A review of 282 operations for non-malignant diseases of the stomach / by B.G.A. Moynihan.

  • Moynihan, Berkeley Moynihan, Baron, 1865-1936.
Date:
1906
Catalogue details

Licence: In copyright

Credit: A review of 282 operations for non-malignant diseases of the stomach / by B.G.A. Moynihan. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    Class 2.—Summary of Cases in which Acute Haemor- rhage WAS THE Immediate Cause op Operation. In 27 cases the haemorrhage was sufficiently severe to demand operation for its relief alone. In two of these no ulcer was found at the operation; in 14 gastric ulcers alone were founds four cases having multiple ulcers. The ulcers were situated near the pylorus in 10 cases and on the lesser curvature in 3. In 7 cases duodenal ulcers alone were found, involving the first part in all but one. In 4 cases duodenal and gastric ulcers were observed. Hsematemesis only (without melsena) occurred in 8 cases, 6 having gastric ulcer, 1 gastric and duodenal ulcers; in 1 no ulcer was found. Melsena alone occurred in 4 cases, all of which had duodenal ulcers only. Il£ematemesis and melaena together were noted in 15 cases, 8 having gastric ulcer, 3 duodenal ulcer, 3 gastric and duodenal ulcers; there was 1 in which no ulcer could be found. Mortality.—Four of these cases died—1 in four hours from the operation, at Avhich no ulcer could be found; at the autopsy dilated gastric veins and cirrhosis of liver were demonstrated; 1 on the eleventh day from pneumonia ; 1 on the eighteenth day from exhaustion; and 1 in three weeks from gradual exhaustion (in this case the blood contained only 47 per cent, htemoglobin before operation). In no case did liEemorrhage recur after operation. In 3 of the cases which recovered the estimation of haemo- globin before operation was only 18 per cent. Operative treatment.—In every case posterior gastro- jejunostomy was performed. Hseniatemesis. 6 Melsena. Both. D. Gr. and D. — 8 4 3 — 3