. The stomach and oesophagus : a radiographic study . Fi;^. 18. K:idioi;i;iiii of a case of extreme atony in w liit-li the lowestpart of tlie stomach extended nearly tj below the umhilieus. A littlefood has just been given, and is seen extending from the eardiac oriticeto the mass of food in the lowest part. Note how this is held up to .someextent in the upper part by the walls of the stomach being in apposition.(a) air, (b) cardiac oritice, (c) food sliding down, (d) a peristaltic waveshowing as a feeble concavity in the shadow, and (e) the of food inthe lowest part, (x) Fig
. The stomach and oesophagus : a radiographic study . Fi;^. 18. K:idioi;i;iiii of a case of extreme atony in w liit-li the lowestpart of tlie stomach extended nearly tj below the umhilieus. A littlefood has just been given, and is seen extending from the eardiac oriticeto the mass of food in the lowest part. Note how this is held up to .someextent in the upper part by the walls of the stomach being in apposition.(a) air, (b) cardiac oritice, (c) food sliding down, (d) a peristaltic waveshowing as a feeble concavity in the shadow, and (e) the of food inthe lowest part, (x) Fig. 19. Radiogram of an atonic stomach. Iressure has beenapplitMl to the aixlomen so that the food has been forced upwards. Thephoto was taken as the food was again taking up its position in thelower part and shows the distrih\ition of the rugic in parallel linescoinciding with the axis of the stomach. (a) air, (b) food held upbetween the collapsed walls and passing down through the ruga- to themass of food, (c), (di umbilicus. A suspension of bismuth was use<l toobtain this result. Pyloric obstruction 33 in which the muscle happened to be when the anassthetic actedupon it, and is a most unrehable index to the naturalcondition. PYLORIC OBSTRUCTION. Obstruction is a relative term and depends not only on thenarrowing of the canal through which the food has to pass,but on the vis a tergo. These are the two main factors, butwhen the stomach is atonic there is also the static disabilityresulting from the fact that the lowest part, in which the foodcollects, is far below the pylorus. It
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Keywords: ., bookauthorbarclaya, bookcentury1900, bookdecade1910, bookyear1913