The nutrition of manChittenden, R. H. (Russell Henry)
Science
The nutrition of man
Chittenden, R. H. (Russell Henry)
Nutrition
It is evident from what has been stated that the gastric digestion of
proteid foods is a comparatively slow process, involving several hours
of time; and further, that food material in general remains in the
stomach for varying periods, dependent upon its chemical composition.
It would appear further, that relaxation of the pyloric sphincter,
allowing passage of chyme into the intestine, must depend somewhat upon
chemical stimulation, as this offers the most plausible explanation
of the diversity of action seen with the different foodstuffs. As
has been pointed out, gastric digestion is primarily a process for
the conversion of proteid food into soluble products. It would be
a mistake, however, to assume that the digestion of proteid foods
is complete in the stomach. Stomach digestion is to be considered
more as a preliminary step, paving the way for further changes to be
carried forward by the combined action of intestinal and pancreatic
juice in the small intestine. The importance of gastric digestion
is frequently overrated. It is unquestionably an important process,
but not absolutely essential for the maintenance of life. Dogs have
lived and flourished with their stomachs removed, the intestine being
joined to the œsophagus. The intestine is a much more important part
of the alimentary tract; it is likewise far more sensitive to changing
conditions than the stomach, and undoubtedly one function of the
latter organ is to protect the intestine and preserve it from insult.
The stomach may be compared to a vestibule or reservoir, capable of
receiving without detriment moderately large amounts of food, together
with fluid, in different forms and combinations, with the power to hold
them there until by action of the gastric juice they are so transformed
that their onward passage into the intestine can be permitted with
perfect safety. Then, small portions of the properly prepared material
may be discharged from time to time through the pylorus without danger
of overloading the intestine, and in a form capable of undergoing rapid
and complete digestion. Further, the stomach as a reservoir is very
useful in bringing everything to a proper and constant temperature
before allowing its entry into the intestine. Another fact of some
importance is that, contrary to the general view, absorption from
the stomach of the products of digestion is not very rapid under
ordinary conditions. Even water and soluble salts pass very slowly into
the circulation from the stomach. Like the partially digested food
material, they are carried forward through the pyloric sphincter into
the intestine, where absorption of all classes of material is most
marked.
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