Primary carcinoma of the duodenum / by W. Soltau Fenwick.

  • Fenwick, W. Soltau (William Soltau)
Date:
1910?]
Catalogue details

Licence: Public Domain Mark

Credit: Primary carcinoma of the duodenum / by W. Soltau Fenwick. Source: Wellcome Collection.

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    other causes than malignant stricture, since a tumour of a^y neighbouring viscus may exert pressure upon the bowel. It is also possible that undue tension of the transverse mesocolon, or enlargement of the superior mesenteric vessels, may compress this portion of the gut. Of the internal diseases the impaction of a gall stone and the cicatrisation of a simple ulcer are the most important. In all these cases, however, the antecedent symptoms differ greatly from those of duodenal carcinoma, there are seldom cachexia and' rapid loss of flesh, and the discovery of a tumour helps to elucidate the nature of the primary disease. A gastro- biliary fistula is also accompanied by vomiting of bile, but there is usually a liistory of gall stones, while dilatation of the stomach and duodenum is absent. Treatment.—This must be conducted upon the same lines as that of cancer of the pylorus. Lavage should be performed night and morning, the bowels maintained in regular action, and the diet adjusted to the necessities of the patient. Excision of the growth is rarely feasible, but gastro-enterostomy often prolongs life for several months. A REFERENCES. Arrachard.—Gaz. d. hop., Paris, 1860, p. 98. Atkinson.—Pepper’s “System of Medicine,” vol. ii.'p. 868. Avezon.-—Bull. Soc. anal, de Paris, 1875, p. 465. Rright.—Arch. gdn. de med., Paris, 1834. Bryant.-—Ann. Surg., St. Louis, Feb. 1893. Basson.—“ Du cancer de I’ampoule de Vater,” These, Paris, 1893. Caillet.—“Dequelques cas d’ictMe inecaniqne du an cancer de la 2nie portion du duodenum,” These, Paris, 1876. Charon and Ledegank.—Journ. de med. chir. et pliarinacol., Bruxelles, 1879, p. 493. Chomel.—Gaz. d. hop., Paris, 1852, p. 37. Cockle.—Med. Times and Gaz., London, 1883, j). 435. Damaschino.—“Traite de maladies des foies digestives,” 1880, p. 847. Dickinson. — N.Y. Med. Journ., 1879, vol. xxx. p. 149. Durand- Fardel.—A7t7^,. ghi.de ?rA7., Paris, 1840. Fereol.—“ Soc. medicale d’observation ’de Paris,” 1850. Frerichs.—“Traite des maladies du foie.” Grisolle.—Cited by Atkinson. Hausemann.—“ Etiologie et pathogenie du cancer de I’intestin,” These, Paris, 1882. Lannois and CouRMONT.—ifev. de med., Paris, 1874, p. 292. Maydl.—“Leber den Darmkrebs,” Wien, 1883. Walthan-Larrier.—Gaz. d: hop., Paris, Dec. 7, 1897. Nothnagel.—“ Die Erkrankungen des Darius u. des Peritoneum,” Wien, 1898. Pic.—Rev. de med,., Paris, tome xiv. p. 1081. Pye-Smith. — Trans. Path. Soc. London, vol. xlv. p. 63. Rolleston.—London, 1901, vol. i. p. 421. 'Schlesinger.— Wie7i. Min. WcLnschr., 1898, Bd. x. S. 245. ‘ Vanchon. — Leube, Ziemssen’s “Cyclopaedia,” vol. vii. p. 432. Whittier.—Trans. Am. Phys. Assoc., 1889, p. 292.