. On disorders of digestion, their consequences and treatment . ng whether the disturbance of function is greater in thestomach or in the liver. The close connection between the liver, on the one hand, andthe stomach and intestines, on the other, is rendered inevitable bythe arrangement of the blood-vessels in them. On looking at the liver, on the one hand, we see that, with theexception of a small quantity which passes through collateralbranches, all the venous blood returning from the stomach andintestines must pass through the liver before it reaches the general 24 LETTSOMIAN LECTURES. [lec
. On disorders of digestion, their consequences and treatment . ng whether the disturbance of function is greater in thestomach or in the liver. The close connection between the liver, on the one hand, andthe stomach and intestines, on the other, is rendered inevitable bythe arrangement of the blood-vessels in them. On looking at the liver, on the one hand, we see that, with theexception of a small quantity which passes through collateralbranches, all the venous blood returning from the stomach andintestines must pass through the liver before it reaches the general 24 LETTSOMIAN LECTURES. [lect. circialation (Fig. 4). Thus, any products of imperfect digestion arelikely to affect the hepatic functions, and not improbably to derangethem. On looking at the stomach and intestines, on the other hand, wesee that any hindrance to the flow of the portal blood through theliver will tend to cause venous concrestion in them. Lung. Veins from theStomach. Veins from thIntestines. Vena Cava Superior Hoemoi rhoidal Vein. Middle and Inft rior Hccviorrhoida Veins,. Arteries to the Brain. Aorta. Arteries to t7ieSlomacli. Arteries to the SmaUIntestine. Arteries to the LargsIntestine. Kidney. Ha:morrhoidal , Ecdum and HcemorrlioidalFlcxus. Fig. 5.—Diagram of the veins forming part of the portal circulation. The pancreaticand splenic veins, although most important, have been omitted for the sake ofclearness. On looking at the liver in a j^osi mortem examination, it hard and firm that we are apt to think that it is not capable ofmuch dilatation and contraction in the living body. But thisnotion is perfectly erroneous. I have made a number of experi-ments on the artificial circulation of blood throusrh the livers of II. SFONGINLSS OF THE LIVER. 25 rabbits, and have been quite astonished to find what an elasticorgan the liver is. When the bottle containing the blood wasraised two or three feet above the liver, so as to increase the
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Keywords: ., bo, bookcentury1800, bookdecade1880, bookpublisherlondonmacmillan
