. Diseases of the stomach : including dietetic and medicinal treatment . anemia. The writerbelieves that atrophy of the gastric tubules is rather the result of thanthe cause for this latter disease. Senile changes of an atrophic character, especially marked in theprepyloric portion, are not uncommonly found in those aged over fiftyyears, and are one of the causes for indigestion in aged patients. Pathology.—Chronic inflammation of the stomach produces a some-what varied pathological picture and to the different appearancespresented, various descripti\e names have been applied. In general,two d
. Diseases of the stomach : including dietetic and medicinal treatment . anemia. The writerbelieves that atrophy of the gastric tubules is rather the result of thanthe cause for this latter disease. Senile changes of an atrophic character, especially marked in theprepyloric portion, are not uncommonly found in those aged over fiftyyears, and are one of the causes for indigestion in aged patients. Pathology.—Chronic inflammation of the stomach produces a some-what varied pathological picture and to the different appearancespresented, various descripti\e names have been applied. In general,two distinct types are seen; the one productive with an increase ofconnective tissue and more or less thickening of the stomach wall;the other, atrophic, with atrophy of the mucous membrane as theessential change. As in other inflammatory conditions of the stomach,the pyloric region is most apt to be involved, and in some cases thechanges are confined to this location. Fig. 4 r nTTf|iiir|iTTT]TrfiTmTjTtiiTfTfi|rnmrnpTirjrrnI ol-M ) 2 3 4 5! L Chronic productive gastritis showing miiniinillatil imirous membrane. Chronic Productive Type.—The mucous membrane is indurated andgray, grayish red, or grayish violet in color. In many cases, especiallythose of long standing, there is a diffuse or patchy slate color fromchanges in the blood jjjgmcnt. The mucous membrane tears less PATHOLOGY 45 readily than normal, aiul it is not normally movable upon the under-lying tissue. Occosionally small ulcers or superficial erosions are seen. At times the thickened mucosa appears rough, wrinkled, and mamil-lated. It is to this condition that the French have given the nameetat mammeolone. Rarely this change is so aggravated that theterm gastritis polyposis is fitting. These protuberances cannot besmoothed out by stretching as can the contractions of the normalstomach. This type of gastritis may go on to a typical cirrhosis ventriculi,with vjery great thickening of the st
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