The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
Such an outline represents the form and position of the stomach when
distended; but it is to be understood that its dimensions depend upon
the amount of its contents. It is capable of holding about 7 pints.
The junction of œsophagus and stomach is closed by a muscular ring, or
sphincter muscle—the cardiac sphincter; the junction of stomach and
intestine is guarded by a much stronger pyloric sphincter. The average
diameter of the small intestine is about 1½ inches. It is wide enough,
therefore, to admit two fingers. The length of the tube is about 22
feet. Its first part is termed the “duodenum,” because its length
equals the breadth of twelve fingers—_i.e._, about 9 inches. The
remainder is divided arbitrarily into jejunum and ileum. The duodenum
makes three sharp curves. First it inclines upwards and to the right,
then vertically downwards, then horizontally to the left, and finally
forwards. The ducts of the liver and pancreas open by a common orifice
into the descending portion. Its horizontal portion is bound firmly to
the vertebral column. After this the whole of the small intestine is
supported by the mesentery, a double fold of peritoneum which allows it
to hang freely in the abdominal cavity. The mesentery is attached to
the back of the body-wall. Commencing on the left side of the second
lumbar vertebra, its line of attachment inclines obliquely downwards
and to the right, across the vertebral column, for about 6 inches.
Measured from its attached edge to the edge which bears the intestine,
it has a width of about 8 inches. Its free border has, as already
said, a length of 22 feet. Its measurements being as just stated, it
is clear that it must be folded backwards and forwards upon itself,
like a goffered frill. In the right groin the small intestine joins the
large intestine, or colon. It does not, as might have been expected,
simply dilate into the large intestine, but enters it on its mesial
side, its orifice being guarded by the ileo-colic valve. In other
words, the large intestine projects downwards beyond this orifice,
as the cæcum coli. In many animals the cæcum is of great length and
capacity. In the human embryo it begins to assume a similar form; but
a very small portion only (the so-called “cæcum” of human anatomy)
dilates to the calibre of the colon. The real cæcum retains throughout
life its embryonic calibre. It has a length of about 3½ inches, and a
diameter of not more than ¼ inch. This is the “vermiform appendix,” of
ill fame, which must be looked upon as one of Nature’s misfits. Its
great liability to become inflamed is commonly explained as due to the
tendency of such articles of food as pips, the fibre of ginger, flakes
from the inside of enamelled saucepans, etc., to become lodged in its
cavity. But whether this explanation be correct or no—and there are
reasons for thinking it somewhat fanciful—it is much to be wished
that the process of evolution would hasten the disappearance of this
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