GASTROSUCCORBHCEA CONTINUA CHROIslICA (CHRONIC CONTINUOUS FLOW OF GASTRIC JUICE; REICHMANN'S DIS EASE).—This is an affection in which the stomach, even during the fasting state, is never free from a considerable quan tity of gastric juice, due to its constant excessive secretion. This affection is rare as a primary neurosis, although the writer has seen several undoubted cases. In most of the observed cases there co-exists benign pyloric stenosis (often due to by perplasia), and consequent dilatation of the stomach.
Latent ulcer has also been noted with this affection. There is always a consid erable quantity of gastric secretion in the fasting stomach in the morning. This macroscopically may not show evidence of food-elements, but, microscopically, starch-granules, etc., can commonly be made out. Sarcinm are not evident un less with a considerable degree of atony. The disease may exist quite symptomless, with preserved health, or there may be present (as a result of marked gastric myasthenia) the usual indications of stenotic dilatation.
The symptoms accompanying this af fection are largely those of hyperchlor laydria. With these, regurgitation or vomiting of a highly acid or normally acid gastric juice is common, and may be associated with more or less gastric un easiness or even with attacks of gastral gia. The writer has under observation two cases in which attacks of typical pylorospasm occur. Symptoms indicative of a neurosis are usually evident. In cases in which there is pyloric stenosis and dilatation symptoms of these are usually evident. The treatment is that of the underlying neurosis plus that for the hypereblorhydria. The in-take of fluids must be limited, as in gastric dila tation.