Radiography and radio-therapeutics (1919) (14571326258)

Identifier: radiographyradio001knox (find matches)
Title: Radiography and radio-therapeutics
Year: 1919 (1910s)
Authors: Knox, Robert, 1868-1928
Subjects: Radiography Radiography Radiotherapy
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School



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the stomach walls secondaryto pyloric obstruction. of the stomach shadow. The right lateral portion is of value inthese cases. A variation in the technique is described by Schwartz, inwhich he employs a watery solution of bismuth in small quantity. It isused with the patient on the back. The patient is then turned gently firston one side and then on the other, and finally on the abdomen. This is tocoat the mucosa, so that shallow ulcers will retain a small amount of bismuthwhen the patient stands erect. He has succeeded in this manner in locatingsmall ulcers on the posterior wall of the stomach. The simple ulcer is themost difficult to demonstrate, and is frequently missed altogether. Theflorid or indurated ulcer, either with or without erosion, is also very difficultto recognise, as are also ulcers situated in the pyloric canal or in the neigh-bourhood. Except in rare cases of perforating ulcer, the X-ray picture isnot definite. The diagnosis must be based on the obstructive signs :
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PLATE LXVIIL—Stomach showing Pjloric Stenosis. The stomach shows a marked degree of ptosis. /<, Marked delay in emptying caused by cicatricial contraction resulting from healed gastric ulcer. b, Four hours after—food taken. Shows food passing along duodenum. £, Eight hours after—food still in stomach. The organ is not now contracting well.