THE ACID-BASE COMPOSITION OF GASTRIC SECRETIONS.
The chief inorganic factors in secretions obtained from isolated pouches constructed in the fundus and in the pyloric antrum of the cat's stomach were found to be chloride ion and fixed base. In a series of samples obtained from the fundic pouch, chloride ion was approximately stationary at 165 cc. 0.1 N per 100 cc. During digestion of food in the stomach, secretions from the pouch contained fixed base in amounts varying considerably from an average of 47 cc. 0.1 N per 100 cc. Material allowed to remain in the pouch after the completion of food digestion in the stomach showed an increasing content of fixed base, to as much as 140 cc. 0.1 N per 100 cc. A stationary total ionic content of secretions of the fundus is thus seen to be sustained by the chloride ion concentration, and changes in hydrogen ion concentration to be caused by variation of fixed base. The differing amounts of fixed base found are regarded as probably due to admixture of a mucous secretion with the juice from the fundic glands. The alkaline secretion taken from a pyloric pouch contained fixed base in excess of chloride ion. Variation of fixed base in the secretions from the fundic pouch were found to be referable to change in sodium content, the smaller factor, potassium, remaining approximately constant at about the value found in material from the pyloric pouch. This suggests that the mucous secretion of the fundus has the same composition as that produced by the pyloric antrum. These data will serve to explain the extensive withdrawal of fixed base, as well as of chloride ion, from the blood plasma in the presence of circumstances causing a continued loss of stomach secretions.
Departments of Pediatrics and Surgery, Harvard Medical School, Boston.
J L
JL
Gamble
M A
MA
McIver