INTRODUCTION Studies in the critically ill that evaluate intragastric and post-pyloric delivery of nutrient have yielded conflicting data. A limitation of these studies is that the influence in the route of feeding on glucose absorption and glycaemia has not been determined. METHODS In 68 mechanically ventilated critically ill patients, liquid nutrient (100 ml; 1 kcal/ml containing 3 g of 3-O...

â  the ampulla of vater is commonly located in the posteromeâ­dial wall of the second portion of the duodenum. at times, the ampulla of vater may be found at uncommon sites such as the third and fourth portions of the duodenum, the duodenal bulb and the stomach. we found the ampulla of vater in the pyloric channel in a 44 year old patient who had undergone surgery for acute cholecystitis. an in...

In the last few years the author has treated forty consecutive cases of hypertrophic pyloric stenosis with eumydfin (atropine methyl nitrate), which was brought to the notice of paediatricians in this country by Svensgaard in 1935. The analysis of this series has brought out certain points, which, had the writer realized them in time, would have improved the results. These factors are here disc...

In a recent report, Carter and Powell (1954) recorded 12 examples of pyloric stenosis in parent and child, and drew attention to the increased risk of the disease in offspring of parents who were themselves affected. In examining their observations we noted that the risk to the child seemed to be greater if the affected parent was the mother; but the number of cases was small, and the matter ev...

A case of adult hypertrophic pyloric stenosis presented in an older female with no apparent predisposing factors which might be likely to precipitate the condition. There was a history of chronic dyspepsia and occasional episodes of vomiting. No contributory medical history was identified. Barium swallow and follow through showed a markedly reduced emptying time of the stomach. A partial gastre...

In an earlier communication (Flint and Grech, 1970) it was confirmed that the pylorus is normally competent but incompetent in gastric ulcer and chronic alcoholic gastritis and often incompetent in chronic duodenal ulcer. The relationship between pyloric regurgitation and gastric ulcer was also discussed. The purpose of this paper is to give details of the technique used for assessing pyloric r...