Special discussion on the operative treatment of non-malignant ulcer of the stomach and its chief complications, with indications, limitations, and ultimate results : report on gastro-jejunostomy cases / by Herbert French.

  • French, Herbert Stanley, 1875-1951.
Date:
[1906]
Catalogue details

Licence: In copyright

Credit: Special discussion on the operative treatment of non-malignant ulcer of the stomach and its chief complications, with indications, limitations, and ultimate results : report on gastro-jejunostomy cases / by Herbert French. 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.

    2/14 (page 2)
    gastro-jejunostoniy by direct suture done. The patient died six days later of exhaustion. At the autopsy there was no peritonitis; the lump was not carcinoma, but a chronic simple ulcer with much matting, and partial stenosis of the pylorus. 2. Male, aged 4G, admitted in April, 1897. Two months previously he had swallowed two ounces of spirits of salts; he recovered from this, but soon after symptoms of pyloi’ic obstruction set in. He was repeatedly sick every day. Anterior gastro-jejunostomy was performed, a Murphy^s button being used; vomiting was Avorse after the operation than it was before, and the patient died exhausted on the fifth day. 3. Male, aged 52, admitted in January, 1898. There had been no trouble till twelve months previously, when persistent vomiting and signs of pyloric obstruction with dilated stomach set in. There was never hiematemesis nor melaena. At the operation fibrous stenosis of the pylorus was found; posterior gastro-jejunostomy, Avith Halsted’s method of suture, Avas performed. The patient did not gain strength after this, but sank and died on the thirteenth day. At the autopsy all the organs seemed healthy; there was no obvious dilatation of the stomach, no peritonitis, and no real obstruction to the pylorus. 4. Male, aged 42, admitted in September, 1899. He had a fibrous cicatrix of the pylorus. Posterior gastro- jejunostomy Avas performed, a Murphy^s button being used. The patient died o-f shock Avithin twenty-four hours. 5. Female, aged 51, admitted in September, 190Q. She Avas found to have a cicatrising ulcer of the pylorus. Gastro-jejunostomy Avas performed, a Murphy’s button being used. The patient died on the sixth day of general peritonitis. At the autopsy it Avas found that no union betAveen stomach and jejunum had taken place; the button was free within the stomach.