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Lectures on Diseases of the Digestive Organs (Volume 1)

Lectures on Diseases of the Digestive Organs (Volume 1)


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1891. Excerpt: ... causes complete stoppage of the biliary secretion. The ligature of the portal vein, with the artery left untied, permits the occurrence of a short continuance of secretion. Slowing of the bloodcurrent in the portal vein, which occurs after stimulation of the vagus as an indirect consequence of slow respiration, and the initially increased blood pressure, causes, according to Heidenhain, a transient increase in the secretion. After diabetic puncture in the floor of the fourth ventricle, B. Naunyn found slowing of the biliary secretion, no doubt as the consequence of the altered vasomotor innervation of the liver, and the resulting diminution in the blood pressure in its vessels. It is possible that these and similar consequences arise in part from the contraction of the smooth muscular fibres of the bile-ducts. Thus a reflex contraction of the bile-ducts occurs when the acid cbyme touches the papilla of the ductus choledochus, and Schiff suggests that the chyme as it passes is played upon by a jet of bile. But the whole subject needs more data, and those we have are as uncertain as those concerning the quantity of bile secreted. Thus J. Ranke observed a man with a hydatid of the liver which had ruptured into the lung, who coughed up in 24 hours 652 grms. of bile, but this varied from 145--945 grms. Wittich found in a woman with a biliary fistula 552 grms.; Harley, 600 grms.; Westphalen, 458--566; in dogs, much higher figures are given. The bile formation often appears to be quite suppressed; at least cases are described, like that of von Stabell, in which complete decolorisation of the faeces occurred without jaundice. The action of drugs on the secretion of bile in fasting animals with biliary fistulae has been studied on an extensive scale by Rutherford ...


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Product Details
  • ISBN-13: 9781150676086
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 82
  • Spine Width: 4 mm
  • Width: 189 mm
  • ISBN-10: 1150676086
  • Publisher Date: 01 Feb 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 163 gr


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