Further questioning revealed that the patient was delivered by Caesarean section in the 36th week of pregnancy because her mother had developed intestinal obstruction. Laparotomy performed at the same time showed the presence of multiple peritoneal secondary deposits. The patient's grandmother, two of her uncles and one aunt had died of bowel cancer. This family history together with the presen...

into the left bronchus. The skiagram shows the fistula ; and the irregularity of the lumen of the cesophagus is suggestive of malignancy. Case 2.?Diverticulum of the stomach (see figure 2, plate V). A male, aged 30 years, admitted for investigation of dyspepsia. Barium meal examination on 3rd December, 1945, revealed a gastric diverticulum, in which barium persisted after the stomach had emptie...

The frequency of hiatus hernias found incidentally during routine barium meal examinations has been reported on many occasions (Eisen, 1938; Levy and Duggan, 1941; Mendelsohn, 1946; Root and Pritchett, 1938; and Ritvo, 1930), and varies between 0-8% and 2-9%. When the abdominal pressure is increased by any method during the examination, the incidence rises to between 2-1% and 11 8% (Boyd, Harri...

The mechanism of vomiting in mammals is highly complex, and some aspects of it are not well understood despite the many experimental studies which have been made, particularly in cats and dogs. For example, there is still room for debate about the gastric and intestinal movements during nausea, about the role of the stomach in vomiting, and about the mechanism of opening of the cardia. The repo...

INTRODUCTION Optimum conditions for the ultrasonic examination of the abdominal organs require a fluid-filled gall bladder and as little gas in the gastrointestinal tract as possible [1]. In addition the thin patient is easier to examine than the fat patient since higher-frequency transducers can be used which improve resolution. Most ultrasound (US) departments instruct their patients to come ...

Heartburn is a retrosternal burning sensation, often worse on lying down or bending over and commonly associated with a sour or acid taste in the mouth. The symptom is caused by gastric acid reflux into the oesophagus through an incompetent cardiac sphincter. The diagnosis may be confirmed by a barium meal examination provided the cardiac sphincter mechanism is challenged by various manoeuvres....

1. An automated colorimetric method for determination of methionine using an iodoplatinate reagent is described. Methionine sulphoxide does not react under the chosen conditions. 2. The method may be used to distinguish between unoxidized and total methionine by doing one determination without and one determination with previous reduction of a portion of the sample with titanium trichloride. Me...

A 64 year old car production supervisor, presented in out-patients with a six month history of episodic vomiting, distension, and weight loss of 2 stones. There was no relevant past history. Physical examination was unremarkable but his barium meal showed considerable gastric stasis, and an obstruction at the third part of the duodenum as well as malrotation of the intestines (Figure 1). At lap...

Background. Superior mesenteric artery (SMA) syndrome is a rare condition of duodenal obstruction, caused by the overlying SMA. Aim. To report on our experience with the management of SMA syndrome, drawing the attention to its existence. Material and Methods. We reviewed our records to identify cases diagnosed with SMA syndrome, in the period from October 1995 to January 2012. Results. Seven pa...

The aim of this study was to assess clinical and radiological findings of gastro-oesophageal reflux in adults who were diagnosed as having a hiatal hernia in infancy or early childhood. One hundred and eighteen patients with a minimum age of 20 who were diagnosed as having a hiatal hernia in childhood were interviewed; barium meal examination was performed in 96 of these cases. Ninety four pati...