Essays On Surgical Subjects

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It is also inconstant, present on one occasion, absent on another, and changes capriciously.
The presence of the persistent spasm is strong pre- sumptive evidence of the existence of an ulcer; the presence of an "incisura" on the greater curvature, with a "bud-like" opaque projection on the lesser curvature, is an unequivocal evidence; in every such case an ulcer is present.
The radiographic method is the one certain method of diagnosis, and is now an indispensable addition to the older and far
... less accurate procedures.
Of the chemical examination of the stomach contents I do not speak with any enthusiasm. For several years my patients were submitted to this form of investigation, but I cannot think that the evidence thereby obtained Fig. 1. Very small "niche" type of ulcer on lesser curvature. Involves stomach wall only. No incisuni seen in this case. \\ jpe marks costal margin.
Fig. 2. I leer crater on lesser curvature penetrating into loser omenlum. \\ ell- marked incisura on the greater curvature, almost bisecting the stomach.


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