A case of acute gastric ulcer of the anterior wall / Anthony Bassler.

  • Bassler, Anthony, 1874-
Date:
1911
Catalogue details

Licence: In copyright

Credit: A case of acute gastric ulcer of the anterior wall / Anthony Bassler. 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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    3- ANTHONY BASSLER, M.D. Gastroenterologist to the Peoples Hospital and German Polikllnlk NEW YORK Ulcers of the posterior wall and greater curvature of the stomach and duodenum in the region of the pylorus are most common, while those of the anterior wall all the way to the fundic region are distinctly uncommon—' comprising, possibly, not more than 10 per cent, of the. areas with which gastric Juice comes in contact in the process of gastric digestion. Ulcers in the latter loca- tion are but rarely diagnosed medically, diagnosis usually taking place at operation for their perforation,' a complication most likely to happen in these cases because of the unprotected anatomy of the anterior area of the stomach. The rapid peritonitis consequent to; perforation of these ulcers, also makes the diagnosis of them important, and a case is offered in which this was possible and in which the medical treatment was successful. Patient.—Miss E. McD., a stenographer, 18 years old, was first seen on Feb. 28, 1911. Her father died at the age of 45; cause unknown. The patient’s mother was living and well. The patient had always been fond of sweets (mostly candy) and had indulged intemperately for several years, which at times had brought on an acute distress in the stomach with a day or so of anorexia; other than this the patient had had no illness except measles and scarlet fever in early childhood. In December, 1910, she began to have a constant distress in the stomach, in which the symptoms of excessive gas collection with eructations and pain an hour after meals in the left side of the abdomen were the prominent features. This pain, which was most acute, was relieved to a moderate degree by the taking of food, more so by bicarbonate of soda, and was entirely relieved when the patient lay flat on her back with her corsets off. She stated that by taking milk, eggs and other simple foods in small quantities at a time with the assistance of bicarbonate of soda, she was able to be about at her work. The solid foods she ate evenings and Sundays when she could lie down for three or four hours after taking them. Accordiuc to her statement, she had lost only 4 pounds since the begin- ning of her illness.