Stomach small rounded mass of chewed up food) enters the stomach through the oesophagus via the lower oesophageal sphincter. The stomach releases proteases (protein-digesting enzymes such as pepsin) and hydrochloric acid, which kills or inhibits bacteria and provides the acidic pH of 2 for the proteases to work. Food is churned by the stomach through muscular contractions of the wall called peristalsis – reducing the volume of the bolus, before looping around the fundus and the body of stomach as the boluses are converted into chyme (partially digested food). Chyme slowly passes through the pyloric sphincter and into the duodenum of
Gastric acid excess vomiting, patients develop hypochloremic metabolic alkalosis (decreased blood acidity by H and chlorine depletion). The proton pump enzyme is the target of proton pump inhibitors, used to increase gastric pH (and hence decrease stomach acidity) in diseases that feature excess acid. H antagonists indirectly decrease gastric acid production. Antacids neutralize existing acid. The role of gastric acid in digestion was established in the 1820s and 1830s by William Beaumont on Alexis St. Martin, who, as a result of an accident, had a fistula (hole) in his stomach, which allowed Beaumont to observe the process of digestion and to extract