File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14570375839).jpg

Identifier: americanjournroen06ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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ard corresponding to Group IV.The fact that a great many patients withsj^mptoms belonging to Group III and evena few in Group II have been reUeved oftheir symptoms by treating them as en-teroptotics should be sufficient evidence todisregard such a standard. There is another type of ptosis in whichthe stomach is of fairly good position andtonus btit with a pronounced prolapse ofthe colon. This type illustrates the neces-sity of a complete examination. Because thestomach is of fair position, it is unwise to presence of visceroptosia and many caseshave been placed under treatment forvisceroptosia with a temporary relief, buta recurrence of symptoms upon resumingtheir normal habits of diet. Especially isthis likely to occur when an undiagnosedduodenal ulcer complicates the ptosis, asthe necessary dietary to relieve the ptosismasks the ulcer symptoms, since mostduodenal ulcer patients have no distressduring the period in which food is in thestomach. Gastric hypertonus, together with hyper-
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FlG. TviMi OF Stomach Commonly seenGroup IV. Fig. 6. Another Type Frequently seen in GroupIV. Less Atonic discontinue the examination with theassumption that there is no ptosis. Aninteresting factor we have noticed in thegreat majority of ptotic individuals isthat the head of the barium columnreaches the sigmoid in normal time andfrequently even in seventy-two hour stasisthe entire colon is fairly well filled with theopaque meal. The next important factor to be con-sidered in connection with (jroups III andIV, particularly Group I\. is a mori)i(lchange which may complicate ptosis.This factor is too often neglected in the peristalsis, should always be viewed withsuspicion, particularly in Group IV, andcareful search made for duodenal ulcer.If only moderate and transiton,, searchshould be made for evidence of a chronicappendix or gall bladder disease. Manytimes apparent deformities of the pylorusand duodenal ca)) result from extremeptosis and lack of tone. These deformitiesare most comm

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