Interstate medical journal . he original plates in thelight of added knowledge reveals clearly an unmistakable evidence of post-pyloric ulcer. Subsequent history: A report five years after the examination states thatthe patient, after medical treatment, is perfectly well. 36 INTERSTATE MEDICAL JOURNAL Case X. (Fig. 10.)Clinical history: Not obtained. Roentgen diagnosis: Complete absence of cap and sphincter and retentionled me to a diagnosis of postpyloric ulcer, with distinct evidence of adhesions. Surgical findings: Presence of adhesions confirmed and possibly an ulcer. Subsequent history: W
Interstate medical journal . he original plates in thelight of added knowledge reveals clearly an unmistakable evidence of post-pyloric ulcer. Subsequent history: A report five years after the examination states thatthe patient, after medical treatment, is perfectly well. 36 INTERSTATE MEDICAL JOURNAL Case X. (Fig. 10.)Clinical history: Not obtained. Roentgen diagnosis: Complete absence of cap and sphincter and retentionled me to a diagnosis of postpyloric ulcer, with distinct evidence of adhesions. Surgical findings: Presence of adhesions confirmed and possibly an ulcer. Subsequent history: With great dietetic care this patient was able to livefairly comfortably. Later a second operation was done. Case XI. (Fig. 11.) Clinical history: Periodic attacks for ten years of epigastric pain, relieveduntil recently by alkalies; appetite not good; belching, regurgitation, andnausea. Roentgen diagnosis: Gastric dilatation, retention, and a crater on the an-terior surface of the cap led to a diagnosis of postpyloric Fig:. 12.—Illustrates group 5. Sur- Pig-. 13.—Illustrates group 5. Medicallygically treated. treated. Subsequent history: With careful medical treatment and strict diet thesymptoms all disappeared. Case XII. (Fig. 12.) Clinical history: Complained for a year and a half of severe epigastricpain, accompanied by nausea, belching, occasional burning, and great weight loss of about 40 pounds. Roentgen diagnosis: Complete absence of cap, hyperperistalsis, and gastric-retention led to a roentgen diagnosis of postpyloric ulcer. Surgical findings: Obstructive postpyloric ulcer found, gastroenterostomydone. Subsequent history: Uninterruptedly well. Case XIII. (Fig. 13.) Clinical history: Acid stomach for a long period. Previous diagnosis ofBrights disease. Now suffers with burning sensation and some epigastricsoreness; can eat no starch. INTERSTATE MEDICAL JOURNAL 37 Roentgen diagnosis: Contraction of the right side of the cap, with evidenceof adhesio
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