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- 1.1. The mean volume of the postoperative gastric aspirate in fasting patients recovering normally from general surgical operations reached a level of approximately 600 c.c. per 24 hours after five days but it is reduced to about one half of this volume in the first 24 to 48 hours.
- 2.2. By differential drainage of gastric, duodenal, and biliary secretions it can be shown that gastric contents account for most of this short-tube aspirate. The distinctive physical and biochemical patterns of separated gastric, duodenal, and biliary secretions have also been determined.
- 3.3. These three patterns can be used to interpret the biochemical findings in aspirate samples and their chief site of origin, as illustrated in a case of gastric resection.
- 4.4. The description, acute hemorrhagic gastrorrhea, is suggested for the postoperative complication characterized by enormous outpouring of bloodstained gastric juice, associated with malaise, hiccup, and hypochloremic alkalosis. Illustrative cases are cited. It is but one cause of acute gastric dilatation.
- 5.5. Acute hemorrhagic gastrorrhea can and should be distinguished from paralytic ileus with pooling of ingesta, swallowed air and all the gastroduodenal secretions. In the latter the aspirate is foul-smelling, more nearly neutral in reaction and is bilious, not blood-stained.
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Received: April 6, 1956
☆Work done with the aid of a grant from the National Health and Medical Research Council of Australia.
© 1957 Published by Elsevier Inc.