In the transverse colon, which is free from the slowly moving rings,
the antiperistaltic waves have full sway. In the region of the
tonic rings an infrequent or even a slowly periodic relaxation and
contraction are often to be observed. These changes seem to take place
in all the rings at about the same time. Once I saw antiperistaltic
waves running over the uppermost of four segments, but since the rings
on either side of the segment held tightly, the waves had merely the
effect of churning the material of the segment and did not move it
onward. Inasmuch as the material in these segments at first is soft, so
that the segments are easily compressible, while the fæcal masses which
are the final result are relatively hard and dry, it follows that even
within the confines of these persistent rings some absorption is taking
place.
DEFECATION
The process of clearing the colon is a process of repeated reduction
of the amount of material present. Figure 8 (3.11) is a radiograph
showing the food in the colon at 3.11 P.M. About 3.25, with a slow,
sweeping movement, the gut swung around so that the ascending colon was
lying in the position of the last half of the transverse colon, and the
transverse colon had taken the position of the descending part (Fig.
8, 3.25). At the same time the tonic constrictions disappeared and
were replaced by a strong, broad contraction of the circular muscle,
tapering the contents off on either side in two cones. The region of
strongest contraction was apparently drawn downward with the rest of
the gut by a shortening of the descending colon. As the intestine
swung around, more material was forced into the rectum, and when the
swinging of the intestine stopped, the constriction which divided
the lumen passed slowly downward, and with the aid of the muscles
surrounding the abdominal cavity, pushed the separated mass out of
the canal.[35] After the terminal mass had thus been pushed out, the
colon with the remainder of its contents returned to nearly its former
position (Fig. 8, 3.46). About two hours afterward this remnant had
been spread throughout the length of the large intestine by means of
the slowly moving rings. Figure 7 is a radiograph of the same colon
pictured in Figure 8; the radiograph was taken at 11.50 A.M., and at
12.15 P.M. the material in the lower descending colon was forced out in
the manner above described. Within three hours the remaining portion
had been spread into the evacuated region, as shown in Figure 8, 3.11.
The manner in which the material is spread from the region of the
antiperistaltic waves into the region of the slowly advancing rings
presents a problem. During normal living new food constantly arriving
in the colon must force the old contents forward just as the later
parts of a meal force forward the earlier parts; there is no doubt,
however, that most of the contents of the cæcum and the ascending colon
may be passed onward even during starvation.
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