Duodenal regurgitation due to fatty foods and oils as a clinical entity : fat intolerance of gastric origin / by Anthony Bassler.

  • Bassler, Anthony, 1874-
Date:
1910
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Licence: In copyright

Credit: Duodenal regurgitation due to fatty foods and oils as a clinical entity : fat intolerance of gastric origin / by Anthony Bassler. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    generally classed as those of fat intolerance, and this is represented in poor fat digestion and absorp- tion, and the metabolic type of difficulty to as- similate fats after absorption. Leaving out of con- sideration such other conditions in which the use of fat would not be advisable (icterus, pancreatic disease, structural disease of the intestinal wall, some cases of diabetes and phthisis) I desire to draw attention to a stomach condition in which clinically the oils or fat footls, such as olive oil, milk cream, butter, and eggs, seem to be indicated, but in which they do harm and perpetuate the con- dition. During the past winter I have seen four indi- viduals, all men of middle age. who were definite instances of this, each of whom had been in the hands of competent practitioners without benefit, and each of whom made substantial recovery wlnn the fats had been stopped and they were placed on a fat free diet (skimmed milk, white of eggs, carbo- hydrates, green vegetables, boiled meats, etc.). The additional reason I wish to draw attention to this is because it has been and will rightfully remain logi- cal to believe that for any stomach condition of a neurotic or functional nature the simple and normal diet of good fresh milk and cream, fresh unsalttd butter, soft eggs, and the readily assimilated forms of oil would be wholesome and safe foods to em- ploy. and yet there is a class of cases, small in pro- portion. in which their employment is a most un- wise practice. Each of my cases occurred in individuals who gave a history of having had no stomach disorder up to the onset of acute symptoms. The subjective symptoms described were those of a sharp pain in the epigastrium radiating to the back which per- sisted for from several minutes to several hours and