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February 21, 1914


Author Affiliations


JAMA. 1914;LXII(8):590-591. doi:10.1001/jama.1914.02560330008002

I wish to make record of what to me was a very interesting case, and the only one of gastric tetany encountered in my practice. Notwithstanding the fact that Kussmaul called attention to gastric tetany in 1869, comparatively little advance was made in its treatment until a surgeon, Mayo Robson, took up its consideration in 1898. Various theories were given as to its causation. First, Kussmaul, who described the disease originally, declared it to be due to a desiccation of the tissues, very much as is seen in cholera or cholera morbus, from non-absorption of fluids. Then again, it was thought by Albu to be due to auto-intoxication following dilatation of the stomach, with or without pyloric stenosis. Germain Sée and others believed it to be due to reflex irritation or irritability of the nerves of the stomach, and, lastly, it was thought that the presence of foreign bodies in

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