The emptying of these
regions, according to my observations, is never complete; for after
considerable time has elapsed and the large intestine is cleared and
dilated with gas, some substance is still to be detected in the cæcum
and clinging to the walls of the ascending colon. The only activities
manifested here are the antiperistaltic waves and the strong tonic
contraction of the whole circular musculature shown in Figure 6. It is
clear that the latter activity would serve to press into the transverse
colon a considerable portion of the contents of the ascending colon,
and the remnant seen clinging to the walls would be the part not thus
pressed forward.
[Illustration:
3.11 3.25 3.46
FIGURE 8.--Two radiographs and a tracing showing the changes taking
place in defecation. 3.11, material in the colon. 3.25, colon carried
downward and terminal mass separated. 3.46, after defecation, when the
colon returns to former position. Defecation occurred at 3.27.]
Twice I have seen appearances which might account for the emptying of
the first portion of the large intestine in a more thorough manner
than that above described. At one time, without apparent stimulation,
strong tonic contraction occurred along the entire length of the
ascending colon, which forced the contents almost wholly into the
transverse portion. This action seemed merely an exaggerated form of
that observable after food passes the ileocæcal valve (see Fig. 6). At
another time, after a mass of food had passed through the ileocæcal
valve, after the ascending colon had contracted generally and the
antiperistaltic waves had coursed over it in the usual manner, a deep
constriction appeared at the valve and ran upward without relaxation
nearly the length of the ascending colon, pushing the contents before
it. For an instant the wave paused; then the constriction relaxed and
the food returned towards the cæcum. These observations indicate that
either a general contraction of the wall of the large intestine or a
true peristalsis may be effective in pressing waste matter from the
region where antiperistalsis is the usual activity into the region
where the slowly advancing rings may carry it on to evacuation (see
Fig. 7).
THE QUESTION OF ANTIPERISTALSIS
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