The nutrition of manChittenden, R. H. (Russell Henry)
Science
The nutrition of man
Chittenden, R. H. (Russell Henry)
Nutrition
It is in the small intestine that both digestion and absorption are
seen at their best. It is here that all three classes of foodstuffs
are acted upon simultaneously through the agency of the pancreatic
juice, intestinal juice, and bile. Here, too, are witnessed some of the
most complicated and interesting reactions and changes occurring in
the whole range of digestive functions. Especially noteworthy is the
peculiar mechanism by which the secretion of pancreatic juice is set
up and maintained. On demand, pancreatic juice is manufactured in the
pancreas and poured into the intestine just beyond the pylorus through
a small duct--the duct of Wirsung. Secretion is started by contact of
the acid contents of the stomach with the mucous membrane of the small
intestine, so that as soon as the acid chyme passes through the pyloric
sphincter there commences an outflow of pancreatic juice into the
intestine. While acid is plainly the inciting agent in this secretory
process, its action is indirect. It does not cause secretion through
reflex action on nerve fibres, but it acts upon a substance formed in
the mucous membrane of the intestine, transforming it into _secretin_,
which is absorbed by the blood and carried to the pancreas, where it
excites secretory activity. As would be expected from the foregoing
statements, the secretion of pancreatic juice commences very soon after
food finds its way into the stomach, and naturally increases in amount
with the onward passage of acid chyme into the intestine, the maximum
flow being obtained in the neighborhood of the third or fourth hour,
after which the secretion gradually decreases. In man, it is estimated
on the basis of one or two observations that the amount secreted during
24 hours is about 700 cc., or a pint and a half. Careful experiments,
however, tend to show that the quantity of secretion depends in some
measure at least upon the character of the food, and also that the
composition of the secretion varies with the character of the food.
Thus, on a diet composed mainly of meat, the proteid-digesting enzyme
is especially conspicuous, while on a bread diet, with its large
content of starch, the starch-digesting enzyme is increased in amount.
In other words, there is suggested the possibility of an adaptation in
the composition of the secretion to the character of the food to be
digested.
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