The Surgical Treatment Of Ulcer Of The Stomach PDF Download

Excerpt from The Surgical Treatment of Ulcer of the Stomach The reason of this discrepancy is simply that the condition of the mucous membrane of the stomach during life, especially when it is inflamed, is absolutely different from what it is after death. During life, and especially while digestion is going on, the mucous mem brane is exceedingly well supplied with blood. It is soft, bright red, thick, and full of fluid. After death it is thin, bloodless, flaccid, and in colour a pale slaty gray - it hardly looks like the same structure, the difference is so great; and in cases of acute ulceration, owing to the inflammatory changes in the surrounding tissues, the difference is greater still. Immediately around the ulcer the mucous membrane is swollen, con gested and raised above the level of the rest. Its colour is bright red, though the interior of the stomach may be paler than natural from loss of blood. Here and there I have seen the surface dotted with little blood-stained points from vessels that have given way. The sides of the ulcer are thickened and oedematous, and so soft and swollen that if the ulcerated surface is small, and does not extend deeper than the mucous membrane, they meet together over it and convert it into a narrow fissure. After death, when the blood pressure has fallen, especially in cases in which the vessels have been emptied by previous haemorrhage, all this thickening disappears, and then the ulcer assumes the crater-like form which is usually described; but I have never seen this during life. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.