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Peroneal Muscular Atrophy with Mental Defect and Myopathy in Siblings

1956; BMJ; Volume: 2; Issue: 5004 Linguagem: Inglês

10.1136/bmj.2.5004.1281

0959-8138

Robert Gibson,

Genetic Neurodegenerative Diseases

BAD GASTRECTOMIESMEDIBLRNAL 1281 reconstruction which must follow the ablation, and which demands of the surgeon a special sympathy with the object of his work.Chronic Gastritis and End-results Although this article deals with technique and end-results, reference should be made to chronic gastritis, because it has this in common with the technical niceties, that end-results are jeopardized by neglecting its importance.In patients with ulcer the symptoms come from (1) the ulcer; (2) the diffuse gastro-duodenitis which so often accompanies ulcer, especially gastric, and sometimes simu- lates it; and (3) the mind of the patient.Many physicians and surgeons have failed to understand the fundamental importance of chronic gastro-duodenitis in diseases of the stomach and duodenum.This failure is due to the fact that thev have relied upon the naked eye, either direct or through the gastroscope, for the diagnosis, not realizing that the disease is essentially microscopical.The disease may rilin the health or take the life of the patient and still remain imperceptible to the naked eye.These clinicians have falsely argued that the changes indicating chronic gastritis (the excessive cellular infiltration, with deformity and destruc ion of the epithclial and glandular elements) may be present without symptoms and are therefore with- out significance.The same argument could be applied to carcinoma in many organs, to ulcer, to gall-stones.and to chronic nephritis.Such a defective comprehension of gastric diseases leads in some cases to faulty selection, and in others to post-operative disappointment, because the symptoms due to diffuse chronic gastro-duodenitis may not disappear after operation.