. American practice of surgery ; a complete system of the science and art of surgery . classifyvarious articles of food according to the amount of discomfort which theyproduce. Acids and raw fruits usually cause the greatest amount of this part of the course of the disease, the distress is usually greater if a SURGICAL DISEASES OF STOMACH AND (ESOPHAGUS. 335 large amount of food is taken than if the patient eats but a small amount. Gas-tric lavage will show the presence of a great amount of mucus which is secretedfor the purpose of protecting the painful jjoint. At this time th
. American practice of surgery ; a complete system of the science and art of surgery . classifyvarious articles of food according to the amount of discomfort which theyproduce. Acids and raw fruits usually cause the greatest amount of this part of the course of the disease, the distress is usually greater if a SURGICAL DISEASES OF STOMACH AND (ESOPHAGUS. 335 large amount of food is taken than if the patient eats but a small amount. Gas-tric lavage will show the presence of a great amount of mucus which is secretedfor the purpose of protecting the painful jjoint. At this time the stomach isnot enlarged, and there is frequently a compensating hypertrophy of the muscu-lar wall of the organ to overcome the obstruction at the pylorus. If the lattercondition persists, however, hypertrophy will give place to dilatation. Thiswill at first be slight in degree, as shown at 2 in Fig. 107. In the mean time theaccumulation of mucus interferes with the gastric digestion. This it does bycovering the surface of solid portions of food which have been placed in the stom-. FiG. 107.—Diagram Showing, by Means of Dotted Lines (1, 2, 3), the Various Degrees of Deform-ity of the Stomach Due to Dilatation Resulting from Pyloric Obstruction. 4 indicates the height towhich food has to be lifted (from the lowest point in the stomach cavity) before it can escape intothe duodenum, e, through the pylorus, /; a represents the cardiac end; b, the pyloric end; c, thegreater and d the lesser curvature. ach. To compensate for this condition, there is a physiological increase in thesecretion of hydrochloric acid, which in turn causes an increase in pain becauseof its irritating effect upon the pyloric ulcer. The difficulty of emptying the stom-ach contents into the duodenum will now be increased from one of two causes:either the ulcer becomes partly or completely healed, as a result of which changecicatricial contraction of the pylorus takes place and the degree of the obstruc-tion i
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
