Applied Surgical Anatomy, Regionally Presented, for the Use of Students And Practitioners of Medicine

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The diameter of the former is 1\ inches, of the latter \\ inches. The walls of the former are more vascular and thicker, owing largely to the valvulse conniventes which are large and numerous, while they are nearly wanting in the lower part of the jejunum and scanty in the upper part of the ileum. If the intestine is opened and presents a large number of well-developed valvulte conniventes we may infer that the opening is in the upper jejunum, and if few or no valvulse conniventes that it is in... the lower ileum. If we look through the empty gut toward a light the lines of the valvulae conni- ventes can be well seen. The contents also vary in the two parts of the bowel considered, corresponding to the stage of digestion.
In the persistent vomiting of intestinal obstruction or peritonitis, after the stomach is emptied the bowel contents are regurgitated by reverse peristalsis and are vomited. The character of the vomit changes from the sour stomach contents to the bitter bile-laden con- tents of the upper bowel, and finally the matter may become faecal.


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