THE DIGESTIVE SYSTEM OF
VERTEBRATES: CD
6. Motor
activity of the digestive tract:
Introduction:
The reduction of food to a small
particle size, mixing of ingesta with digestive fluids and enzymes, and
movement of digesta through the digestive tract are performed
principally by its motor or muscular activity. Frogs, anteaters, and
cattle use their tongue for the prehension or capture of food. Many
vertebrates use their teeth, horses use their lips, and most primates
use their hands for this this purpose. Food can be reduced to a small
particle size by microfiltration, the cutting, tearing, crushing, or
grinding activity of teeth and jaws, or by the muscular activities of
the foregut. Ingesta is passed through the esophagus of some fish,
amphibians and reptiles with the aid of cilia. However, with the
exception of embryonic fish and larval amphibians, ingesta is
transferred through the digestive tract principally or entirely by
muscular activity. The initial stages of ingestion and final
stage of fecal elimination are accomplished by striated muscle under
voluntary control. The motor activities in the remainder of the
digestive tract are conducted by smooth muscle, which contracts more
slowly, shows a greater range of distention or tonus, and is under the
involuntary control of the muscle cells, hormones, paracrine agents,
and the intrinsic nervous system of the digestive tract.
Headgut:
Movements
of the jaws and tongue, and the initial stage of deglutition
(swallowing) are voluntary and activated by striated muscles, but the
pressure of food against the pallet and pharynx stimulates a nervous
reflex that involves a deglutition (swallowing) center in the brain
stem. This results in a complex series of events that pass food into
the esophagus (Davenport 1982;
Goyal and Paterson 1989).
Foregut - Esophagus:
The esophagus and gastrointestinal tract
of most vertebrates are invested with an inner layer of circular muscle
and outer layer of longitudinal muscle. The circular muscle forms a
well defined sphincter at the gastroesophageal junction of some fish,
adult amphibians, reptiles, and mammals, but this region is delineated
only by a muscular constriction in many species (Botha 1958, 1962). The longitudinal layer of muscle is
incomplete near the gastroesophageal junction of some adult amphibians
and reptiles. These
muscles are striated in the esophagus of fish and over varying lengths
of the mammalian esophagus. However, the esophagus of amphibians,
reptiles, and birds, and terminal esophagus of most mammals is invested
with smooth muscle.
Boluses of food are passed through the esophagus and into the stomach
by peristaltic waves of esophageal muscle contraction.
Antiperistaltic waves of contractions are also seen in the esophagus of
some birds and mammals. They aid in the regurgitation of crop contents
for the feeding of young in some species of birds, the regurgitation of
undigested waste products from the gizzard of raptors such as hawks and
owls, and the regurgitation of forestomach digesta in ruminants and
camelids. Antiperistaltic contractions also accompany the
eructation (belching) of gas produced in the forestomach of ruminants
and camelids (Sellers and
Stevens 1960) and stomach of dogs (Heywood and Wood 1988).
The pressure events
associated with deglutition, eructation, and the regurgitation phase of
rumination in the bovine esophagus are shown in Figure 6.1. Deglutition
is associated with a wave of peristaltic contraction, which terminates
with relaxation of the gastroesophageal sphincter and transfers the
food bolus through the esophagus and into the forestomach. However,
regurgitation and eructation are accompanied by antiperistaltic
waves of esophageal contraction. Regurgitation is preceded by a drop in
intrathoracic intraesophageal pressure, due to inspiration against a
closed glottis, and accompanied by relaxation of the gastroesophageal
sphincter and aspiration of digesta into the thoracic esophagus.
Eructation is also preceded by relaxation of the sphincter, but rumen
gasses are forced into the esophagus by contractions of the abdominal
muscles (abdominal press) and rumen.

Figure 6.1
Esophageal pressure events during bovine (A)
deglutition, (B) regurgitation, and (C) eructation.. Numbers represent
1) cervical esophagus 79 cm cranial to cardia, 2) thoracic esophagus 40
cm cranial to cardia, 3) thoracic esophagus 19 cm cranial to cardia,
and 4) pleural cavity. The peristaltic deglutition wave is accompanied
by no changes in respiratory cycle. However, regurgitation is
accompanied by a marked drop in pressure in the pleural cavity and
thoracic esophagus, followed by an antiperistaltic wave of esophageal
contraction. Eructation is recorded as a rise in intrathoracic pressure
of low amplitude and approximately one-second duration, due to
abdominal press. This is followed by a high pressure, short duration
wave of antiperistaltic esophageal contraction, often followed by
a fluid- clearing wave of deglutition. (From Sellers & Stevens
1960)
Most mammals can remove irritating or toxic substances from their
stomach by emesis or vomiting. Chemical or physical irritation of the
gastrointestinal tract can initiate a nervous reflex via an emetic
center in the medulla. This results in relaxation of the esophageal
sphincters, contraction of the longitudinal muscles of the esophagus,
an increase in the tonus of stomach muscles, contraction of abdominal
muscles (abdominal press), and the ejection of gastric contents.
However, there is no evidence of esophageal antiperistalsis that
accompanies rumination and eructation during emesis in humans or other
species (Botha 1958, 1962).
Rats, horses, and ruminants are unable to vomit. Rats appear to have
compensated for this by a highly developed sense of taste and smell,
and ruminants eject abomasal contents into the forestomach during
abomasal displacement or torsion. However, horses will often rupture
their stomach before vomiting.
Foregut - Stomach:
The stomach of most vertebrates is
invested with an outer layer of longitudinal muscle and an inner layer
of circular muscle, which forms a pyloric valve or sphincter at its
junction with the midgut. A third, oblique layer of muscle is found
near the esophageal junction of some mammals, and the longitudinal
muscle is almost absent in the gizzard of birds and concentrated in
longitudinal bands over most of the stomach of macropod marsupials and
colobid monkeys (Fig. 5.19b and c). The muscular arrangement of the
ruminant forestomach is very complex.
Figure 5.19b Eastern
grey kangaroo (Macropus giganteus)
digestive tract
(Stevens & Hume 1995)
Figure 5.19c Colobus
monkey (Colobus
abyssinicus) digestive tract (Stevens
&
Hume 1995)
In most vertebrates, the circular muscle in the cranial portion of the
stomach undergoes receptive relaxation at the time of a meal. This is
followed by periodic, stationary contractions of the circular muscle,
which mix and macerate gastric contents. However, the motor
activity of distal stomach is dependent on slow, rhythmic cycles of
partial depolarization of the membrane potential of its muscle cells
(Fig. 6.2). This basic electrical rhythm (BER) is initiated by
pacemaker cells that are located near the axial center of the stomach
and generate slow waves of depolarization in the membranes of the
circular muscle cells in the distal stomach. Although the BMR
does not in itself initiate muscular contraction, it sensitizes these
cells to contract under extrinsic, neurohumoral stimulation. When
stimulated, these slow waves are accompanied by spike potentials of
more complete membrane depolarization, which result in peristaltic
waves of muscular contraction that mix digesta in the distal segment of
the stomach and eventually transfer gastric contents into the midgut
during periods of pyloric sphincter relaxation. These two type of motor
activity appear to apply to the stomach of all simple-stomached
vertebrates.

Figure 6.2 Basal electrical rhythm of the
human stomach.
Slow
waves of partial depolarization of the circular muscle is initiated by
a pacemaker and passes over the distal
half of the stomach. These initiate contractions when accompanied by
spike potentials.
(Stevens 2001)
The forestomach contractions of macropod marsupials also appears to be
influenced by a basic electrical rhythm. Fluoroscopic studies of the
tammar wallaby showed that contractions of the haustra of the macropod
marsupial forestomach (see Fig. 5.19b) spread in an aboral direction
with an intermittent narrowing of the haustra (Richardson and Creed 1981).
A basic electrical rhythm of 5-6 cycles per minute was recorded along
the entire stomach of the tammar wallaby and quokka, and this was
accompanied by aborally-moving waves of haustral contraction of the
same frequency (Richardson and
Wyburn 1983, 1988). The motor activities of the hoatzin,
sloth, colobid monkeys, and hippo forestomachs do not appear to have
been examined. However, studies of the ruminant and camelid forestomach
have demonstrated a unique combination of complex, involuntary motor
events that are under central nervous system control.
Figure 5.19b Eastern
grey kangaroo (Macropus giganteus)
digestive tract
(Stevens & Hume 1995)
The motor activities of the ruminant and camelid forestomach are
complex and closely integrated with rumination (regurgitation,
remastication, and reswallowing of digesta) and the eructation
(belching) of gas. The stomach of advanced ruminants, is divided into a
multicompartmental forestomach (reticulum, rumen and omasum), and a
secretory compartment (abomasum) similar to the entire stomach of most
other species (Fig. 6.3) The foretomach consists of a large
reticulorumen, which serves as the major fermentation organ, and an
omasum, which transfers digesta from the reticulum into the abomasum.
Closure of a ventricular groove that runs from the gastroesophageal
juncture (cardia) to the abomasum, allows milk to bypass the
forestomach of nursing calves, but this becomes inoperative following
weaning. The ventral location of the reticulo-omasal orifice and a
filter formed by thin, projecting leaves of omasal tissue prevents the
passage of large digesta particles in older animals.

Figure 6.3 Diagrammatic
sections of bovine reticulorumen
and
omasum. Structures and compartments of major importance are
numbered as follows: 1) cardia, 2) reticulo-omasal orifice, 3)
reticulum, 4) cranial sac of rumen, 5) dorsal sac of rumen, 6)
caudodorsal blind sac, 7) ventral sac of rumen, 8) caudoventral blind
sac, 9) ruminoreticular fold, 10) cranial pillar, 11) right
longitudinal pillar, 12) caudal pillar, 13) dorsal coronary pillar, 14)
ventral coronary pillar, 15 ) omasum, 16) omasal canal, 17) omasal
pillar, 18) omaso-abomasal orifice, 19) omasal lamina (leaf), 20)
abomasum. (From Sellers
& Stevens 1966.)
The pressure events associated with muscular contractions of the bovine
forestomach, in the absence of feeding or rumination, are illustrated
in Figure 6.4. The reticulum, rumen, reticulo-omasal sphincter, and
omasal canal undergo a continuous series of cyclic contractions
(Sellers and Stevens 1960). Each cycle is initiated with a double
contraction of the reticulum and followed by a primary wave of
contraction that spreads over the dorsal and ventral sacs of the rumen,
the reticulo-omasal sphincter, and the omasal canal. These cycles
may include a secondary wave of contraction, which includes all of
these structures other than the reticulum. The body of the omasum also
undergoes powerful contractions, but these are neither cyclic in nature
nor necessarily present during each cycle.

Figure 6.4 A six-minute
recording of reticuloruminal
cycles and
associated events in the esophagus and omasum. Note the
relationship between the contractions of the rumen and omasal canal,
and the prolonged, acyclic contractions of the omasal body pressure
during primary contraction of the dorsal rumen and omasal canal.
Upper traces show eructation as a biphasic wave occurring during
secondary rumen contractions and the frequent waves of deglutition
associated with the swallowing of saliva. (From Sellers & Stevens
1966.)
The cyclic contractions of the reticulum and rumen serve to mix and
circulate digesta in the reticulorumen (Fig. 6.5). Cyclic contractions
of reticulo-omasal sphincter and omasal canal aid in the passage of
digesta from the reticulum into the omasal canal and body, as shown in
Figure 6.6. The second reticular contraction draws the
reticulo-omasal orifice and omasal canal downward, first closing the
orifice and reducing the pressure within the canal and then opening the
orifice at the time of maximum reticular contraction. This results in a
small, but rapid aspiration of digesta from the floor of the reticulum.
The primary and secondary contractions of the reticulo-omasal sphincter
and omasal canal force fluid and small particles of digesta from the
canal into the spaces between the leaves of the omasal body, leaving
the larger particles in the canal. The subsequent relaxation of these
structures results in a negative pressure, which aspirates more copious
amounts of digesta from the reticulum into the omasal canal. When these
cycles of aspiration and contraction have distended the omasum to a
sufficient degree, it undergoes a strong, prolonged contraction. These
contractions pass most of its contents into the abomasum and small
amounts of digesta back into the reticulum, along with the larger
particles retained by the filter of omasal leaves. Thus, the omasum
serves as both a pump for the transfer of digesta from the reticulum
into the abomasum and a filter to retain the larger particles for
further fermentation in the
reticulorumen.

Figure 6.5 Movement of
digesta during primary and
secondary
contractions of the reticuloruminal cycles. (From Stevens & Hume
1995.)

Figure 6.6 Movement of
digesta through the bovine
omasum.
Closed arrows show movement of digesta and open arrows show movement of
forestomach walls. Diagrammatic axial section (see Fig. 5.3) shows the
cranial reticulum (1), reticulo-omasal orifice (2), omasal leaf portion
of omasal body (3), omasal canal (4) and cranial abomasum (5). A:
All structures are relaxed during much of the cyclic contraction of the
forestomach. B: During the second reticular contraction, the
reticulo-omasal orifice and omasal canal are pulled ventrally,
producing a negative pressure in the canal and a closing and then
opening of the orifice, which results in aspiration of digesta from the
base of the reticulum. C: Primary contraction of the rumen is
associated with a primary contraction of the reticulo-omasal orifice
and omasal canal, forcing fluid and small digesta particles between the
leaves of the omasal body and into the abomasum. These events are
followed by relaxation of these structures (D), and repeated if the
forestomach undergoes a secondary contraction. E: At intervals
that vary and are unrelated to the cyclic contractions of the
forestomach, a wave of contraction passes over the omasal body,
releasing its contents into the abomasum. (From Stevens & Hume
1995.)
The reticulorumen contains a layer of larger plant particles floating
on a more fluid layer of smaller, partially digested particles and
capped by a pocket of the gasses produced by microbial fermentation.
Eructation of gas occurs during contraction (generally the secondary)
of the dorsal sac of the rumen, when the cardia region (antrum) is
exposed to the gas pocket as a result of the reticular contractions and
contraction of the cranial pillar.
Ruminants and camelids are unique in their ability to ruminate, which
consists of the regurgitation, remastication, and reswallowing of
digesta in the floating layer of their forestomach at intervals
throughout the day. Rumination is stimulated by the presence of course
particles of plant fiber pressing against the antrum of the rumen and
inhibited by physical or psychological stress. It aids in the further
mastication and maceration of plant material, under less stressful or
dangerous conditions, and it has been estimated that rumination in a
recumbent position can conserve up to 10% required for forage intake by
sheep (Gordon 1968).
Both rumination and eructation are tightly integrated with the
cyclic contractions of the forestomach. During rumination, the bolus is
regurgitated only at the time of an extra reticular contraction, which
begins these rumination cycles, and the remasticated bolus is never
swallowed until completion of the cycle (Fig. 6.7). Eructation occurs
only during contraction of the dorsal sac (Fig. 6.4), even if the rumen
is completely emptied of digesta and infused with gas at a pressure of
20 mm Hg (Stevens 1958).
This integration of rumination and eructation with the cyclic
contractions of the forestomach is controlled by nerve centers in the
medullary region of brain, and all three of these activities cease
following severance of the vagal nerve trunks.
Therefore, other than emesis, it represents the only known example of
direct central nervous system control of gastrointestinal functions and
it is one of the most complex series of involuntary motor events
witnessed in animals.

Figure 6.7 Reticuloruminal
cycles during rumination in
cattle.
Numbers 1 and 2 mark first and second reticular contractions seen with
every cycle and the x marks the extra reticular cycle at the
regurgitation stage (R) of rumination. The remasticated bolus is
swallowed (D) just prior to the next reticulorumen cycle. The AP on the
reticular tracing is a registration of abdominal press at the time of
eructation (E). (From Stevens
& Sellers 1968.)

Figure 6.4 A six-minute
recording of reticuloruminal
cycles and
associated events in the esophagus and omasum. Note the
relationship between the contractions of the rumen and omasal canal,
and the prolonged, acyclic contractions of the omasal body pressure
during primary contraction of the dorsal rumen and omasal canal.
Upper traces show eructation as a biphasic wave occurring during
secondary rumen contractions and the frequent waves of deglutition
associated with the swallowing of saliva. (From Sellers & Stevens
1966.)
The
forestomach of camelids undergoes a somewhat similar series of
contractions, which are also integrated with eructation and rumination.
The camelid stomach is divided into three compartments. The first two
compartments are analogous to the reticulorumen, and the third
compartment is analogous to the abomasum (Fig. 6.8). A
ventricular groove provides a similar shunt for the passage of milk in
nursing animals. The first compartment is bisected partially by a
muscular pillar, and both it and the second compartment are lined with
stratified squamous epithelium plus regions of glandular pouches (Fig.
6.9).

Figure 6.8 Schematic
representation of the llama stomach. The
esophagus (1) enters the first compartment (A), which is partially
divided into cranial (3) and caudal (4) sacs by a pillar of muscle (7),
and separated from the second compartment (B) by a constriction (8).
Both compartments include regions of saccules (5,6,9) containing
cardiac glandular mucosa. A ventricular groove (2) runs along the
lesser curvature of the forestomach between the esophagus and the third
compartment (C). The initial four-fifths of the third compartment is
also lined with cardiac glandular mucosa (11,12). The terminal segment
(13) is lined with proper gastric mucosa and separated from a duodenal
ampulla (D), by a pyloric sphincter (14). (From Vallenas et al. 1971.)

Figure 6.9 Left, lateral, longitudinal
section of the
llama
stomach showing the entrance of the esophagus (A), transverse pillar
(B) between the cranial and caudal sacs of the first compartment and
entrance to the second compartment (C). It also shows the openings to
the glandular saccules in the first compartment. (Modified from Vallenas et al. 1971.)
The first and second compartment undergo cyclic waves of
contraction. However, they start with a single contraction of the
second compartment and progress with multiple contractions of the
caudal and then cranial sac of the first compartment (Fig. 6.10).
The regurgitation phase of rumination was associated with an extra
contraction of the cranial sac and eructation was associated with
contractions of the caudal sac of the first compartment. Each
contraction was accompanied by eversion of the glandular pouches (Fig.
6.11). Therefore, the camelid and ruminant forestomachs demonstrate a
number of analogies, and the glandular pouches of the camelid
forestomach are remindful of the glandless pouches of the ruminant
reticulum. However, the camelid forestomach lacks an omasum, and
other differences discourage use of the terms reticulum and rumen.
A process called merycism, with some of the characteristics of
rumination, has been described in macropod marsupials, dasyurids, and
most recently the koalas (Logan
2001). However, it appears to consist of either regurgitation
without mastication or mastication without regurgitation.

Figure 6.10 Pressure
recording of cyclic contractions of
llama
forestomach. (From Vallenas
& Stevens 1971a.)

Figure 6.11 Cyclic contraction of the
first compartment
of the
llama forestomach. A-D show contractions of pillar and
sacs. Cyclic eversion of caudal sac pouches during the three stages of
contraction is shown in drawings on the right. (From Vallenas &
Stevens 1971a.)
Midgut:
The midgut is invested with an outer
longitudinal and an inner circular layer of muscle (Fig, 4.6). The
circular muscle forms a valve or sphincter at its juncture with the
hindgut of a few fish, some adult amphibians, and the reptiles, birds,
and most mammals. Digesta are mixed and moved through the midgut
by a gradation in the frequency of standing waves and of muscular
contraction and peristaltic rushes. The midgut of mammals can be
subdivided into progress segments of duodenum, jejunum and ileum. The
BER of the intestinal circular muscle cells of cats decreased in a
stepwise fashion, from 18/minute in the duodenum to 12.5/minute in the
terminal ileum (Davenport 1982).
However,
no gradation was seen in the midgut of guinea pigs (Calligan et al. 1985). Neuro or humeral stimulation of these
muscle cells result in their contraction, which mixes digesta and
passes it short distances down the tract.

Figure 4.6. Cross-section of the
intestine. (Stevens 2001.)
Passage of digesta along the midgut is also aided by migrating
myoelectric complexes (MMC) that generate peristaltic rushes. The
three phases of migrating myoelectric complexes in the dog and human
are illustrated in Figure 6.12a, b, c. Phase I is a quiescent
period when the slow waves are unaccompanied by contraction, but they
are accompanied by action potentials and muscular contractions
intermittently in phase II and continuously in phase III (Fig.
6.12a). Feeding resulted in a shortening of Phase I and
prolongation of phase II in the midgut of dogs and humans (Figs. 6.12b,
c). However the MCC pattern was uninterrupted in the herbivorous
horses, ruminants, and macropod marsupials (Ruckebusch 1981; Richardson and Wyburn 1983),
which tend to feed almost continuously. The MCCs of the omnivorous pig
were similar to those of the dog and human on concentrate diets fed
three times a day and similar to that of herbivores when fed a high
fiber diet.

Figure 6.12a Phases of
migrating myoelectric complexes (MMC) during interdigestive (fasting)
and feeding periods in carnivores and humans. This diagram shows
slow waves with no spike potentials during phase I, intermittent spike
potentials during phase II, and consistent spike potentials during
phase III. (From Hendrix 1987.)

Figure 6.12b Phases of
migrating myoelectric complexes (MMC) during interdigestive (fasting)
and feeding periods in carnivores and humans. This diagram shows
the effects of interdigestive periods on the MCC, which originate
in the stomach and lower esophageal sphincter (LES) and pass through
the small intestine. (From Hendrix
1987.)
Figure
6.12c Phases
of migrating myoelectric complexes (MMC) during
interdigestive (fasting) and feeding periods in carnivores and
humans. This diagram shows the effects of feeding on the
MCC, which originate in the stomach and lower esophageal sphincter
(LES) and pass through the small intestine. Feeding interrupts
the cycle and increases the duration of phase II. (From Hendrix
1987.)
The velocity and number of MMC per day varies with species. Both
appear to increase with the length of the intestine (Fig. 6.13).
However, while they were limited to the interdigestive periods in
carnivores and humans, they were distributed throughout the day in
herbivores. Oral transmission of MCCs was also recorded in the
midgut of chickens (Roche and
Ruckebusch 1978), and antiperistaltic waves of contraction are a
relatively common feature of the avian midgut (Duke 1986). They also have
been observed in the midgut of some mammals
Figure 6.13 Relationship between
the velocity of propagation of myoelectric complexes and the length of
the small intestine. The hatched area shows the 95% confidence
limits. The median daily number of jejunal complexes is high in
ruminants and low in carnivores, because of the obliterating effect of
feeding in the latter species. (From Ruckebusch 1981.)
Hindgut:
The
hindgut also mixes digesta with muscular contractions and moves digesta
both aborally by peristalsis and orally by antiperistalsis.
Antiperistaltic waves of contraction that are generated in the cloacal
region and pass over the length of the hindgut have been observed in
the tortoise Geoclemys reevisii
(Hukuhara et al. 1975), and
chickens, turkeys, Japanese quail, and roadrunners (Stevens and Hume 1995).
Myoelectric studies also indicated a progressive increase in the
frequency of slow waves from the ileocecal junction to the cloaca in
the opossum (Anuras and
Christensen 1975). However, the digestive tracts of most
mammals develop separate exits prior to birth and the colon is
generally longer, with its pacemaker located in a more proximal
segment.
Early studies showed antiperistalsis in the proximal colon of the cat,
ferret, rat, guinea pig, and rabbit (Elliott and Barclay-Smith 1904),
and a simultaneous contraction of distal cat colon that resulted in a
mass movement of its contents into the rectum (Cannon 1902). A basal
electrical rhythm similar to that of the midgut was recorded in the
hindgut of cats, but their frequency increased from the
ileal-cecal-colonic junction to the midcolon and remained constant over
the remaining length of distal colon (Fig. 6.14). Sellers et al. (1982) reported a pair of
pacemakers at the junctions of both the ventral and dorsal colon, and
the dorsal and small colon of the pony.
Figure 6.14 Relationship between digesta
flow and electrical slow waves and migrating spike bursts in the cat
colon. Slow waves (SW) appear to originate from a pacemaker midway
along the colon, spread toward the cecum, and tend to produce digesta
flow in the same direction. Migrating spike bursts (MSB) begin at a
variable position in the proximal colon and migrate toward the rectum.
These are accompanied by contractions, which tend to move digesta in
that direction. (From Christensen
et al. 1974)
Therefore, the hindgut undergoes mixing contractions, and contractions
of the distal colon that move digesta into the rectum. It also
undergoes periodic waves of antiperistaltic contraction which can
reflux digesta and cloacal urine the length of the hindgut in some
reptiles and birds (Fig. 4.6) or reflux digesta the length of the
proximal hindgut in most mammals (Fig. 5-10).

Figure 4.6. Cross-section of the
intestine. (Stevens 2001.)

Figure 5.10. The large intestine of the human,
dog, horse, pig and Ox. Note that the cecum and
segments homologous to the
ascending, transverse and descending colon of humans vary in their
relative
length, shape, and volume, and that the proximal or "ascending" segment
is extended and expanded in many mammals. (Modified from de Lahunta and
Habel 1986.)
< Top
of Page Next section: 7. Digesta
transit and retention