Intestinal position and body functions / by A. Judson Quimby.

  • Quimby, A. Judson (Adorniram Judson), 1875-
Date:
[1914]
Catalogue details

Licence: In copyright

Credit: Intestinal position and body functions / by A. Judson Quimby. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    1/8
    Reprinted from The American Journal of Gastro- Enterology October, 1914 INTESTINAL POSITION AND BODY FUNCTIONS By A. Judson Quimby, M. D. New York Clinical Professor of Radiography, New York Polyclinic Medical School and Hospital; Radiographer, New York Foundling Hospital The cases that have presented themselves for diag- nosis with the conditions causing symptoms of intes- tinal stasis secondary to disturbances of obscure origin., brings forward some valuable lessons that should train us to keep an open mind in order that we may recog- nize these abnormal conditions and suggest how relief may be obtained. Lane has pointed out that consti- pation is essentially secondary to certain mechanical defects, when such functional disturbances arise and are but incidents in the chain of events which lead to the constipated state. Occasional references are made by a few observers to the condition called spastic constipation and spastic colitis, and I desire to emphasize the necessity for a careful correlation of the anatomical defects with the physiological. In reviewing a large number of cases examined by myself in which mechanical defects exist, secondary to adhesions, malformations and evolution- ary developments, I have been greatly impressed by the number who exhibit all the signs of a tightly con- tracted colon; this condition is most pronounced in the last half of the colon, usually from the middle of the transverse portion to the pelvic sigmoid. Furthermore, I have never yet failed to find in a case of spastic colitis some abnormality of sufficient extent to explain a reflex irritation. In abnormal appendices, ileal kinks and ad- hesions of the right transverse colon it seems to occur quite often.