King, John B.

2019-02-15T14:32:21Z

2019-02-15T14:32:21Z

1929

(1) An account is given of the technique found most suitable for the radiological examination of cases after gastro-enterostomy. (2) The mode of filling and action in the normal stomach, and after gastro-enterostomy is described. (3) It is suggested that there is a patulous condition of the stoma in the fasting stomach, allowing the leakage of the gastric secretion, especially in the recumbent position and that this may be at least a partial explanation of the improvement following gastro-enterostomy. (4) It is pointed out that in the full stomach ther is a rhythmical action of the stoma, and that this is probably due to variations in the gastric tone. (5) As there is every evidence that primary union rarely takes place at the anastomotic line, puckering of the mucosa will normally be present and can have no diagnostic significance. (6) The only radiological evidence of gastro-jejunal ulcer is the actual demonstration of a "niche". (7) It is pointed out that while a well formed "niche" sign is diagnostic of gastric, duodenal or gastro-jejunal ulcer, the disappearance of this sign can in no way be taken as evidence that the ulcer has. healed. (8) The diagnosis of carcinoma developing in a stomach after gastro-enterostomy is exceedingly difficult by the opaque meal, and it is suggested that the onset of symptoms will be unusually late. A negative X-Ray report of neoplasm in these cases is of no value. (9) In every examination of a stomach after gastro-enterostomy, mention should be made of the position of the colon, preferably in relation to that of the anastomosis.

http://hdl.handle.net/1842/34887

The University of Edinburgh

Annexe Thesis Digitisation Project 2019 Block 22

A radiological study of the stomach after gastro-enterostomy

Thesis or Dissertation

Doctoral

MD Doctor of Medicine