The pathology of the living : and other essays / by B.G.A. Moynihan.
- Berkeley Moynihan
- Date:
- 1910
Licence: Public Domain Mark
Credit: The pathology of the living : and other essays / by B.G.A. Moynihan. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![to either of them. The work of the surgeon has showTi that duodenal ulcer is a common disease; I have my- self operated upon 150 cases. In my last pubhshed paper I showed that the proportion of gastric to duo- denal ulcers in mj' OAvn cases w^as exactly as 2 to 1. Yet since then the proportions have altered, and re- cently I have operated oftener for duodenal than for gastric ulcer. ]Many of the ulcers which were supposed to be pyloric or in the stomach close to the pylorus we now know to be in the duodenum. To tell exactly whether an ulcer is gastric or duodenal is not always quite easy; a careful examination of the whole area must be made, and the venous ring w^hich usualh^ marks the site of the pjdorus defined. By multiply- ing these careful examinations we have come to realise that duodenal ulcer, at least in the cases that come to the surgeon for treatment, is almost, if not quite, as frequent as gastric ulcer. And little by little the clinical picture has become complete, and a diagnosis of ulcer can now be made wdth reasonable certainty from the anamnesis alone. This is usually the story the patient tells: After food is taken the patient is free from pain; the period of an hour or tw^o which follows a meal is the best time in the day. At a time varjdng from one and a half to four hours after the meal a sense of uneasiness is noted in the upper part](https://iiif.wellcomecollection.org/image/b21212429_0023.jp2/full/800%2C/0/default.jpg)
