The American Journal of Digestive Diseases

, Volume 16, Issue 4, pp 129–131 | Cite as

Clinical aspects of prolapsed gastric mucosa

  • Francis W. Wilson
  • W. H. Granger
Article
Received:

Summary and Conclusion

Certain clinical features are suggestive of the diagnosis of proplapsed gastric mucosa, but they are not consistent enough to make the diagnosis without X-ray confirmation. The salient features of the diagnosis in 25 patients are reviewed as follows:
  1. (A.)

    Symptomatology: 1. Dyspepsia (80%) 2. Absence of night pain (59%) 3. Relief by food (100% of those with dyspepsia) 4. Little or no relief by antacids (71%) 5. Vomiting (50%) 6. Gross bleeding (28%) 7. Fairly common association with other organic disease of the gastrointestinal tract (28%).

     
  2. (B.)

    Sparsity of physical findings.

     
  3. (C.)

    X-ray findings: 1. Typical deformity of the base of the duodenal bulb. 2. Redundant folds through the pyloric canal. 3. The duodenal bulb is not irritable or “quick.” 4. Increased gastric peristalsis. 5. Lack of gastric dilatation.

     

Keywords

Gastric Mucosa Hiatus Hernia Dyspepsia Esophageal Varix Duodenal Bulb 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Springer-Verlag 1949

Authors and Affiliations

  • Francis W. Wilson
    • 1
    • 2
  • W. H. Granger
    • 1
    • 2
  1. 1.Veterans Administration HospitalMcKinney
  2. 2.Southwestern Medical CollegeDallas

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