The importance of the competence of the ileocæcal valve under normal
conditions cannot be appreciated until the function of the first part
of the colon is considered. In order that this part of the intestinal
mechanism may perform its service, the competence of the valve for the
food which enters the colon from the ileum should be perfect. As a
matter of fact, such is the case. Not only does the activity of the
colon prove this statement, but the failure of every attempt to drive
the food in the colon back through the valve into the ileum confirms
the proof. Again and again I have tried, by manipulation through the
abdominal wall, to press the normal contents of the colon downward with
sufficient force to cause them to return to the small intestine, but
without success. The valve held perfectly.
THE MOVEMENTS OF THE LARGE INTESTINE
When the large intestine is full, palpation through the abdominal wall
demonstrates that the material in the lower descending colon and in
the sigmoid flexure is usually composed of hard, incompressible lumps,
while that in the ascending and transverse colon and the cæcum is
soft, permitting the walls of the gut to be easily pushed together.
The condition of the contents in these two regions seems to indicate
a rough division of the large intestine into two parts, and the
mechanical activities of these two parts verify the differentiation. In
the descending colon the material is very slowly advanced by rings of
tonic constrictions (see Fig. 7); in the ascending and transverse colon
and in the cæcum by far the most common movement is an antiperistalsis.
_Antiperistalsis in the colon._--The colon of cats which have been
without food for a day usually contains enough gas to make the position
of the gut distinguishable with the fluorescent screen (see Fig. 1).
The first food to enter the colon from the small intestine is carried
by antiperistaltic waves into the cæcum (Fig. 1), and all new food as
it enters is also affected by these waves. Thus the contents of the
colon, instead of being driven immediately toward the rectum by slow
peristalsis, as is the general opinion, are first repeatedly pushed
toward the cæcum by an antiperistaltic action.
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