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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    throw any light upon the real pathology present. It will thus be seen that in these two most im- portant of all stomach conditions (ulcer and cancer), the ordinary gastric analyses may have to be looked upon as suggestive in negative findings, and who among us has the deductive ability or courage of diagnosing ulcer or cancer in that way. The fibrin strings of the Gunzburg and Sahli packages in a patient with a anachlo- rydric stomach can be disintegrated in the in- testines in short enough time to lead one astray in diagnosing the condition of stomach secre- tion. The connective tissue test of Schmidt in diagnosing states of gastric secretion is likewisely found to be worthless in clinical work. In the dog, at least one-third of the connective tissue of meat is delivered into the intestine, and who ever found connective tissue in the feces of that animal? Dietetic methods, such as the Schmidt diets, and particles of food attached to undigestible substances, such as Einhorn bead method, are also liable to be fallaceous. Assum- ing, for instance, that there are present in the bowel large amounts of proteid splitting bacteria, such as are seen in the indolic type of chronic intestinal putrefaction, or large amounts of the carbohydrate bacteria fermentors, such as are ob- served in the saccharo-butyric type of chronic putrefaction, what happens to the proteid or car- bohydrate diet tests and food attachments to the 'beads—they are disintegrated and the examina- tion of the feces shows good digestion instead of a most seriously disturbed one. Do all cases of indolic putrefaction show large amounts of in- dican in the urine? No. The bowels may be loose and the food-bacteria products of putrefac- tion come away before resorption, or the oxydase