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
is continued, but not completed till long after being subjected to
the action of the bile and pancreatic juice, and passing through
the remainder of the small intestine. It is owing, he adds, to this
speedy evacuation of the stomach, that the horse is less inclined to
drowsiness, and less incommoded by active exercise, soon after meals,
than almost any other animal.
The late Baron Dupuytren had several opportunities of observing
something analogous to this in the human subject. He had, at various
times, under his care, patients in whom an opening into the intestine
had taken place at different distances from the stomach, and through
which the intestinal contents readily escaped. On giving several kinds
of food at one meal, he remarked that they presented themselves at
the wound in the _inverse_ order of their digestibility. Thus,
fresh vegetables always made their appearance first, still retaining
much of their peculiar structure; while animal substances either did
not appear at all, or were so much altered in appearance as scarcely
to be recognised. In the natural evacuations, however, the vegetable
structure was generally imperceptible; so that a considerable change
must have taken place on it as it advanced through the bowels, after
passing the seat of the wound. Londe had occasion to remark the same
thing in a lady in whom an opening into the intestine existed. When
she ate cutlets or chicken, digestion was so far advanced before they
reached the opening that their identity could not be recognised. But
when she ate spinage, carrots, or vegetable soups, these articles
arrived at the orifice scarcely at all changed. In this patient also,
vegetable substances passed rapidly out of the stomach. Thus salads,
prunes, apples, and spinage made their appearance at the opening in
about an hour; while the remains of animal food never appeared in less
than three hours. Londe indeed lays it down as a principle, that where
the wants of the system are not great, the digestion or alteration of
innutritious substances, such as stewed or raw fruits, carrots, &c.,
“begins only in the ileum.” He adds, that he “has always seen these
substances resist the action of the acid and mucous juices of the
stomach, as well as that of the pancreatic and biliary secretions.”[35]
Public-domain text, read in full here on John Shaqi.
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