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Article
November 20, 1909

THE MACROSCOPIC AND MICROSCOPIC APPEARANCES OF STOMACH CONTENTS

Author Affiliations

Attending Physician to the Gastro-Enterologic Department of the Vanderbilt Clinic and the Medical Department of the Sydenham Hospital Dispensary NEW YORK

JAMA. 1909;LIII(21):1710-1716. doi:10.1001/jama.1909.92550210001001c
Abstract

The subject of the macroscopic and microscopic appearances of stomach contents, especially the former, is one that has been neglected by gastrologists. The moment the examiner secures the contents he pours them immediately into the filter on the funnel for the chemical examination. I have to meet yet the man who carefully examines the stomach contents in gross and then makes notes of the macroscopic findings. Even the best text-books on the diseases of the stomach are almost silent on the subject. I myself can judge much better about the anatomic condition of the stomach from looking at the stomach contents than from the results of the chemical examination. I will illustrate by an example.

Here is a specimen of stomach contents that shows on chemical examination the following: Free hydrochloric acid, 30; total acidity, 60; lactic acid, 0; starch digestion, erythrodextrin; pepsin and rennet ferments normal; biuret positive. What

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