. A text-book of radiology . ther effects of too prolonged as the transverse colon is attached to the stomachby the transverse meso-colon, it comes down with thestomach. It also is then in a disadvantageous position forcarrying out its functions, leading to constipation andauto-intoxication. The condition is aggravated by a laxabdominal wall, and in many great relief is found inwearing a properly fitting belt, and reclining aftertaking food. In a proportion of the cases of gastric disorder it isfound that the opaque food is kept in the upper part ofthe stomach for some time, and
. A text-book of radiology . ther effects of too prolonged as the transverse colon is attached to the stomachby the transverse meso-colon, it comes down with thestomach. It also is then in a disadvantageous position forcarrying out its functions, leading to constipation andauto-intoxication. The condition is aggravated by a laxabdominal wall, and in many great relief is found inwearing a properly fitting belt, and reclining aftertaking food. In a proportion of the cases of gastric disorder it isfound that the opaque food is kept in the upper part ofthe stomach for some time, and part of it passes througha narrow channel near the lesser curvature, so that thelower sac gradually fills. At a certain stage we see themeal more or less equally divided between the upper andlower sacs with a narrow channel between—the hourglass stomach. (See Fig. 65 and Plate XIII.) This condition is practically always due to the presenceof gastric ulcer; in the early stage the constriction is 174 TEXT-BOOK OF spasmodic arising from the irritable state of the ulcer;at a later stage the constriction may be organic, the resultof cicatricial contraction. See Fig. 66. As regards the constriction and also the symp-toms, the spasmodic element isjust as important as the food is observed to be heldup in the upper part of thestomach longer than usual, thefront of the abdomen should berubbed more or less vigorously, ifnecessary, and it frequentlyhappens that the spasm is relievedand the food passes easily to the lower part. If this fails a smallFig. 65. Snowing the cavityof the stomach divided into dose of belladonna may be given ; two sacs by spasm of the cir- or p0ssibly the spasm may relax ofcular fibres usually induced by the presence of a Gastric Ulcer its own accord for a brief period—on the Lesser Curvature. jn any casej relaxation, however produced, proves the spasmodiccharacter of the constriction. Theconverse is not necessarily true, assome spasmo
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