Transactions of the Annual Meeting of the American Gastro-Enterological Association Volume 17

Transactions of the Annual Meeting of the American Gastro-Enterological Association Volume 17

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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. 1914 edition. Excerpt: ...portion of the stomach becomes dilated under this constant pressure, so that the plates present the pylorus not at the end of the stomach, as it were, but the prepyloric region extends further to the right than the pylorus, the pylorus resting on the top of the stomach, and pointing to the splenic region. The prepyloric bulging is dependent largely upon the duration of the affection. In early cases it is very small, but as the condition advances, the prepyloric bulging may reach the size of a hen's egg. If the condition persists dilatation begins to take place and after a time, practically the entire fundus yields so that typical sack like formation is produced, and the entire bismuth rests in the bottom of the fundus. In this states the examination will present a retention of contents of from ten to twenty hours. II. OBSTRFCTIONS FROM WrrnoUr THE STOMACH. We find this condition due chiefly to two factors. First, from a mass or growth pressing upon the pylorus and duodenum, and thus producing mechanical obstruction, and secondly, adhesions occurring around the pylorus and duodenum and omentum. The first condition is rather unusual. It can be cleared up by palpation of the abdomen by either moving the mass or changing the position of the stomach, so that under massage the contents will be expelled quite freely. The second, obstruction from adhesions, is in this day of operative surgery quite common as can be observed in many post-operative cases which are explored or by chance come to the autopsy room. One cannot help but be impressed with the fact how frequently adhesions are formed and are produced by various for_ms of pathological conditions. At the same time one is frequently amazed to see how nature will accommodate itself to the...
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Product details

  • Paperback | 90 pages
  • 189 x 246 x 5mm | 177g
  • United States
  • English
  • black & white illustrations
  • 1236824229
  • 9781236824226