. Medical diagnosis for the student and practitioner. nd D, two of the several grades of gastroptosis. According to theauthors observation a grade of descent (sagging) lying between C and D is extremelycommon. {After Holzknecht.) Gastroptosis.—Any case of dilatation, if marked, may be associated withvarying degrees of displacement (ectasia with gastroptosis), but marked ptosismay and usually does exist without dilatation (gastroptosis proper), is one ofthe commonest of clinical conditions and usually is wholly symptomless saveduring periods of depressed general nutrition and diminished myocard
. Medical diagnosis for the student and practitioner. nd D, two of the several grades of gastroptosis. According to theauthors observation a grade of descent (sagging) lying between C and D is extremelycommon. {After Holzknecht.) Gastroptosis.—Any case of dilatation, if marked, may be associated withvarying degrees of displacement (ectasia with gastroptosis), but marked ptosismay and usually does exist without dilatation (gastroptosis proper), is one ofthe commonest of clinical conditions and usually is wholly symptomless saveduring periods of depressed general nutrition and diminished myocardialtonus. Having the preceding factors in mind, one may proceed to discussthe conditions under three chief heads. MEDICAL DIAGNOSIS Chronic or acute. Fatal cases. Gross Atony.—{Myasthenia, Relative Motor or Facultative Instiffi-ciency).—This covers the non-obstructive form and may be primary, sec-ondary, acute, or chronic and associated with mere temporary dilatation,abnormal distensibility, or a true ectasia. (See Section on Roentgenography.). Fig. 449.—Decided gastroptosis with impaired tonus. Patient decidedly asthenic andcomplaining of decided gastric discomfort of the asthenic-dyspeptic type. Lower pole ofstomach just above white strip at right. In rare instances acute, fatal dilatation occurs, a condition of special impor-tance in connection with heart disease, arteriosclerosis, the acute infections andmajor operations, particularly of the abdominal type. Chronic dilatation of an extreme form may be seen in the employees ofbreweries or others who are gross eaters and heavy beer drinkers. In itslesser degrees it is not uncommon, especially in association with the vis-ceroptosis of congenital asthenia. GASTRIC ATONY 889 Etiology.—No disease is richer in asserted etiologic factors, chief amongwhich are hereditary structural defect and functional inadequacy or instabilityand chronic or recurrent nutritional depression, often resulting from uncon-scious voluntary chr
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