A contribution to the study of chronic intestinal stasis / by William Seaman Bainbridge.

  • Bainbridge, William Seaman, 1870-1947.
Date:
1913
Catalogue details

Licence: In copyright

Credit: A contribution to the study of chronic intestinal stasis / by William Seaman Bainbridge. 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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    nant uterus of raising the fallen viscera and over- coming obstruction. “9. The condition of the rectum varies greatly. While in some cases the rectum is short and dilated^ in others it is enormously elongated, so that it puddles as a long, loose tube in the true pelvis- This last condition renders the passage of solid feces through it very difficult, since any downward pressure, however great, is exerted at a marked mechanical disadvantage on the fecal contents. . . . ‘To. Associated with intestinal stasis, there is a considerable ascent in the level of deleterious or- ganisms in the small intestines with occasional in- fections of the biliary and pancreatic duct, pro- ducing gallstones, pancreatitis, and later cancer of these several structures.” Adhesions or ‘Evolutionary Bands.”—Lane has repeatedly emphasized, and recently reiterated,® his contention that the apparent adhesions which re- sult from the strain upon the mesentery and its attachments as a result of the dropping of the viscera are in no sense inflammatory adhesions, but are, on the contrary, merely thickened fibrous bands along the line of stress,—“evolutionary bands,” as he chooses to call them. Many of those who ac- cept Lane’s theory in general see nothing unreason- able in this idea in particular. Others, however^ while agreeing in some features, hold that his views- in this regard are not tenable, according to anato- mical, physiological, and clinical observation. It is not my purpose here to enter upon a discussion of the various theories concerning the etiology of the adhesive “veils,” “webs,” and “bands,” noted by Lane and others. For those who are especially in- terested in this particular phase of the subject I append some of the more recent contributions to the literature of intestinal stasis. In a previous communication I gave a brief summary^ of the literature of Lane’s kinks and collateral matter up to May, 1912.