Until recent years the Roentgen rays have proved of little or no value in the demonstration of pathologic conditions in the region of the gall-bladder. Even at present the demonstration of gall-stones will depend first on the presence of more or less lime salts in the stones and second on a very careful technic,1 so that only the positive diagnosis of gall-stones is of value. However, when a cholecystitis is associated with a pericystitis leading to adhesions of the stomach, duodenum or bowel, the effects of such adhesions can be demonstrated. Isolated observations have been made from time to time, but this subject has received careful attention chiefly during the past year. In January, 1910, Schürmayer gave a demonstration of diapositives in Berlin,2 showing the effects of adhesions of the stomach. During February, 1911, Cole demonstrated the effects of such adhesions on the peristaltic waves of the stomach,
PFAHLER GE. GASTRIC AND DUODENAL ADHESIONS IN THE GALL-BLADDER REGION, AND THEIR DIAGNOSIS BY THE ROENTGEN RAYS. JAMA. 1911;LVI(24):1777–1779. doi:10.1001/jama.1911.02560240007002
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