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
In proportion as the chyme is formed and expelled from the stomach,
it is received into the duodenum, where it probably undergoes some
farther change even before arriving at the entrance of the biliary and
pancreatic ducts. From the numerous folds or wrinkles which line the
inner surface of the duodenum and impede the motion of its contents,
and also from the intestine itself being more fixed down, and less
subjected to the influence of the movements of respiration, the
progress of the chyme along its surface is very slow. Every particle of
chyme is thus allowed to receive its share of the bile and pancreatic
juice as it proceeds on its course, and time is afforded for the
requisite changes taking place.
By simply stating that, in the duodenum, the chyme becomes mixed with
the two fluids just mentioned, and that the result is its separation
into a fluid, milky, and nutritive portion, named _chyle_, which
is absorbed by the lacteals, and a darker yellow-coloured thickish mass
which remains in the bowel, we communicate to the reader almost every
thing that is known on the subject. Theories and conjectures could be
added, but scarcely any facts of a very positive nature.
* * * * *
The remainder of the small intestine, namely, the _jejunum_ (from
_jejunus_, fasting or hungry, because it is generally empty) and
the _ileum_ (from ειλεω, _eilio_, I twist or turn about),
marked RSSSS in the cut on p. 155, are merely continuations of the
duodenum, and have precisely the same number of coats and the same
general structure. Their inner surface presents the same kind of
folds or _rugæ_, whereby the extent of the mucous membrane is
increased, and ample space given for the ramifications of bloodvessels
and the origin of the absorbents by which the chyle is sucked up and
carried into the system. _Exhalation_ or _exudation_ also
goes on from their surface, and, in bowel-complaints, often becomes so
excessive as in a few days to reduce the patient to the extremity of
emaciation and weakness.
As the contents of the jejunum and ileum advance, the proportion of
chyle in them becomes smaller and smaller, and the residual matter
becomes more and more consistent, yellow, and fetid--approaching, in
short, to the ordinary appearance of excrement when expelled from
the body. In accordance with these changes, the number of absorbent
vessels, and the distinctness of the villous folds, gradually diminish
as we proceed downwards, till, on arriving at the termination of the
ileum in the colon or great gut, they altogether disappear, and the
contents assume the colour, smell, and appearance, by which excrement
or feculent matter is characterized.
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