The Stomach and Oesophagus; A Radiographic Study

The Stomach and Oesophagus; A Radiographic Study

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1913 edition. Excerpt: ... in several instances there has been a little food still present after 5 hours, although no pelvic lesion could be found at the operation; only the duodenal ulcer. 2. This appearance can be produced artificially by giving a large quantity of food rapidly, and on one occasion I even obtained distension of the duodenum, out this was in a patient whose mental state was not stable. He wished to prove that his stomach was abnormal, and although he had been operated on, and although I had examined him previously on two separate occasions, he would have me make an observation when he had 'quite filled' his stomach. He swallowed four pints of custard mixed with 8 oz. of bismuth carbonate, and this distended the stomach, probably causing some pressure on the duodenojejunal flexure, with the result that the duodenum also was distended. (No constipation or pathological effect was noted as the result of this huge dose of bismuth.) Dr. A. C. Jordan recently read a paper before the Electro-Therapeutic Section of the Royal Society of Medicine (" Proc. Roy. Soc. Med.," Dec, 1911), in which he described kinking of the duodenojejunal flexure, and I believe that in the majority of his cases his technique approximated to the above observation. He has told me privately that with the ordinary methods he failed to obtain the appearances he described. In my list of cases only one (No. 498) showed obstruction at the duodeno-jejunal flexure. Where the ulcer or cicatrix is situated on the lower border of the first part of the duodenum, it is sometimes found that there is a definite shadow of retained food in this position which appears to be almost continuous with the gastric shadow. It is, however, unaffected by the peristalsis of the stomach. When...
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Product details

  • Paperback | 44 pages
  • 189 x 246 x 2mm | 95g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236568745
  • 9781236568748