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.

    3/14 (page 3)
    I KEPORT ON GASTRO-JEJUNOSTOIIY CASES 3 6. Male, aged 43, admitted in November, 1900. He was found to have a cicatrising p}doric ulcer. Anterior gastro-jejunostomy by direct suture was performed. The patient died on the ninth day of syncope. At the autopsy it Avas found that the jejunum had become doubled round a peritoneal band. 7. Male, aged 67, admitted in January, 1902. He was found to have a cicatrising and leaking pyloric ulcer. Anterior gastro-jejunostomy was performed, a Murphy’s button being used. There was continual vomiting after the operation, and pneumonia supervened. The patient died on the thirteenth day. At the autopsy the button was found in the duodenum. 8. Male, aged 46, admitted in June, 1902. He was found to be suffering from peri-pyloritis. Anterior gastro-jejunostomy by direct suture was performed. The patient developed broncho-pneumonia, and died on the fifth day. 9. Male, aged 42, admitted in February, 1903. He was found to have a cicaHised pyloric ulcer. Posterior gastro-jejunostomy by suture was performed. Vomiting after the operation was so extreme that a second opei-a- tion was performed next day, and jejunostomy done. The patient died the day after. At the autopsy there was no peritonitis, and no obvious obstruction to the boAvel. 10. Female, aged 25, was admitted in March, 1904, for dilated stomach, and apparent pyloi’ic obstruction. At the operation the trouble was found to be due to a cica- trising duodenal ulcer. Posterior gastro-jejunostomy by means of a Murphy’s button .was performed. Symptoms of acute peritonitis set in on the second day, and the patient died on the third day after the operation. At the autopsy the gastro-jejunostomy was found to be all right, but the duodenal ulcer had itself perforated and caused the peritonitis.