The Alimentary Tract: a Radiographic Study

Cover The Alimentary Tract: a Radiographic Study
The Alimentary Tract: a Radiographic Study
Alfred Ernest Barclay
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418. Large ulcer of lesser curvature. Cicatrices of the duodenum.
No. 760. Cicatrix of lesser curvature, two inches from the pylorus.
It will be noted that in all these cases the ulcer was on the lesser curvature, near one or other of the orifices.
With the exception of these four cases therefore, ulceration of the body of the stomach has given rise to an hour-glass contraction (about 905 per cent.).
The association of these hour-glass contractions with pyloric obstruction is very marked. In 14
... cases out of the 38 this condition was also present, and it is probable that the four cases in which the gastro-jejunostomy had failed to relieve the symptoms (Nos. 206, 266, 389, and 400) should also be added to the number. Ulceration of the pylorus was also met with in four cases (Nos. 335, 599, 717, 720) and presumably these would eventually have become cases of pyloric obstruction. In at least a half of the cases of ulceration of the body of the stomach therefore there was also a lesion at the pylorus.

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