Skip to main content
SpringerLink
Log in

Clinical aspects of prolapsed gastric mucosa

  • Published:
The American Journal of Digestive Diseases

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. von Schmieden, V.: Die differential diagnose zwischen magengeschwur und magenkergs; die pathologische anatomie dieser erkrankung in beziehung zu darstellung im ronegenbilde. Arch f. Klin., 96:253, 1911.

    Google Scholar 

  2. Eliason, E. L. and Wright, V. W. M.: Benign tumors of the stomach. S. G. O. 41:461–1925.

  3. Melamed, A. and Hiller, R. I.: Prolapsed gastric mucosa. Am. J. Diges. Dis. 10:93, 1943.

    Google Scholar 

  4. MacKenzie, W. C., Macleod, J. W. and Bouchard, J. L.: Transpyloric prolapse of redundant gastric mucosal folds. Canad. M. A. J. 54:553–1946.

  5. Norgore, M. and Schuler, I. J. D.: Extrusion of gastric mucosa through the pylorus. Surgery, 18:452–1945.

  6. Scott, W. G.: Radiographic diagnosis of prolapsed redundant gastric mucosa into the duodenum. Radiology, 46:547, June 1946.

    Google Scholar 

  7. Nygaard, K. K. and Lewitan, A.: Transpyloric herniation of redundant gastric mucosa. Am. J. Surg., 75:502, Marh 1948.

    Article  PubMed  CAS  Google Scholar 

  8. Bralow, S. P. and Spellberg, M. A.: Etiology of prolapsed gastric mucosa. Am. J. Diges. Dis., 14:332, October 1947.

    Google Scholar 

  9. Scott, W. G.: Recent unpublished work.

  10. Rees, C. E.: Prolapse of the gastric mucosa through the pylorus: Surgical treatment. S. G. O., 64:689, 1937.

    Google Scholar 

  11. Quigley, J. P.: Digestive tract: Intralumen pressures. Medical Physics (Glasser). Year Book Published 1947.

  12. Rubin, J. S.: Prolapse of polypoid mucosa into the duodenum, with malignant changes. Radiology, 38:362, March 1942.

    Google Scholar 

  13. Patterson, C. O.: Personal communication.

Download references

Author information

Authors and Affiliations

  1. Veterans Administration Hospital, McKinney, Texas

    Francis W. Wilson M.D. & W. H. Granger M.D.

  2. Southwestern Medical College, Dallas, Texas

    Francis W. Wilson M.D. & W. H. Granger M.D.

Authors
  1. Francis W. Wilson M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. H. Granger M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Published with permission of the Chief, Medical director, Department of Medicine and Surgery, Veterans Administration who assumes no responsibility for the opinions expressed or the conclusions drawn by the authors.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wilson, F.W., Granger, W.H. Clinical aspects of prolapsed gastric mucosa. A. J. D. D. 16, 129–131 (1949). https://doi.org/10.1007/BF03001601

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03001601

Keywords

Search

Navigation