The nutrition of manChittenden, R. H. (Russell Henry)
Science
The nutrition of man
Chittenden, R. H. (Russell Henry)
Nutrition
According to the observations of Cannon, the contractile movements
of the stomach commence shortly after the entrance of food, the
contractions starting from about the middle of the stomach and passing
on toward the pylorus. These waves of contraction follow each other
very closely, certainly not more than one or two minutes apart, and
perhaps less, while the resulting movements bring about an intimate
commingling of food and gastric juice in the pyloric portion of the
stomach; followed by a gradual diffusion of the semi-fluid mixture into
the fundus accompanied by a gradual displacement of the more solid
food in the latter region. These movements of the stomach are more or
less automatic, arising from stimuli--the acid secreted--originating
in the stomach itself, although it is considered that the movements
are subject to some regulation from extrinsic nerve fibres, such as
the vagi and the splanchnics. As digestion proceeds and the mass in
the stomach becomes more fluid, the pyloric sphincter relaxes and a
certain amount of the fluid material is forced into the intestine by
the pressure of the contraction wave. This is repeated at varying
intervals, depending presumably in some measure upon the consistency
of the mass in the stomach, until after some hours of digestion the
stomach is completely emptied.
Especially interesting and suggestive are the experiments made by
Cannon[9] on the length of time the different types of foodstuffs
remain in the stomach. Using cats as subjects, he found that fats
remain for a long period in the stomach; they leave that organ slowly,
the discharge into the intestine being at about the same rate as the
absorption of fat from the small intestine or its passage into the
large intestine. Carbohydrate foods, on the other hand, begin to leave
the stomach soon after their ingestion. They pass out rapidly, and at
the end of two hours reach a maximum amount in the small intestine
almost twice the maximum for proteids, and two and a half times the
maximum for fats, both of which maxima are reached only at the end of
four hours. Carbohydrates remain in the stomach about half as long as
proteids. Proteids, Cannon finds, frequently do not leave the stomach
at all during the first half-hour after they are eaten. After two
hours, they accumulate in the small intestine to a degree only slightly
greater than that reached by carbohydrates an hour and a half earlier.
The departure of proteids from the stomach is therefore slower at
first than that of either fats or carbohydrates. When a mixture of
equal parts of carbohydrates and proteids is fed, the discharge from
the stomach is intermediate in rapidity. When fat is added to either
carbohydrates or proteids it retards the passage of both foodstuffs
through the pylorus.
[9] W. B. Cannon: The Passage of different Food-stuffs from the
Stomach and through the Small Intestine. American Journal of
Physiology, vol. 12, p. 387.
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