. Roentgen interpretation; a manual for students and practitioners . Fig. 139.—Tracing of stomach, showing large ulcer on lesser curvature. constant in all positions of the patient. An enlarged liver may causedefect in the antrum by compressing it against the spine. In platestaken in the prone position the pressure of the spine against theabdominal wall commonly causes a break in the barium shadowoverlying it. Perigastric adhesions, particularly those about thepyloric end of the stomach, may produce ragged defects suggestingcarcinoma but as a rule they are not constant in all positions.(4) Any
. Roentgen interpretation; a manual for students and practitioners . Fig. 139.—Tracing of stomach, showing large ulcer on lesser curvature. constant in all positions of the patient. An enlarged liver may causedefect in the antrum by compressing it against the spine. In platestaken in the prone position the pressure of the spine against theabdominal wall commonly causes a break in the barium shadowoverlying it. Perigastric adhesions, particularly those about thepyloric end of the stomach, may produce ragged defects suggestingcarcinoma but as a rule they are not constant in all positions.(4) Any solid material in the stomach, such as food masses, foreign 164 GASTRO-IXTESTIXAL TRACT bodies, hair balls, and the like, may cause defects in the bariummass resembling malignant disease. However, these irregularitiesshift with changes in position of the patient and there is no inter-ference with peristalsis. Papillomata produce a defect similar tothat seen in large foreign bodies, but there is little displacement of. Fig. 140.—Tracing of stomach, showing large saddle ulcer. the defect with change in position of the patient, peristalsis is notinterfered with, and they are constant on repeated examinations. Changes in Peristalsis.—Increase in the depth or speed of wavesmay be due to reflex or irritative causes or compensatory to adiseased pylorus. In the early stages of pyloric obstruction thewaves are deep and vigorous. They may bisect the stomach, giving STOMACH 165 it the appearance of a row of balls. The waves also start higher andmore are visible at the same time. Peristaltic waves are lost inachylia, in the stage of decompensation of pyloric stenosis, in infil-
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