File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14570620008).jpg

Identifier: americanjournroen09ameruoft (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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ive ..I degrei ol acquired small mi. ■ 1 mil l.\ potonicity. FlG. 60. Atypical small intestinal loops indicatingrecoil possiblj best stasis secondary to highlyobstructive carcinoma distal transverse colon.Operative confirmation. A-Ray Evidence of Abdominal Small Intestinal States 221 There are arguments against the idea ofa relative small intestinal stasis. It mayperhaps be justly assumed that the pres-ence of atypical small intestinal formslacks the conclusiveness of a time motilitypressure determining experiment. It isadmitted; yet I must urge the overwhelm-ing and suggestive constancy of suchfindings as have been mentioned in associa- forms are seen after appendectomy with-out persistence of symptoms is interroga-ting. Yet the impression is that they areless marked; the reaction may be lesser indegree, or there may be a persistence ofacquired hypotonicity without hyperten-sion sufficient to cause symptoms. The most effective argument againstthe whole idea is that lesser grades of
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Fig. 6i. Markedly atypical small intestinal loopsindicative of recoil if not of stasis, here secondaryto carcinoma, involving cecum and probably thereprimary. Operative confirmation. tion with certain conditions. It mustanswer for the present; there are noobservations as to the exact rate of smallintestinal motility even under normaldietary conditions, a tremendously diffi-cult problem considering physical typeand individual variation as to the rate ofalimentary motility in response to thesame test in different persons. A mostrefreshing experience has been that in twoinstances I have been able to predictobstructive organic lesions of the colonoverlooked at the time of examinationseveral years previous from the form ofthe small intestine in reviewing platesfor this article (Figs. 50 and 51). The fact that atypical small intestinal Fig. 62. Highly atypical small intestinal loops resultof old peritoneal exudate secondary to appendicitis.X-ray evidence of highest practical diagnostic valu

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