胃下垂のX線的研究

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Much research has been done on gastroptosis, but somehow the effort made on this subject seems not to have been enough. In the present studies of gastroptosis, the author first determined the position of the normal stomachs, and then compared the shape and position of the stomachs displaced downward with those of the controls, taking into consideration not only the position of the stomach as a whole, but also the degree of extension of its walls. The stomachs of 69 normal, healthy subjects were studied with X-rays under a specified condition so that a standard type of the stomach with normal position and length might be determined. Then the stomachs of patients with epigastric complaints who were free from cancer, ulcer and cholecystitis were studied with X-rays, and the observations made in them were compared with those made in the normal subjects. 1. In 30 % of men and 9 % of women who were free from epigastric complaints, the stomach was lower in position than the standard type. This was due to early appearance of epigastric complaints in women. 2. X-rays revealed abnormal relief findings in 60 % of those with epigastric complaints. The majority of them seemed to have gastritis. 3. The downward displacement involved only the caudal pole in some cases, only the angle in some, and the stomach as a whole in some. The stomachs of the cases of the first two groups showed distension of the gastric walls. 4. The downward displacement of the angle was associated with the downward displacement of the pylorus. 5. In persons where X-rays revealed normal relief findings, 30 % had epigastric complaints because of gastroptosis. The epigastric complaints of these persons were related to a certain degree to the downward displacement of the angle.
千葉大学の論文

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熊谷利雄
千葉大学医学部三輪内科

胃下垂のX線的研究

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