The Surgical Treatment of Non Malignant Affections of the Stomach
The Surgical Treatment of Non Malignant Affections of the Stomach
Charles Greene Cumston
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But Katzenstein's scheme appears to recognise but a single secondary cause, namely, circulatory disturb- ances. To give a broader idea of the pathogenesis, we will designate by C any secondary cause and offer the following table : (1) Principal Cause. Gastric hyperactivity. K 2 132 SURGICAL TREATMENT (2) Secondary Causes. Interstitial gastritis. Localised circulatory disturbances. Blood changes. Lesions of bacterial origin. ToxaBmic necrobiosis. Traumata. Therefore hyperchlorhydria should be en...visaged as a propitious soil for the development of ulcer, without which the secondary causes will only produce ulcers with a rapid evolution, and it is this that explains why experimenters have never been able to reproduce ulcer in a constant or regular fashion : the necessary soil for their experiments was lacking. Besides the numerous essays of various experimenters, we would mention three clinical cases reported by Robin which appear to us characteristic in this respect. Two of the cases were typical ulcers, one in a furniture remover, who had a ha3matemesis following a violent blow on the epigastrium, the second subject vomiting blood following the kick of a horse in the gastric region ; both were hypersthenic dyspeptics with hyperchlorhydria.
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