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
The wall of the intestine is composed of mucous membrane, submucous
tissue, and muscle. The mucous membrane is everywhere pitted with
tubular glands, termed in the stomach “gastric glands,” and in the
intestines, both small and large, “crypts of Lieberkühn.” Their
relation to the wall might be exemplified by taking a block of dough
about 6 inches thick and pushing a pencil vertically into it almost
down to the table on which it rests. The holes should be made as close
together as possible, since, especially in the stomach, extremely
little tissue intervenes between the tubes of gland-cells. If the piece
of dough were placed upon a folded cloth, the cloth would represent the
muscularis mucosæ, a layer properly regarded as a constituent of the
mucous membrane. The fibres of this coat are disposed in two or three
sheets, the fibres of one sheet crossing those of the next. By their
contractions they squeeze the ends of the crypts, and probably wobble
them about, expelling their secretion. Beneath the muscularis mucosæ is
a layer of connective tissue, the submucosa, which contains abundant
lymphatic channels, bloodvessels, and nerves. At the pyloric end of the
stomach, the tubes of gland-cells tend to pierce the muscularis mucosæ.
In the first part of the duodenum, certain tubes, having pierced this
layer, branch in the submucosa. A layer of racemose glands is thus
formed—the glands of Brunner. Outside the submucosa is the muscular
coat proper, composed of plain muscle-fibres, except in the upper part
of the œsophagus, where the fibres are striated. It consists of an
inner and an outer sheet, the fibres being disposed circularly in the
inner, longitudinally in the outer sheet, with a slight departure from
this regular arrangement in the wall of the stomach. On its outside the
canal is invested by peritoneum, a layer of flattened epithelial cells
supported by connective tissue. The abdominal wall also is lined with
peritoneum. The smooth moist surface of the peritoneum covering the
intestines glides on the peritoneum lining the abdominal wall. Between
the two is a “potential” space. In dropsy, fluid accumulates within
this space. In a healthy condition the apposed surfaces are merely
moist.
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