The physiology of digestion considered with relation to the principles of dieteticsCombe, Andrew
Science
The physiology of digestion considered with relation to the principles of dietetics
Combe, Andrew
Diet; Digestion
The duodenum, being thus in the immediate vicinity of the spine, is
fixed firmly down in its position by the connecting membrane, and is
not left to float loosely in the cavity of the _abdomen_ or belly.
Had it not been tied down in this way, it would not only have acted
by its weight as a continual drag upon the stomach and disturbed its
functions, but likewise have been constantly altering its own relation
to the pancreatic and hepatic (or liver) ducts, and thereby affecting
the flow of their respective fluids into its cavity, by which the
chylification would have often been interrupted.
[Illustration]
The duodenum is much smaller in diameter than the stomach, but larger
than the _jejunum_ or _ileum_; and its muscular coat is also thicker.
From its size and the importance of the changes effected in it, it
has been considered by some as a secondary stomach or _ventriculus
succenturiatus_. Its mucous coat, which has a soft velvety feel,
presents a greater multitude of the folds or plaits already described,
and which have for their object to extend its surface and delay the
passage of the chyme. Some notion of their appearance may be formed
from the subjoined wood-cut. These folds or _rugæ_ are called
_valvulæ conniventes_ or _folding valves_, and are inherent in the
nature of the mucous coat, and not produced by mere folds of the
whole thickness of the intestine, consequently they exist even when
the latter is distended. They are comparatively few in number in the
part of the duodenum near the stomach, and gradually multiply in the
course downwards till they arrive at the maximum of development at its
lower end and in the jejunum: they again diminish in the ileum, and
disappear altogether in the large gut. The bloodvessels and nerves of
the duodenum are extremely numerous, and indicate the importance of its
functions.
The duodenum serves to receive the chyme as it issues from the stomach,
and to prepare it for the farther changes which it is about to undergo.
But as other organs, namely the _liver_ and _pancreas_, are
directly concerned along with the duodenum in effecting chylification,
it will be proper to take a cursory view of them also before describing
the rest of the intestine.
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