Interstate medical journal . g. There had been similar symp-toms ten years before due to chronic appendicitis, which were relieved byoperation. Roentgen diagnosis: Cap asymmetrical and contracted. Peristalsis unob-structed, except at the extreme pyloric end of the stomach. Diagnosis ofcicatricial contraction on the anterior surface of the cap was made. 40 INTERSTATE MEDICAL JOURNAL Subsequent history: A report one year later stated that the patient hada chronic moderate hyperchlorhydria, which did not interfere with normaldigestion. General nutrition good, weight more than normal. Patient look
Interstate medical journal . g. There had been similar symp-toms ten years before due to chronic appendicitis, which were relieved byoperation. Roentgen diagnosis: Cap asymmetrical and contracted. Peristalsis unob-structed, except at the extreme pyloric end of the stomach. Diagnosis ofcicatricial contraction on the anterior surface of the cap was made. 40 INTERSTATE MEDICAL JOURNAL Subsequent history: A report one year later stated that the patient hada chronic moderate hyperchlorhydria, which did not interfere with normaldigestion. General nutrition good, weight more than normal. Patient looksperfectly well. Case XIX. (Fig. 19.) Clinical history: Six years duration, marked by poor appetite and dullpain, with some soreness. Roentgen diagnosis: Adhesions at the pyloric end of the stomach andduodenum. Probably an old ulcer, possibly early malignant changes, withmarked adhesions. Surgical findings: An indurated postpyloric ulcer was found not adherentto the liver. Subsequent history: Inquiries show the patient Fig. 17.—Illustrates group 6. Sur- Fig. 18.—Illustrates group 6. Medicallygically treated. treated. Case XX. (Fig. 20.) Clinical history: Hemorrhage from the stomach seven years previously,periodical trouble since that time, occasionally becoming acute; symptomsbeing marked by belching and some nausea; only liquid food was eaten. Haslost 15 pounds in fifteen years. Roentgen diagnosis: A contracted cap, obscured sphincter, were definiteevidence of a lesion involving the cap. A diagnosis of postpyloric ulcer wasmade, but the obstruction was not considered sufficient to warrant surgicalprocedure. Subsequent history: The patient was treated medically, with markedamelioration of his symptoms. The patient has shown occasional exacerba-tions when he was not entirely free from pain, but the symptoms have neverbeen sufficiently severe to warrant surgical procedure. Case XXI. (Fig. 21.) Clinical history: Not obtained. Roentgen diagnosis: Two examinations were ma
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