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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    cystic degeneration. (3) Abdominal tenderness over the areas of fixation. Classification of Cases of Intestinal Stasis into Clinical Groups, According to Predominant Symp- toms.—As the study of chronic intestinal stasis has proceeded, the cases have been classified according to the predominant symptoms. In a recent con- tribution Schlesinger,^ who, as Mr. Lane’s house- surgeon, Guy’s Hospital, London, has had an ample opportunity of studying the cases before, during, and after operation, has classified them under the following types: (1) Obstructive, usually regarded as having duodenal ulcer, a gastric growth, or what is known as “nervous dyspepsia.” Patients of this class, usually males, complain of pain after taking food, immediately or after an interval, with relief after vomiting. Lleadache, cold hands and feet, pigmentation, and the usual “toxic” symptoms are present in varying degress. Such patients, accord- ing to Schlesinger, usually have thickened or spas- modic arteries, with consequent increase of blood pressure. The abdominal muscles are well de- veloped. The point of pain, upon examination, to which such patients direct attention is over the duo- denum. Tenderness to pressure in the iliac fossa. x-rdij examination reveals a firmly fixed point in the ileum, and a dilated and hyperthrophied duo- denum. He claims the patients are invariably com- pletely cured by ileocolostomy. (2) Toxic or suprarenal type, more generally found in women, is the type most commonly recog- nized. Constipation is generally present and often extreme. The group of symptoms diagnosticated as “toxic” overshadow the direct abdominal symp- toms. These toxic symptoms are both subjective and objective. Mental depression, sometimes of a very marked degree, is the chief symptom. The pigmentation is marked in these cases, there are low blood pressure, cold and clammy hands and