CHAP. II.] METHODS OF OBTAINING GASTRIC CONTENTS. 



165 



Whilst these results in no respect justify the conclusion, opposed 

 to all our experience, that the ^stomach, in man, plays but an unim- 

 portant part in digestion, they 'serve the valuable purpose of impres- 

 sing upon our minds the great, perhaps the paramount, importance 

 of the pancreas in digestion. 



The Gastric Juice in Disease. 



tents of 

 stomach. 



vy ui .information of the changes which occur in 

 collecting the digestion in disease are derived in great part either 

 gastric juice or from the examination of the stomach contents obtained 

 con- \>y the act of vomiting, or by collecting the gastric 

 juice, more or less mixed with water or with portions 

 of food, either by employing the stomach-pump or a 

 flexible hollow gastric sound, to empty the stomach some time after 

 food has been taken. 



In the accompanying illustrations are shewn (1) the process of 

 washing out the stomach by means of the stomach-pump (Fig. 10), 

 (2) a stomach tube or gastric sound (Fig. 11). 



r-x 



FIG. 10. THE ACT OF EMPTYING THE STOMACH BY MEANS OF THE STOMACH-PUMP. (Maw.) 



By appropriate manipulation of the two-way cock, water or other 

 liquid may be aspirated from the basin and thereafter pumped into 

 the stomach, and subsequently aspirated from the stomach and 

 pumped into the basin; the latter operation is represented in the 

 figure. 



The gastric sound was first employed by Leube 1 and Kiilz 2 , and 



1 Leube, Archiv f. klin. Medic. Vol. 33, 1883. 1. Kefer to his article in Ziemmsen's 

 llandbuch d. spec. 'Pathol. u. Therapie. Also Sitzungsberichte d. phys. med. Societdt 



r?t Erlangen, 1871, Hft. 3. 



2 Kiilz, Deutsche ZeitschHft f. prakt. Med., 1875, No. 27. 



^SE L1B*^?> 



OF THE ~ 



UNIVERSITY 



