A Text-Book of Medicine for Students And Practitioners

Cover A Text-Book of Medicine for Students And Practitioners
A Text-Book of Medicine for Students And Practitioners
Strümpell, Adolf Von, 1853-1925
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Virchow assumed that most cases were the result of thrombosis or embolism of the minute blood-vessels, caused by various diseases. Klebs suggested the possibility of a local spasm in the vessel. Bottcher has succeeded in detecting numerous colonies of micrococci in the margins of gastric ulcers, and regards them as the cause.
As we, have already said, however, no one of these views has been universally accepted.
It may be that in many cases some local injury of the mucous membrane is the origin
...al cause of the ulceration. Such possible causes are bums or mechanical lesions. But, even then, we are un&ble to explain why the ulcers should spread laterally and downward. For all gastric ulcers experimentally produced, whether by embolism, contusion, burning, or even cauterization (as practiced by Quincke), exhibit a decided tendency to rapid healing. It has therefore been suggested that * After the dronlation is terminated by death, this difrestive prooem at onoe begins, prodnoing the softening of the stomach, or gaBtronuilaoia, fVequently found at autopsies.

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