. The stomach and sophagus : a radiographic study . Fig. 20. Radiogram of a typical case of chronic pyloric obstruction,Type 1. The plate was taken 21 hours after the food was given, andthe bismuth is seen lying about 5 inches below the level of theumbilicus. None of the food appears to have reached the caecum. .\little more food has been given and can be seen sliding down betweenthe collapsed walls of the upper part of the stomach. The radiogramdoes not happen to show any of the blobs of bismuth food fallingfrom this point into the lower part of the stomach. X is the position of the umbilicus
. The stomach and sophagus : a radiographic study . Fig. 20. Radiogram of a typical case of chronic pyloric obstruction,Type 1. The plate was taken 21 hours after the food was given, andthe bismuth is seen lying about 5 inches below the level of theumbilicus. None of the food appears to have reached the caecum. .\little more food has been given and can be seen sliding down betweenthe collapsed walls of the upper part of the stomach. The radiogramdoes not happen to show any of the blobs of bismuth food fallingfrom this point into the lower part of the stomach. X is the position of the Fig. 21. Radiogram of Type 2 of pyloric obstruction. The platewas taken 24 hours after the bismuth food had been given and noneof the food seems to have left the stomach. Note the perfect tonicaction, the absence of peristalsis, the wide column of fluid above thebismuth shadow and the fluid line forming the lower margin of theair shadow. X is the position of the umbilicus. Pyloric obstruction 35 the resulting «-ray picture is a mosl striking contrast. Perfect Ionic action is always present and yet thestomach is invariably full of fluid, and presumablythis fluid is food. Peristalsis is entirely absent, or there mav be an occasional powerful wave. The delayed emptying is just as marked as in theatonic cases, and on examining the operative findings I see that out of eight cases, six showed carcinomaof the pylorus (20, 31, 80, 309, 682, 698), while of thetwo others one (208) is reported as an extensive ulcerof the lesser curvature close to the pylorus, and theother (313) showed marked ci
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Keywords: ., bookcentury1900, bookdecade1910, bookidstomachsopha, bookyear1913
