Pathological and clinical observations respecting morbid conditions of the stomach / by C. Handfield Jones.

  • Jones, C. Handfield (Charles Handfield), 1819-1890.
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: Pathological and clinical observations respecting morbid conditions of the stomach / by C. Handfield Jones. 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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    the wasted walls of the belly. Vomiting occurs, for the most part, when the stomach is full, and the quantity then vomited is large. The vomiting often occurs in the evening, and nearly as much is thrown up as the patient has eaten in the day. When the stomach is greatly enlarged, two or three days may pass without vomiting, and then an enormous quantity be rejected at once. There are no means of preventing vomiting of this kind if the pylorus be very much narrowed. When the impediment to the passage of food out of the stomach is shght, much good may be done by proper regulation of the diet, which should consist chiefly of liquids that can be absorbed in the stomach, and of substances that are easily dissolved or softened, and may so pass readily through the narrowed outlet. When there is an impediment in the small or in the large intestine, what has been described as an antiperi- staltic motion takes place, and the contents of the intes- tine are returned into the stomach and then rejected. It would be unwise to attempt to restrain this vomiting until the obstruction that caused it is removed. When efforts of vomiting are straining and frequently repeated, without any obstruction in the course of the bowel, the contents of the duodenum are forced into the stomach and rejected. What is thrown up has the colour and the bitter taste of bile. The bile is not forced into the stomach by pressure on the duodenum from without—which would tend to force the bile downwards as well as upwards, and could hardly empty the duo- denum—^but by the action of the muscular fibres of the duodenum itself. It sometimes happens that after hard