On strictures of the intestine : with remarks upon statistics as a guide to diagnosis and treatment / by Sidney Coupland and Henry Morris.

  • Coupland, Sidney, 1849-1930.
Date:
1874
Catalogue details

Licence: Public Domain Mark

Credit: On strictures of the intestine : with remarks upon statistics as a guide to diagnosis and treatment / by Sidney Coupland and Henry Morris. 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.

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    ON STRICTURES OF THE INTESTINE : WITH RE- MARKS UPON STATISTICS AS A GUIDE TO DIAGNOSIS AND TREATMENT.* The subject of intestinal obstruction has been so exhaustively treated from all sides, that it may be thought almost unnecessary to add any- thing to what has been already written on the question. But, during the past few years, our attention has been several times directed to the subject, owing to the comparatively large number of cases, either in the care of our colleagues or under our personal supervision, that have fallen under our observation at the Middlesex Hospital. The study of these cases has led us to carefully collate a large amount of evidence with respect to the causes and effects of that class of obstructions in- cluded under the term of stricture of the bowel ; and the conclusions at which we have arrived seem to us worthy of some consideration, as indicating more precisely than has yet been attempted the particular lines of treatment to be adopted in such cases, so distressing in their symptoms and so fatal in their results. We wish also to call attention to the methods of diagnosis employed for detecting the seat of a stricture, when once it has been ascertained that the patient is suffering from this form of obstruction. I. Situation of Stricttu-es.—-With regard to this, indeed, we have nothing novel to propound ; for the ground has been already fully gone over by writers, such as Dr. Hilton Fagge in his article in Guys Hospital Reports (vol. xiv, 1868)—an article which has ju^-tly become the standard of reference for all writers since it was published; Dr. Brinton, in his posthumous essay on Intestinal Obstruction, and others. * Read in the Section of Surgery at tlie Annual IVIeeting of the British Medical -Association in Manchester, August 1877. B 2