Transactions of the Congress of American Physicians and Surgeons Volume 7

Transactions of the Congress of American Physicians and Surgeons Volume 7

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1907 edition. Excerpt: ...to normal. If the acidity was above normal before operation it sinks otherwise to normal. If acidity was diminished the usual rule is for it to reach normal or slightly above. 3. Free hydrochloric acid--usually lessened after operation. 4. In those cases where no trace of hydrochloric acid is found, it is obtainable after the operation, the exception being to find it missing. A deficient hydrochloric acid cannot be considered a disadvantage as it is only a result of increased emptying power of the stomach. Table X.--Simple Ulcer. Unpublished Cases. 5. The backflow of bile into the stomach disappears gradually and does not seem to cause any pronounced symptoms. 6. Backflow of pancreatic juice is seldom recognizable. Complete blocking of outflow seems to be more the result of the disease than of the operation. Katzenstein studied the question experimentally and compels us to assume that the secretory in addition to the motor function is benefited by operation. Not only did he find that the backflow of bile and pancreatic juice lowered the acidity because of this alkalinity, but also that the delicate reflexes of the duodenum and jejunum were not lost, if the animal was fed on special foods, as fats. The experimental evidence does not forbid surgical procedures, apparently. A study of statistics, to one who has had the opportunity of studying only some sixty odd cases of gastric ulcer, the wisdom that comes from personal experience cannot be overwhelming. The study here presented is based, therefore, on an analysis of 1,871 cases of gastric ulcer and 316 cases of duodenal ulcer collected from the accumulated literature since 1897.1 The cases selected are those. only which have been reported in full detail. The German and French cases2 were tabulated...show more

Product details

  • Paperback | 82 pages
  • 189 x 246 x 4mm | 163g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236639928
  • 9781236639929