With the exception of peristalsis in the antrum, the gastric
movements at the beginning of emesis are almost exactly the same as
those Beaumont, and Hofmeister and Schütz, declare to be the normal
contractions of the stomach. Their observations were made, however,
when the organ was subjected to unnatural stimulation. In the excised
stomach, observed by Hofmeister and Schütz, not only were all nervous
connections severed, but likewise all flow of blood to the organ was
entirely stopped, and the cutting off of the blood supply is regarded
as one of the most powerful predisposing causes of peristaltic action.
The thermometer-tube used by Beaumont was an irritant to the stomach,
as he himself admits. “If the bulb of the thermometer,” he writes, “be
suffered to be drawn down to the pyloric extremity, and retained there
for a short time, or if the experiments be repeated too frequently, it
causes severe distress and a sensation like cramp, or spasm, which
ceases on withdrawing the tube, but leaves a sense of soreness and
tenderness at the pit of the stomach.” Moritz also noticed that a
rubber sound introduced into the human stomach proved to be a source
of irritation. It seems reasonable to suppose, therefore, that these
observers did not see the normal movements, but the actions resulting
from abnormal irritation.
THE EFFECT OF THE MOVEMENTS OF THE STOMACH ON THE FOOD
In my first observations on the active stomach a bulging of the
stomach-wall was to be seen in front of the passing waves. But as
food did not immediately appear in the intestine, and as, after the
pylorus relaxed, the gastric contents did not diminish rapidly enough
to allow the supposition that all of the food squeezed forward by the
waves was immediately forced through the pylorus, it was assumed that
a part, at least, of the food under pressure was forced back towards
the cardia through the constriction-ring. This inference was stated in
the preliminary notice of my work. Roux and Balthazard also observed
the passage of the undulations over the pyloric part, but state merely
that the function of the constrictions is the propulsion of food into
the intestine, without mentioning what must be regarded as a very
important function; namely, the mixing effect of the waves.
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