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• W2059397746 abstract "THE following paper is an analysis of 144 cases of peptic ulcer which have received surgical treatment. This material represents the work of many different surgeons employing various technics and, we believe, presents a fair cross-section of gastric surgery for this condition. Each patient was interviewed personally, a careful history was taken, and a physical examination was made. In the beginning of this study each patient received a fluoroscopic examination only, but as the importance of the work became apparent, each was also plated. Most of these patients have been seen both before and after operation, and many of them have been under observation for as long as ten years. The clinical results have been judged by the patients' statements as to their symptoms and ability to continue with their routine of life. We will endeavor to show that the x-ray examination of the post-operative stomach is of importance for the following reasons: 1. That there is a definite correlation between the radiographic findings and the clinical results. 2. That, by means of an x-ray study, one can prognosticate a good or a poor clinical result. 3. That the radiologist can be of assistance to the surgeon in pointing out the causes for some of the poor results obtained in gastric surgery. Although the appearance of the post-operative stomach varies according to the type of operative procedure employed, nevertheless, there are certain striking characteristics common to all that are functioning well and producing no symptoms. In the first place, it is a much smaller stomach and occupies a higher and more lateral position. Secondly, the peristaltic activity is diminished and there is a lessening of mobility. Finally, the emptying of the stomach is much more rapid. In the types of operations depending on a new opening in the stomach, that is, the gastro-enterostomies and various types of resection, the stoma should be so placed that free drainage is maintained. In our series of posterior gastro-enterostomies, the stomata which were placed near the pylorus gave the best clinical results. The size of the stoma is also important, the larger the stoma the better the drainage. Rapid emptying of the post-operative stomach appears to be desirable and in not one of our cases did this produce untoward symptoms such as diarrhea. Deviations from the above criteria are apt to coincide with poor clinical results, the most important of these being the size of the post-operative stomach. If there has not been a considerable diminution in size, it is a sign of poor drainage and the patient is more apt to have a poor clinical result. Poor drainage is due to the following causes: (1) the stoma being too small; (2) poor placement of the stoma; (3) the proximal loop of the anastomosis is too long; (4) a kinking of the distal loop at the mesocolon. It was found that if any of the above factors existed, the stomach not only failed to diminish in size but in many cases actually increased in size." @default.
• W2059397746 created "2016-06-24" @default.
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• W2059397746 date "1934-02-01" @default.
• W2059397746 modified "2023-09-25" @default.
• W2059397746 title "An X-ray Study of the Post-operative Stomach" @default.
• W2059397746 doi "https://doi.org/10.1148/22.2.191" @default.
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