If the pylorus does not relax, it is evident that a wave approaching it
pushes the food into a blind, elastic pouch, the only exit from which
is through the advancing constricted ring. The constrictions are deeper
near the end of the antrum, and the rings are small; consequently,
the food is squirted back through them with considerable violence. As
has been noted, the pylorus opens less frequently for a while after a
solid piece of food comes to it. In such a case the slow driving waves
squeeze the hard morsel and the soft food about it up to the sphincter,
only to have the whole mass shoot back, sometimes half-way along the
antrum. Over and over again the process is repeated till the sphincter
at last opens and allows the more fluid parts to pass. Hofmeister and
Schütz, and Moritz have disclaimed any selective action of the pylorus,
and declare that solids are driven from the pylorus to the fundus by
antiperistalsis. The action of the pylorus which I have seen, however,
is more like that described by the earlier investigators; for during
digestion there was no antiperistalsis, and the sphincter, separating
the fluids from the solids, caused the solids to remain and undergo a
tireless rubbing. Frequently, when several of these balls have been
given at the same time, they have all been seen in the antrum after the
stomach was otherwise empty. Here they remain to be softened in time
by the juices, or to be forced through the pylorus later, for solids
do pass into the intestine. Thus when the teeth neglect their work the
stomach attempts to perform their function; the relative inefficiency
of the gastric method of grinding and its interference with the normal
gastric activities point an obvious hygienic moral.
During the process of digestion the food in the cardiac portion gives
no sign of currents. Balls which lie in the fundus immediately after
the food is ingested keep their relative positions until the cardiac
portion begins to contract, and then move very slowly towards the
antrum. Moreover, the food in the fundus of a cat has the same mushy
appearance when examined after gastric peristalsis had been active
for an hour and a half that it had when ingested. The contents of
the antrum, on the other hand, look quite different and have the
consistency of thick soup. The inactivity of the food in the fundus
can also be proved by feeding first five grams of bread and bismuth,
then five grams without bismuth, and finally five grams again with
bismuth in it. The stomach contents are thus arranged in two dark
layers along the curvatures, with a light layer between. Tracings made
on tissue paper show that ten minutes after peristalsis commenced the
stratification had entirely disappeared in the pyloric part, but that
an hour and twenty minutes thereafter the layers were still clearly
visible in the cardiac region.
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