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Usefulness of the Supine and Prone Position on a Plane Inclinable 45 Degrees for Fluoroscopy of Digestive Tract

Rai Satake
1952 Tohoku journal of experimental medicine  
In the foregoing paper1) I am able to show how readily a good relief of a diverticulum in the cardiac region is obtainable only by changing the position in certain manners; namely by letting the subject lay on the head alternatively supine and prone on a plane inclined 45degrees. The con trast medium fills thus once the sulci in the mucosa of cardia of one side and then those of the opposite side. This procedure, though quite simple in principle and manner, has been proved very useful for the
more » ... ry useful for the roentgenography as following examples will demonstrate. (1) Corpulent persons has commonly horn-shaped stomach, situated in the upper epigastrium, or further up under the costal arch. Large tumour mass in the abdominal cavity, ascites, the late stadium in preg nancy, etc. push the stomach high up: In such a case the mucous relief cannot be obtainable by means of the compression method of Berg2). My method can be readily applied there: Fig. 1a is a roentgenogram of a corpulent patient, diagnosed firstly as the stomach cancer, but there is no mucous relief visible. As seen in Fig. 1b , constructed from Fig. 1 and three other roentgenograms, the tumour mass, a child head-sized, is found in the place of the pancreas head, and surrounded by the duodenal loop, so that the so-called duodenal fenestra is formed. On that account it was taken as the pancreas cancer infiltrating into the stomach tissue. On treating by my procedure, and in fact in the second, left anterior oblique position, a clear full ring figure showing a dish-shaped cancer was uncovered in the antrum, near the pylorus. (Fig. 1c) Irregularities of the mucous relief and their abrupt discontinuation were demonstrated there. The operation findings corresponded to the latter roentgenogram; in lymph glands in the mesenterial radix there were found some metastasis, 153
doi:10.1620/tjem.55.153 fatcat:l4mmeikprfbejgrcvnekqyaidy