. The stomach and oesophagus : a radiographic study . rvation. On examination there is definite delay at the point ofobstruction; there is seldom any mistake in the diagnosisunless some such thin mixture as milk and bismuth is used,which may pass through unobstructed. The food is held up,it cannot pass on, and the oesophageal walls bring all theirperistaltic power to bear on the obstruction, and as the power-ful waves move downwards, the food being unable to passthrough the obstruction escapes upwards in a narrow streamthrough the descending contraction. When one sees thepicture one is not sur
. The stomach and oesophagus : a radiographic study . rvation. On examination there is definite delay at the point ofobstruction; there is seldom any mistake in the diagnosisunless some such thin mixture as milk and bismuth is used,which may pass through unobstructed. The food is held up,it cannot pass on, and the oesophageal walls bring all theirperistaltic power to bear on the obstruction, and as the power-ful waves move downwards, the food being unable to passthrough the obstruction escapes upwards in a narrow streamthrough the descending contraction. When one sees thepicture one is not surprised that it is the stage in which pain isthe marked feature—it is sometmes so marked that it suggestsa life and death struggle. The waves are not a continuoussuccession of contractions; it is a case of one great effortfollowed by a period of comparative rest while the musclebraces itself up for another powerful contraction. Thiscurious intermittent feature of the contractions is, I believe,characteristic of failing compensation, not only in the. Fig. 7. Radiogram ui oesophageal obstruction at the level of the6th dorsal vertebra. The cause in this case was a small peptic spasm that caused the obstruction was only brought on by givingdry bread. It was after this jirocedure that the bismuth food wasgiven, and the radiogram indicates the complete obstruction that hasresulted.
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Keywords: ., bookauthorbarclaya, bookcentury1900, bookdecade1910, bookyear1913
