The Mechanics of the Digestive Tract

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Similar contractions will sometimes be excited by swallowing. In these cases it seems likely that the diaphragm is stimulated either by a sudden distension of the fibers around the eso- phageal opening or else by the action current of the eso- phageal muscle. The latter theory seems not improbable because the diaphragm has been observed to twitch rhy- thmically under the stimulus of the action current of the heart. It is suggestive that hiccup is not infrequently a troublesome symptom after ser...ious operations when the gastro-intestinal currents are plainly reversed. Other factors are undoubtedly at work, and there probably are many varieties of hiccup in which reverse peristalsis plays no part.
(10) "BILIOUSNESS. " This is often nothing more than the layman's term for the reverse peristalsis syndrome. Certainly, few thinking physicians to-day would ascribe 132 THE MECHANICS OF THE DIGESTIVE TRACT that group of symptoms to hepatic insufficiency, although they are often seen with definite gallbladder disease.


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