RELAXATION OF THE GASTRIC MUCOSA PRODUCING PYLORIC OBSTRUCTION

1 July 1948

journal article
research article
Published by American Medical Association (AMA) in Archives of Surgery

Vol. 57 (1) , 45-50
https://doi.org/10.1001/archsurg.1948.01240020048005

Abstract

THE MUCOUS membrane in the pyloric region of the stomach may prolapse through the pylorus and thereby cause gastric pains and vomiting. Such a prolapse of the gastric mucosa is generally due to the presence of a stalky tumor, but in rare cases it is caused exclusively by an abnormal redundance and laxness of the mucous membrane in the pyloric region of the stomach. Schmieden¹ seems to have been the first to describe a case of this kind. The patient was a woman, aged 27, with dyspeptic symptoms. At operation on the pyloric region of the stomach, he found a transverse fold of mucous membrane, which he thought could shut off the access to the pylorus in the manner of a valve. More recently cases have been reported by Eliason, Pendergrass and Wright,² Meyer and Singer,³ Pendergrass and Andrews,⁴ Rees,⁵ Bohrer and Copleman,⁶ and

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