The swift vermicular wave may pass the whole length of the intestine
in about a minute. It is often seen just after death, as well as in
pathological states such as intestinal anæmia or hyperæmia, and when
the bowel contains gases and organic acids from decomposing food.
Starling is inclined to regard this type of intestinal activity as an
exaggeration of the rhythmic type; Mall, on the other hand, places
it in a class by itself, and declares that its service is to rid the
intestine rapidly of irritating substances. Nothnagel, who designates
this form of movement with the term _Rollbewegung_, thinks it is
transitional between a physiological and a pathological activity.
The existence of antiperistalsis has been so much questioned that
it will be considered in a special section of this paper, where my
observations may be conveniently introduced.
The common understanding of the manner in which food passes through the
intestinal canal is that the chyme ejected from the stomach is pressed
downward by a peristalsis, which passes slowly over a part or all of
the small intestine. The peristaltic waves of the colon are supposed
to constitute an independent group, similar to those of the small
intestine, but weaker and slower. Movements of the food other than the
uninterrupted advance have been mentioned by some observers. Starling
states that the effect of the pendulum movement is to mix the contents
of the intestine and bring them into intimate contact with the mucous
membrane. Grützner writes that he has been brought “by strange and
peculiar observations” to believe that the fluid contents of the small
intestine move irregularly forward, then forward and back, then perhaps
remain quiet for some time, only to pass backward for a long distance,
and finally to move forward steadily to the end. In this manner the
food is mixed and brought into contact with the absorbing walls. The
to-and-fro shiftings of the food Grützner ascribed to advancing and
retrograde contractions of the intestinal musculature, and he argued
that even circular constrictions must force the liquid contents away
in both directions. To support his contention, Grützner introduced
mercury into the intestine and observed it with the Röntgen rays. After
noting a backward and forward movement of the mercury he dismissed the
method, saying, “Many a flash must come from the Röntgen tube before
the _normal_ movement of the intestinal contents is made entirely clear
by this method.”
The following account is a summary of many repeated observations on
different animals, and is a contribution to a clear understanding of
the normal movements of the intestines and their contents.
THE MOVEMENTS OF THE SMALL INTESTINE
Public-domain text, read in full here on John Shaqi.
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