Most writers have agreed that the result of the active and passive
movements of the stomach is to force the contents hither and thither,
thus mixing them and the gastric juice together. Two observers,
Beaumont and Brinton, have attempted to explain the manner of the
mixing. Beaumont, after noting how the thermometer-tube, used by him to
indicate the gastric motions, was affected, describes the circulation
of the food as follows: “The bolus as it enters the cardia turns to the
left, passes the aperture, descends into the splenic extremity, and
follows the great curvature towards the pyloric end. It then returns,
in the course of the small curvature, makes its appearance again at
the aperture, in its descent into the great curvature, to perform
similar revolutions.” Brinton bases his theory of the circulation of
the food on an analogy between the movement of a constriction over the
stomach and the passage of a septum with a central perforation along
the interior of a cylinder full of liquid. The result in both cases,
he declares, must be a peripheral current of advance, and a central
current of return. Thus in the stomach there would be peripheral
currents from the cardia along the walls of the stomach to the
pylorus, where they would unite and run as an axial current back to the
cardia.
Certain _a priori_ objections may be urged against each of these
conclusions. In the first place Beaumont’s observations were made on
a subject having a gastric fistula, and the adhesions between the
stomach and the abdominal wall would prevent the fundus from acting
quite normally in relation to its contents. Beaumont’s conclusions,
furthermore, are based on the movements of a thermometer-tube
introduced through the fistula, and on the recognition of particles of
food which he had seen before as they passed the fistulous opening: the
first method, as has been shown, made the conditions in the stomach
more abnormal than they were previously; the second gave uncertain
knowledge of the course of the food when out of the observer’s sight.
Brinton’s hypothesis states the probable movements of fluid contents
acted on by a passing constriction. But it may be objected that the
conditions assumed by him do not exist in all parts of the stomach.
For not only is there no peristalsis visible in the fundus, but with
the usual food the fundus contents are not liquid. Moreover, the
constrictions at the beginning of the pyloric portion are very slight
and move slowly. The food in front of them is, accordingly, not under
much greater pressure than the food behind them. The axial current
which might result, therefore, could not be strong enough to go far
into the cardiac portion.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account