function than that of merely expelling the contents
of the stomach into the intestines. After summarising the description
given by Hofmeister and Schütz, Ewald, for _a priori_ reasons,
declares: “I cannot accept this view. The plain fact that the pyloric
portion secretes a strongly digesting fluid containing pepsin and
hydrochloric acid proves it to be an important part for the peptonising
function of the stomach.” The account of the remarkable manner in which
the pyloric portion performs this function must be deferred until the
movements of other parts of the stomach have been considered.
2. _Movements of the pyloric sphincter._--Rossbach mars his otherwise
careful work by declaring that the pylorus is tightly closed during
the whole digestive period of from four to eight hours, and that then
the sphincter relaxes and the peristaltic waves empty the stomach.
That this is not the normal action of the sphincter has been shown
by several observers. Hirsch watched dogs with duodenal fistulas and
saw food come from the stomach at intervals of one-fourth of a minute
to several minutes. Roux and Balthazard maintain that in dogs food
enters the duodenum at the completion of each wave of constriction.
Observations on the cat, however, do not support their view, but agree
rather with the statement of Hirsch.
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