File:Interstate medical journal (1907) (14740367746).jpg

Identifier: interstatemedica1419unse (find matches)
Title: Interstate medical journal
Year: 1907 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
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

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ounds, or rupture of the stomach due to traumatism. 2. The establishment of drainage in cases of obstruction of thepylorus due to neoplasms, cicatricial contraction, the presence of in-durated ulcer or hour-glass stomach in the adult, and the presence ofcongenital stenosis in children. 3. The removal of neoplasms; and possibly 4. The correction of gastroptosis. Whatever operation is performed for the relief of gastric disease it isreasonable to demand that conditions be established which will placethe stomach, as nearly as possible, in a normal condition from a me-chanical standpoint. On the other hand it is reasonable to expect thisorgan to be somewhat less perfect in a mechanical or anatomical waythan a normal stomach even after the most perfect operation. 982 INTERSTATE MEDICAL JOURNAL At this point it may be well once more to direct attention to the me-chanics of gastric digestion. In order to make this more easily under-stood the accompanying diagram may serve as an illustration.
Text Appearing After Image:
Fig. 1. We must look upon the stomach as a machine with five distinct func-tions : First, it serves as a store room for one meal; second, it secretescertain substances necessary in the digestion of food; third, it serves asa mixing machine which saturates these foods, which are held in storagewith the substance secreted; fourth, it grinds the food into fine con-sistency proper for the further steps, which are accomplished after thissubstance has been forced through the pylorus into the intestinal canal;fifth, to a very slight extent absorption of food takes place directly fromthe stomach, but this is almost a negligible factor. As a matter of fact it is always proper to consider the duodenum withthe stomach because the two portions of the alimentary canal are reallyone organ, both as regards their embryonic origin and their physiologicalfunction, and these two portions are also closely related in their diseases. Referring to the accompanying figure, the portion b must be lookedupon as

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