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Article
July 1925

REFLEX SPASM OF THE PYLORUS AND ITS RELATION TO DISEASES OF THE DIGESTIVE ORGANS

Author Affiliations

BALTIMORE
From the Surgical Hunterian Laboratory of Johns Hopkins University Medical Department.

Arch Surg. 1925;11(1):136-151. doi:10.1001/archsurg.1925.01120130145009
Abstract

There is probably no field in the whole subject of medicine about which we have so little absolute knowledge as that of the neurology of the gastro-intestinal tract. Nor is there any field of investigation to which more time and effort have been devoted in the endeavor to clear up the many perplexing problems which it presents. The complicated nervous mechanism involved—the very complexity of the structures themselves, with their apparent autonomous activity—makes the approach to the subject bewildering in the extreme. Yet derangement of digestive function in one form or another is probably one of the most common of all diseases. Our therapeutic efforts, whether medical or surgical, are largely symptomatic; even when they are distinctly rational they are often unsatisfactory. Drugs that may have a special effect on a given nerve are administered; but we now know that these nerves may act in an entirely different way under

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