0
ARTICLE |

SYMPTOMS ASSOCIATED WITH DUODENAL RETENTION AND REVERSE MOTILITY FREE

HOMER WHEELON, M.D.
[+] Author Affiliations

Read before the Medical Staff of the Columbus Hospital, Nov. 12, 1925.


JAMA. 1926;86(5):326-330. doi:10.1001/jama.1926.02670310008004
Text Size: A A A
Published online

In a previous communication,1 it was pointed out that a mass of barium injected into the duodenum was partially divided and passed in opposite directions along that viscus. Similar movements were shown to occur in conditions that permitted the accumulation of barium at any point along the course of the duodenum following the taking of a barium meal. From these observations it was concluded that distention of the duodenum was sufficient stimulus to excite contractions of the musculature about the mass and the subsequent passage of contraction waves in opposite directions along the longitudinal axis of the duodenum. Roentgenographic examinations of the gastro-intestinal tract on a series of 398 consecutive patients over a period of three years corroborate the findings and conclusions previously derived.

Early in the study of duodenal motility, it became apparent that definite symptoms were either directly associated with or immediately followed reverse movements of barium.

REFERENCES

Wheelon, Homer:  Duodenal Motility: Radiographic Observations Following the Direct Injection of Barium into the Human Duodenum , J. A. M. A. 80:615 ( (March 3) ) 1923;.
Alvarez, W. C.:  The Syndrome of Mild Reverse Peristalsis , J. A. M. A. 69:2018 ( (Dec. 15) ) 1917;.
Alvarez, W. C.:  Reverse Peristalsis in the Bowel, a Precursor of Vomiting , J. A. M. A. 85: 1051 ( (Oct. 3) ) 1925;.
Wheelon, Homer:  Observations on Gastric and Duodenal Motility in Duodenal Obstruction , J. A. M. A. 77: 1404 ( (Oct. 29) ) 1921;.
Ivy, A. C.; Vloedman, D. A., and Keane, J.:  The Small Intestine in Hunger , Am. J. Physiol. 72:99 ( (March) ) 1925;.
Ivy, A. C., and McIlvain, G. B.:  The Excitation of Gastric Secretion by Application of Substances to the Duodenal and Jejunal Mucosa , Am. J. Physiol. 67:124 ( (Dec.) ) 1923;.
Keeton, R. W.:  Nausea and Related Sensations Elicited by Duodenal Stimulation , Arch. Int. Med. 35:687 ( (June) ) 1925;.
Friedman, J. C.; Strauss, A. A., and Arens, R. A.:  A Clinical Radiological Study of the Gallbladder , Radiology 5:93 ( (Aug.) ) 1925;.
Jordan, A. C.: Chronic Intestinal Stasis , London, Oxford University Press, 1923;.
W. F. Henderson (J. A. M. A. 85:1462 [ (Nov. 7) ] 1925;)
Spencer, W. H.; Meyer, G. P.; Rehfuss, M. E., and Hawk, P. B.: Am. J. Physiol. 39:459 ( (Feb.) ) 1916;.
Rehfuss, M. E.; Bergeim, Olaf; and Hawk, P. B.:  Gastro-Intestinal Studies, I, The Question of the Residuum Found in the Empty Stomach , J. A. M. A. 63:11 ( (July 4) ) 1914;.

First Page Preview

First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Wheelon, Homer:  Duodenal Motility: Radiographic Observations Following the Direct Injection of Barium into the Human Duodenum , J. A. M. A. 80:615 ( (March 3) ) 1923;.
Alvarez, W. C.:  The Syndrome of Mild Reverse Peristalsis , J. A. M. A. 69:2018 ( (Dec. 15) ) 1917;.
Alvarez, W. C.:  Reverse Peristalsis in the Bowel, a Precursor of Vomiting , J. A. M. A. 85: 1051 ( (Oct. 3) ) 1925;.
Wheelon, Homer:  Observations on Gastric and Duodenal Motility in Duodenal Obstruction , J. A. M. A. 77: 1404 ( (Oct. 29) ) 1921;.
Ivy, A. C.; Vloedman, D. A., and Keane, J.:  The Small Intestine in Hunger , Am. J. Physiol. 72:99 ( (March) ) 1925;.
Ivy, A. C., and McIlvain, G. B.:  The Excitation of Gastric Secretion by Application of Substances to the Duodenal and Jejunal Mucosa , Am. J. Physiol. 67:124 ( (Dec.) ) 1923;.
Keeton, R. W.:  Nausea and Related Sensations Elicited by Duodenal Stimulation , Arch. Int. Med. 35:687 ( (June) ) 1925;.
Friedman, J. C.; Strauss, A. A., and Arens, R. A.:  A Clinical Radiological Study of the Gallbladder , Radiology 5:93 ( (Aug.) ) 1925;.
Jordan, A. C.: Chronic Intestinal Stasis , London, Oxford University Press, 1923;.
W. F. Henderson (J. A. M. A. 85:1462 [ (Nov. 7) ] 1925;)
Spencer, W. H.; Meyer, G. P.; Rehfuss, M. E., and Hawk, P. B.: Am. J. Physiol. 39:459 ( (Feb.) ) 1916;.
Rehfuss, M. E.; Bergeim, Olaf; and Hawk, P. B.:  Gastro-Intestinal Studies, I, The Question of the Residuum Found in the Empty Stomach , J. A. M. A. 63:11 ( (July 4) ) 1914;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.