Peristalsis is the driving mechanism behind a broad array of biological and engineered flows. In peristaltic pumping, a wavelike contraction of the tube wall produces local changes in volume which induce flow. Net flow arises due to geometric nonlinearities in the momentum equation, which must be properly captured to compute the flow accurately. While most previous models focus on radius-imposed peristalsis, they often neglect longitudinal length changes—a natural consequence of radial contraction in elastic materials. In this paper, to capture a more accurate picture of peristaltic pumping, we calculate the flow in an elastic vessel undergoing contractions in the transverse and longitudinal directions simultaneously, keeping the geometric nonlinearities arising in the strain. A careful analysis requires us to study our fluid using the Lagrangian coordinates of the elastic tube. We perform analytic calculations of the flow characteristics by studying the fluid inside a fixed boundary with time-dependent metric. This mathematical manipulation works even for large-amplitude contractions, as we confirm by comparing our analytical results to COMSOL simulations. We demonstrate that transverse and longitudinal contractions induce instantaneous flows at the same order in wall strain but in opposite directions. We investigate the influence of the wall's Poisson ratio on the flow profile. Incompressible walls suppress flow by minimizing local volume changes, whereas auxetic walls enhance flow. For radius-imposed peristaltic waves, wall incompressibility reduces both reflux and particle trapping. In contrast, length-imposed waves typically generate backflow, although trapping can still occur at large amplitudes for some Poisson ratios. These results yield a more complete description of peristalsis in elastic media and offer a framework for studying contraction-induced flows more broadly.

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