The small intestines commence at the pylorus and after many
convolutions terminate in the large intestines. They measure on an
average about twenty feet in length in the adult. For convenience they
have been divided into three parts--the duodenum, which extends from
eight to ten inches beyond the pylorus; the jejunum, which occupies
two-fifths, and the ilium, which occupies three-fifths, of the rest
of the canal.
The mucous membrane, the interior coat, is the most important to
the function of digestion. There are permanent folds, shelf-like
processes, of the mucous membrane, called valvular conniventes. There
are also villi and glands, as the glands of Lieberkühn, of Peyer,
and of Bruner. The glands of Lieberkühn are thickly distributed over
the whole surface of the large and small intestines. The glands
of Peyer are exclusively in the small intestine. They are found
in greatest abundance in the lower part of the ileum near to the
ileo-cæcal valve. They are met with in two conditions, viz., either
scattered singly, in which case they are termed glandulæ solitairæ,
or aggregated in groups varying from one to three inches in length
and about half an inch in width, chiefly of an oval form, their long
axes parallel with that of the intestines. In this state they are
named glandulæ agminatæ. The latter are almost always placed opposite
the attachment of the mesentery. In structure they are analogous
to lymphatics or absorbent glands, and their office is to take up
certain materials from the chyle, elaborate them, and subsequently
discharge them into the lacteals, with which vessels they appear to
be closely connected. Bruner's glands are confined to the duodenum;
they are most abundant and thickly set at the commencement of this
portion of the intestines, and are provided with permanent gland ducts.
The villi are confined exclusively to the mucous membrane of the
small intestines. They are minute vascular processes, from a quarter
of a line to a line and two-thirds in length. There are about fifty
to ninety in number to a square line. Each villus consists of a
small projection of mucous membrane, and its interior is supported
throughout by fine retiform or adenoid tissue. Two or more arteries
are distributed to each villus, and from their capillaries, which
form a dense network, proceed one or two small veins, which pass out
at the base of the villus.
The lacteal vessels enter the base of each villus, and passing up
in the middle extend nearly to the top, where it ends commonly by
a closed and somewhat dilated extremity. The office of the villi
is the absorption of chyle from the completely digested food of
the intestines.
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