. Roentgen interpretation; a manual for students and practitioners . Fig. 158.—Postoperative ulcer of the stomach (recurrent). The constriction isprobably the result of the operation. The projection just below it is the crater of anew ulcer. Linitis Plastica.—^Linitis plastica is believed by some observers tobe a late stage of a luetic process. It is a fairly rare condition inwhich the gastric wall is infiltrated by dense fibrous tissue which12 178 GASTRO-INTESTINAL TRACT contracts the stomach down to a sniall, rigid tube high up underthe liver, and through which the meal pours in a few minute


. Roentgen interpretation; a manual for students and practitioners . Fig. 158.—Postoperative ulcer of the stomach (recurrent). The constriction isprobably the result of the operation. The projection just below it is the crater of anew ulcer. Linitis Plastica.—^Linitis plastica is believed by some observers tobe a late stage of a luetic process. It is a fairly rare condition inwhich the gastric wall is infiltrated by dense fibrous tissue which12 178 GASTRO-INTESTINAL TRACT contracts the stomach down to a sniall, rigid tube high up underthe liver, and through which the meal pours in a few minutes. Foreign Bodies.—Hair balls and metal articles are occasionallyreported. Whether or not they are in the stomach may be deter-mined by changing the position of the patient, by inflating thestomach with air and the routine barium meal. Hair balls presenta characteristic appearance and the barium adheres to them, out-lining their structure for some time after the meal has passed Fig. 159.—Specific stomach. Polypi.—Polypi of the gastric wall are comparatively rare. Theymay be multiple and when demonstrable, appear as smooth, roundedholes in the barium shadow which remain constant with changesin the position of the patient. Peristaltic waves are not interferedwith. The condition must be differentiated from foreign materialsin the stomach, such as food masses and from extragastric tumors. STOMACH 179 Their constancy is the best evidence. In the late stages, if extensive,they may cause obstruction and be mistaken for mahgnancy. The stomach after gastro-enterostomy is usually smaller andhigher. It empties rapidly, depending somewhat upon the size ofthe stoma. There is little peristalsis visible. When seen it usuallypasses over the entire lower part of the stomach to the pylorus,forcing the barium mixture through unless it has been closed at


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