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surgery 475 Anteroposterior view after duodenojejunostomy showing the functioning stoma. Compare with figure 1. (Devine) claiming that in these conditions ulcer is caused by the spasm of the pylorus due to faulty sympathetic nerve action, which spasm prevents the normal regurgitation of a small amount of the duodenal content into the stomach after the passage of the stomach contents. X-ray is not infallible, however, according to Balfour, and many with chronic duodenal ilius are not of the asthenic type, so negative findings do not invariably rule out the condition, as has been proved by certain patients who were operated on account of their symptoms with negative findings by x-ray and proved to have the condition. The roentgenological examination in the vast majority of cases gives the first clue to the real diagnosis and dependent on the amount of stasis shown helps direct the treatment. The treatment of duodenal ilius depends largely on the amount of stasis present. If this is slight and the symptoms not marked medical treatment should be tried before surgery is considered. Medical treatment consists of several weeks' rest in bed with the foot of the bed elevated, a high caloric low residue diet, mild sedatives, and perhaps lavage and duodenal feeding if necessary. After the bed rest the visceroptotic individual is often benefited by an abdominal support.
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1937 |
Identifier | NCHH-16-084 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 84 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-084.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-084 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Description
Fixed Title * | Page 475 (image) |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1937 |
Identifier | NCHH-16-084-0515 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactions841937medi_0515.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 84 |
Page Number | 475 |
Health Discipline | Medicine |
Full Text | surgery 475 Anteroposterior view after duodenojejunostomy showing the functioning stoma. Compare with figure 1. (Devine) claiming that in these conditions ulcer is caused by the spasm of the pylorus due to faulty sympathetic nerve action, which spasm prevents the normal regurgitation of a small amount of the duodenal content into the stomach after the passage of the stomach contents. X-ray is not infallible, however, according to Balfour, and many with chronic duodenal ilius are not of the asthenic type, so negative findings do not invariably rule out the condition, as has been proved by certain patients who were operated on account of their symptoms with negative findings by x-ray and proved to have the condition. The roentgenological examination in the vast majority of cases gives the first clue to the real diagnosis and dependent on the amount of stasis shown helps direct the treatment. The treatment of duodenal ilius depends largely on the amount of stasis present. If this is slight and the symptoms not marked medical treatment should be tried before surgery is considered. Medical treatment consists of several weeks' rest in bed with the foot of the bed elevated, a high caloric low residue diet, mild sedatives, and perhaps lavage and duodenal feeding if necessary. After the bed rest the visceroptotic individual is often benefited by an abdominal support. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-084.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-084 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
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