Buffalo medical journal (1913) (14764056965)

Identifier: buffalomedicaljo6919unse (find matches)
Title: Buffalo medical journal
Year: 1914 (1910s)
Authors:
Subjects: Medicine
Publisher: Buffalo, N.Y. : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities



Text Appearing Before Image:
Figfure 2 Roentgen Examination BY Dr. Leonard Reu.Case No. 2068. Referred by Examination—Dec. 2, 1913. Dr. Joseph Burke,Gastro-Intestinal Tract. 1092 Main St., Buffalo. N. Y. X-Ray examination shows gastric dilatation, strong peri-staltic and anti-peristaltic action. In standing position, the 420 burke: duodenal ulcer pylorus is on a level with the upper border of the sacrum.Abnormal duodenum which is of cylindrical shape and whichinvolves the first portion of the duodenum and part of thesecond. This deformity of the duodenum is not like the usual
Text Appearing After Image:
Figfure 3 deformity seen in doudenal ulcer. Its outline is smooth andsymmetrical. At the end of 4 hours, the stomach contains a large amountof the bismuth meal but still shows gastric motility.Diagnosis: Stenosis of the Duodenum. Figs. II and III- LEONARD REU, burke: duodenal ulcer 421 Operation December 3rd, 1913; Sisters Hospital. Uponopening the abdomen I found the stomach greatly dilated, itswalls hypertrophied. The position and size corresponded tothe clinical findings. About one-half inch beyond the pyloricvein, the duodenum, for about two and one-half inches appeared •as a small tube constricted to about one-fourth its normaldiameter, its walls indurated and somewhat rigid, the conditiondue to ulcer affecting the whole circumference of the bowelfor about two and one-half inches. There was a cicatrix justin front of the pyloric veins on the anterior stomach wall, Fig. 1.I performed the usual posterior gastro-enterostomy by sutureusing a one-inch loop, the stoma being two and o