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
Movement of the contents of the alimentary canal may be favoured by
judicious pressure, or massage. From the description of the situation
of its several parts given above, it will be understood that if the
right hand be placed on the abdomen immediately beneath the ribs, with
the fingers well round to the left side, the stomach will be covered.
Pressure from left to right will tend to drive its contents towards the
pyloric valve. The small intestine is so irregular in its course as to
preclude the possibility of following it with the hand. Pressure first
on one side and then on the other, with a general tendency to work
from above downwards, tends to press forward its contents; but, owing
to its circular form and strong muscular walls, it is not in much
need of help. Very different is the position of the large intestine
in this respect. Its calibre is much greater, its wall is sacculated,
its contents comparatively firm. If the palm of the hand be placed
above the right groin and pressure directed upwards, the cæcum coli
and ascending colon are emptied. If pressure be directed from the
extreme right side just below the ribs, across the middle line to the
left side, the transverse colon is emptied. The descending colon needs
pressure from above downwards on the left side; the sigmoid flexure,
pressure above the left groin, downwards, and towards the middle line.
The inner wall of the œsophagus is smooth, save for the wrinkles into
which it is thrown when not distended; but from the cardiac orifice
of the stomach onwards the mucous membrane of the alimentary canal
exhibits folds and other projections which serve many purposes.
They serve to delay the food, keeping it longer in contact with the
secreting surface. They increase the area pitted with tubular glands;
they increase also the area through which absorption of the products
of digestion occurs. On the inner surface of the stomach the folds
produce a reticulated pattern. In the upper portion of the small
intestine, especially the duodenum, there are prominent transverse
shelves (valvulæ conniventes). No definite folds occur below the
upper three-fourths of the small intestine, with the exception of the
constrictions of the transverse colon already referred to, which affect
the whole thickness of its wall. Throughout the whole of the small
intestine the mucous membrane projects in finger-like processes, or
villi, which give it a characteristic velvety appearance. The villi are
longest in the duodenum.
Lymph-follicles occur at intervals in the intestine. In the ileum they
are collected into patches (Peyer’s patches), on the side opposite to
the line of attachment of the mesentery. They serve both for the supply
of phagocytes, which hunt any germs that have penetrated the mucous
membrane, and also as stations to which germ-laden phagocytes retreat.
Public-domain text, read in full here on John Shaqi.
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