Carcinoma of the kidney, nephrectomy ; A case of gastrostomy for malignant disease of the oesophagus / by Charles Williams.

  • Williams, Charles, 1827-1907.
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: Carcinoma of the kidney, nephrectomy ; A case of gastrostomy for malignant disease of the oesophagus / by Charles Williams. 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.

    13/28
    3/. A CASE OF GASTROSTOMY FOR MALIGNANT DISEASE OF THE OESOPHAGUS.1 GASTROSTOMY is an operation the success of which depends on certain factors which are fully appreciated by the operating surgeon, but which are, perhaps, hardly estimated at their full and proper value by the profes- sion generally. It is doubtless within the experience of most hospital surgeons to have been requested to see a patient with a view to the performance of gastrostomy for the relief of symptoms dependent on obstruction of the oesophagus, and to find the sufferer weakly, starved, and emaciated, with a very compressible pulse, dry mouth, harsh wrinkled yellow skin, hollow eyes, and a concave abdomen, the skin of which appears to be in immediate contact with the aorta. The patient has for some time been unable to swallow, absolute starvation having been avoided only by the employment of 1 An account of this case was read at a meeting of the Norwich Medico- Chirurgical Society, on March 1st, 1892.