The best known of the intestinal movements is the normal peristaltic
wave. This wave is slow, having a rate of about two centimetres per
minute, is regular, and by most observers is said to move always in one
direction. The progress of the contraction, as suggested by Nothnagel’s
experiments, and as clearly stated by Mall and by Bayliss and Starling,
is dependent upon a local reflex. According to Mall, when an object
stimulates the mucosa there occurs above the point of stimulation a
constriction which forces the object downward; and as it moves downward
new regions immediately above the mass are by this reflex brought into
constriction, and thus the wave and its stimulus advance together. “At
the same time,” Mall states, “a sucking force, due to active dilatation
below the body, may have a tendency to drag it down.” In what manner
an active dilatation of the intestinal wall may occur so as to produce
a “sucking force” he does not make wholly clear. Bayliss and Starling,
in describing normal peristalsis in the intestine, state that the
contractions above the bolus increase until there is a strong tonic
constriction. This passes the bolus onward, and as it advances the ring
of constriction follows it. While the bolus is passing down, the gut
above it is traversed by waves running as far as the constricted ring.
These observers state the law of intestinal peristalsis thus: “Local
stimulation of the gut produces excitation above and inhibition below
the excited spot.”
The pendulum movements are characterised by a gentle swaying motion
of the coils, and are accompanied by rhythmical contractions of the
intestinal wall. They continue with undiminished force after paralysis
of the local nervous mechanism by nicotine or cocaine; they have been
called, therefore, myogenic or myodromic contractions. Observers have
described them variously as shortenings and narrowings of the gut,
rhythmically repeated at nearly the same intestinal circumference; as
alternating to-and-fro movements of the long axis without changes in
the lumen; as local or extensive periodic contractions and relaxations
mainly of the circular musculature; and as waves involving both
muscular coats of the intestine, and travelling normally from above
downward at a rapid rate (2 to 5 cm. per second). They have been
seen in the dog, and in the rabbit and cat. In the cat Bayliss and
Starling noticed that when the lumen of the gut was distended by a
rubber balloon, there appeared rhythmical contractions, which nearly
always were most marked at about the middle of the balloon; _i. e._,
the region of greatest tension. This form of constriction, which,
as my observation shows, is an indication of the manner in which
the rhythmical contraction acts in the cat’s intestine, Bayliss and
Starling seem to have regarded with slight attention, since it did not
accord with the law of peristalsis.
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