An Introduction to Gastro-enterology. A Clinical Study of by James Dunlop Lickley

By James Dunlop Lickley

An advent to Gastro-Enterology: A medical examine of the constitution and services of the Human Alimentary Tube covers the analysis and therapy of alimentary tube problems. This e-book is geared up into 4 components encompassing 19 chapters that review the fundamental constitution, divisions, and vascular preparations of alimentary tube. many of the subject matters lined within the booklet are the vascular and fearful capabilities of the alimentary tube; its lining membrane and the disposition of its stomach half; mechanism of the preparatory, ultimate digestive, and absorptive segments. different chapters take care of the operations of the expulsive segments, the real good points of the controlling apprehensive mechanism, and the results of alimentary discomfort. The protection mechanisms particular to the alimentary tube are defined. The final chapters are dedicated to the beneficial medical purposes of the expulsive segments. The e-book grants precious info to medical professionals, scholars, and researchers.

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Extra resources for An Introduction to Gastro-enterology. A Clinical Study of the Structure and Functions of the Human Alimentary Tube

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CHEMICAL ACTIONS The largest gland providing digestive juice is the pancreas, but most of the glands of the wall of the small intestine contribute digestive fluids. In addition, bile from the liver, although not containing any digestive ferments, is added to the digestive mixture and must be considered in its chemical processes. While the greater part of the chemical action on the chyme takes place in the interior of the tube, a certain amount of it is carried out actually in the cells of the intestinal 56 G ASTRO-EN TE RO LO G Y gland tubules.

Pancreatic juice is an alkaline fluid containing several digestive ferments, the chief of which are: Trypsinogen; Lipase; Amylase. Before it can effect any digestive action trypsinogen must be converted into trypsin. , bile, are also able to convert some of the trypsinogen into trypsin. WORK OF FINAL DIGESTIVE SEGMENTS 57 In the prepared chyme that reaches Compartment IV a large part of the protein content of the meal has been converted into peptones by the pepsin and HCl of the stomach. By the action of trypsin and alkali this process is continued; protein is converted into alkali metaprotein, proteoses, and peptone, but the cleavage of the peptone is taken further and some of it is broken down into groups of amino-acids termed peptids.

They pass through a curious cycle; they are reabsorbed from the bowel, carried in the blood-stream to the liver, and then returned through the bile-ducts to the duodenum. Bile-salts have the power of facilitating the actions of trypsin and amylase. In association with the alkali of the bile they increase very greatly the activity of lipase in the manner explained above. The secretion of bile by the liver is practically a continuous process, but the discharge of this bile into the duodenum is intermittent and is related to the digestive processes in the bowel.

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