. Roentgen interpretation; a manual for students and practitioners . Fig. 160.—Dilatation of the jejunum due to obstruction from malignant disease. the operation or by disease. Usually the stoma can be demon-strated and its size, position and contour noted. A loop of thejejunum passing from behind the stomach shadow ma} lead to observations to be made in the order of their importance areemptying time; shape and position of the stoma; type of peristalsis;size of stomach; whether or not food leaves through the pylorus,and the appearance of the duodenal loop. 180 GASTRO-INTESTINAL TRAC
. Roentgen interpretation; a manual for students and practitioners . Fig. 160.—Dilatation of the jejunum due to obstruction from malignant disease. the operation or by disease. Usually the stoma can be demon-strated and its size, position and contour noted. A loop of thejejunum passing from behind the stomach shadow ma} lead to observations to be made in the order of their importance areemptying time; shape and position of the stoma; type of peristalsis;size of stomach; whether or not food leaves through the pylorus,and the appearance of the duodenal loop. 180 GASTRO-INTESTINAL TRACT DUODENUM. The normal first part of the duodenum is a smooth, rounded,triangular shadow, at times connected with the stomach by a thinline of barium in the pyloric canal when the sphincter is open. Itsrelation to stomach, gall-bladder and liver varies with the type andposition of the patient and the size and shape of the stomach andliver. It has a peristalsis of its own and its filling and emptyingare controlled both by the pyloric sphincter and a constrictive
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