Relation of lesions of the small intestine to disorders of the stomach and cap as observed roentgenologically / by Lewis Gregory Cole, M.D., Professor of Roentgenology in Cornell University Medical College.

  • Cole, Lewis Gregory, 1874-1954
Date:
1914
Catalogue details

Licence: In copyright

Credit: Relation of lesions of the small intestine to disorders of the stomach and cap as observed roentgenologically / by Lewis Gregory Cole, M.D., Professor of Roentgenology in Cornell University Medical College. Source: Wellcome Collection.

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    Other conditions, such as recent catharsis, which so often precedes a gastro-intestinal examination, undoubtedly affect the motor phenomena. In a previous communication3 I have already shown the fallacy of testing the gastric motor efficiency by administering bismuth suspended in fluid or mixed with cereal, and the same is true for intestinal motor efficiency. If the test is to be of value the stomach and intestines must be called upon to evacuate such a meal as is normally imposed upon them. Therefore the true test of gastro¬ intestinal motor efficiency is made by administering bismuth or barium, suspended in fluid, preferably buttermilk, in conjunction with a Riegel meal of meat, potatoes, and bread. Fig. 1.—Normal cap (pilleus ventriculi). An even more fertile source of error is dating the period of ileal retention from the time of ingestion. For instance, if the stomach is high and of the cow-horn type, especially if a condition of diminished acidity or achylia exists, evacuation will be accom¬ plished very rapidly, perhaps in two hours, whereas many a stomach, presenting no organic obstruction, requires six hours for complete evacuation. Suppose now that in both cases the ileum is just evacuated ten hours after ingestion. According to the old method of reckoning, both cases present the same degree of ileal stasis, although, as a matter of fact, one case presents an eight- 3 Die Diagnose der Boesartigen und Gutartigen Magen—und Duodenal-Laesionen und ihre Unterscheidung durch Serien-Roentgen-Aufnahmen, Zeitschrift f. klinische Medicin, Berlin, 1914, 79, B. H., 5 u. 6.