OBSERVATIONS ON THE PHYSIOLOGICAL ANATOMY OF THE INFANT'S STOMACH NOTED IN THE COURSE OF THE USE OF A BALLOON-DUODENAL CATHETER

ALFRED F. HESS
1914 Archives of Pediatrics & Adolescent Medicine  
Before entering on a discussion of the main subject of this paper, we wish to consider a physiological phenomenon associated with the passage into the gastric cavity of all catheters, and probably of all solid objects. In previous articles attention was drawn to the fact that a catheter introduced into the stomach or into the duodenum of an infant did not take the direction which, a priori, we should have anticipated, but followed a most peculiar course. We expected Roentgen-ray photographs to
more » ... ray photographs to show that the catheter proceeds almost in a vertical direction from the cardia to the greater curvature, then to be deflected by the wall of the stomach, either to the right toward the pylorus or to the left, toward the fundus. However, such was not found to be the case; the couse almost invariably was quite different: From the cardiac opening the catheter was seen to turn sharply to the left, without apparent cause, toward the fundus of the stomach ; it then swung about on itself toward the pyloric opening. This course was pursued within the gastric
doi:10.1001/archpedi.1914.04100420021003 fatcat:kv3jd6x2cbgd5ceiaqopl4yite