A study of the gastric condition in purely spastic constipation, if indeed there is such a condition, should cover a critical survey of many hundred cases in order that the deductions drawn may be of practical value. For this reason I offer, with full apology, my series of only forty-four cases, which have occurred in my practice during 1917.
Obviously it was proper to include only those cases in which a careful roentgen-ray study has been made. Furthermore, I have excluded those cases in which other pathologic conditions, such as chronic appendicitis, chronic cholecystitis or peptic ulcer, were found. In other words, I believe that all the cases reported are chronic spastic constipation.
Of this series twenty-four had pyrosis coming on before meals, while twenty-nine experienced no pyrosis. Twenty-seven complained of acid regurgitation from one-half to two hours after eating, and seventeen did not have it. In thirty-nine cases the