Peptic ulceration of the oesophagus in combination with partial thoracic stomach

The subject - "Peptic Ulceration of the Oesophagus in combination with Partial Thoracic Stomach" - is one which has been recognised only within the past few years. It has been my fortune, as radiologist to a large teaching hospital, to find over twenty cases during the past five years. The thesis reviews the pathogenesis and clinical features together with a description of diagnostic methods and treatment. The appendix contains full clinical notes of eighteen cases which have been under treatment and observation for more than a year. The clinical importance in recognising the condition lies in the fact that the alternative diagnosis is cancer of the lower end of the oesophagus. Peptic ulceration is not uncommon and if erroneously treated by radiotherapy the results might prove disastrous. The academic interest of the subject centres round the lower end of the oesophagus and the partial thoracic stomach. The congenital and acquired types of gastric herniation through the oesophageal hiatus are fully discussed and the accepted anatomical site of the cardia is called into question. As regurgitation into the oesophagus plays a large part in the production of peptic ulceration this point assumes considerable importance. The recognition of the position of the cardia in relation to neighbouring structures is most readily determined by radiology and stress is laid on the distinguishing features.

Grantor dc:publisher

The University of Edinburgh

Year dc:date.issued

1945

Author dc:creator

• Johnstone, Alan Stewart

Handle dc:identifier.uri

http://hdl.handle.net/1842/34802

OAI identifier oai:identifier

oai:era.ed.ac.uk:1842/34802