Some new methods of test meal and feces examinations : their significance in clinical work / by Anthony Bassler.

  • Bassler, Anthony, 1874-
Date:
1910
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Licence: In copyright

Credit: Some new methods of test meal and feces examinations : their significance in clinical work / by Anthony Bassler. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Atrophic Gastritis.—The achylic test meals from these cases usually show a larger gas result than 3 per cent., most times neutral in reaction, but may be acid, most of which gas, however, is carbon dioxide from fermentation of the starch of the test meal, the alcohol going into solution in the fluid. True fermentation seen in states of gastritis, versus neurological conditions in which eructations are present, can be differentiated by the presence or absence of gas results in the ap- paratus. Gastric Ulcer.—The sero-sanguinous vomitus from acute ulcer often shows as high as io per cent, of gas even in the face of a high acid secre- tion in the stomach. In test meals from acute ulcer cases a higher than 2 per cent, gas may be noted, and this taken in conjunction with a highly acid test meal is significant of ulceration even when no blood, pus, etc., are present. In latent ulcer, because of a slight degree of stagnation and the presence of crypts for the proliferation and lodgment of bacteria at the ulcer site, a ■greater than 2 per cent, of gas may be observed. In alimentary gastrosuccorrhcea, or gastrosuc- corrhcea periodica, a negative gas result is noted from the test meals. But where the gastrosuccorrhcea is post-ulcer in nature (chronic hypersecretion) a greater than 2 per cent, gas result may be seen even with the presence of a highly acid stomach, making possible, in many of these cases, the diagnosis of post-ulcer hypersecretion and for which surgery offers the only hope of cure. Gastric Carcinoma.—Clinically, these cases may be divided into those with and those without the normal stomach secretion. With those hav- ing acid-enzymotic secretion and a definite or