Ross-bach mars his otherwise careful work by dedaring that the pylorus is tightly closed during the whole digestive period of from four to eight hours, and that then the sphincter relaxes and the peristaltic waves empty the stomach. That this is not the normal action of the sphincter has been shown by several observers. Hirsch watched dogs with duodenal fistulas and saw food come from the stomach at intervals of one-fourth of a minute to several minutes. Roux and Balthazard maintain that in dogs food enters the duodenum at the completion of each wave of constriction. Observations on the cat, however, do not support their view, but agree rather with the statement of Hirsch.

In cats fed with bread mixed with subnitrate of bismuth, ten or fifteen minutes elapse after the first constriction in the antrum before any food can be seen in the duodenum. When food does appear it is spurted through the pylorus and shoots along the intestine for two or three centimetres. Not every constriction-wave forces food from the antrum. On one occasion, about an hour after the movements began, three consecutive waves were seen, each of which squirted food into the duodenum. The pylorus remained closed against the next eight waves, opened for the ninth, but closed once more against the tenth and eleventh. For each of the four succeeding waves the sphincter relaxed, but blocked the food brought by three constrictions that followed; and in this irregular way the food continued passing from the stomach. Near the end of gastric digestion, when the constrictions are very deep, it may be that the pylorus opens for every wave.

When a hard bit of food reaches the pylorus, the sphincter closes tightly and remains closed longer than when the food, is soft. This action of the sphincter was shown by giving with the regular food of the cat a dry, hard pellet of equal parts of starch paste and bismuth sub-nitrate about the size of a pea. The food itself contained merely enough bismuth to throw a dim shadow, near the centre of which the pellet could be clearly seen as a dark object. The continual passing of the contraction-waves finally brought the little ball to the pylorus. When it arrived there, five grams of bismuth subnitrate were introduced into the stomach through a tube in the oesophagus. This was done in order that the food passing into the intestines after the ball came to the pylorus might be distinguished from that which had gone on before. By kneading the stomach the bismuth was distributed, as shown by the uniformly black shadow. The pellet could still be seen near the end of the antrum when the constrictions passed over it. Now, although the waves continued to run regularly, the very black food did not gather in the intestines in sufficient amount to be recognised until forty-two minutes after it had been introduced.

And when, finally, the food did show itself in the intestines, its shadow contrasted strongly with that of the food which had already passed on. The slowness of the expulsion is not to be regarded as wholly due to the hard mass. No doubt the kneading of the stomach mixed the contents of different parts of the organ and brought to the pylorus food not yet sufficiently digested to be passed by that selective sphincter. But this does not explain the whole delay. Food similar to that given here, except that it contained no hard particles, has usually been seen as small masses in the intestines within fifteen minutes after being swallowed. A part of the delay was evidently, therefore, caused by the hard pellet. Further evidence on this point was secured when, on one occasion, the sphincter was seen to open only seven times in twenty minutes following the arrival of a hard particle of food at the pylorus. The conclusion may therefore be drawn that hard morsels keep the pylorus closed and hinder the passage of the food into the duodenum.