Functional & organic diseases of the stomach / by Sidney Martin.

  • Martin, Sidney, 1860-
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Functional & organic diseases of the stomach / by Sidney Martin. Source: Wellcome Collection.

    478/568 (page 454)
    the lung, and although this must be considered the most favourable natural mode of cure of the disease, yet it is one which entaHs a prolonged illness to the patient, and which sets up destructive changes in the lung. In other cases, the abscess bursts into the general peritoneal cavity, causing death by general peritonitis. The rapidity with which subphrenic abscesses kills varies greatly; it is to some extent dependent on the affections of the lung which complicate it. Of 178 cases collected by Maydl, 98 died without an operation, 6 healed without operation, and of the 74 operated upon, 35 died, and 39 recovered. Prognosis.—It may therefore be looked upon as practically a fatal disease unless relieved by operation. Treatment.—This is purely surgical; and the sooner an operation is performed for the proper draining and cleansing of the abscess the more chance has the patient of recovery. Ulcer of the Duodenum. Definition.—Ulcer of the duodenum is a primary disease of the organ in which there is destruction of the walls of the gut in precisely the same manner as in ulcer of the stomach. It is a simple ulcer, occurring in an acute and chronic form, and its origin is as obscure as that of ulcer of the stomach. Other forms of ulceration occur in the duodenum ; hemorrhagic erosions may be found, and rarely tuberculous, typhoid, and carcinomatous ulcers. Etiology.—The etiology of the duodenal ulcer, though practically the same as that of ulcer of the stomach, presents some differences worthy of note. Age.—Whereas ulcer of the stomach is commonest in early adult life, the incidence of duodenal ulcer is later, the average age being thirty-five to forty years, excluding those cases which occur in association with burns, and which are usually met with in children or in young adults. Sex. Ulcer of the stomach is more than twice as common in women as it is in men. Duodenal ulcer is three times as com- mon in men as in women, excepting those cases which occur in burns. Out of 17,652 post-mortem examinations which have