The immediate and later results of gastrojejunostomy for non-malignant lesions of the stomach or dudoenum / by R.P. Rowlands and Herbert French.

  • Rowlands, Robert Pugh, 1874-1933.
Date:
[1907]
Catalogue details

Licence: In copyright

Credit: The immediate and later results of gastrojejunostomy for non-malignant lesions of the stomach or dudoenum / by R.P. Rowlands and 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.

    4/16 (page 438)
    It must not be thought that the past results at Guy’s Hospital have been either better or worse than those at other large hospitals which are situated in the midst of the London poor; the statistics brought forward at the above discussion proved this. There can be little doubt that the greater the experience of the operator in gastric surgery, and the better the status of his patients, the more favourable will be his results. For these reasons, statistics based upon the work of picked surgeons are of less general utility than are those derived from a large hospital, in which the operations are performed by many different surgeons upon consecutive cases in whom the operation is only decided upon after consultation and great deliberation. The truth probably lies between the rosy picture drawn by a few surgeons of special experience and the more gloomy one below. When the Guy’s Hospital statistics for the decade 1906-1915 are collected they will be much more favourable than those given here; but in the history of gastrojejunostomy the earlier results must necessarily be of value. It has been by studying the causes of failure in some of the earlier cases that physicians have recognised the wisdom of operating comparatively early in suitable cases, and surgeons have devised great improvements in the technique of the operation. [Vide p. 203.) The following record must be regarded, therefore, as only applying to the results obtained in hospital practice previous to 1905; it will at least serve as a basis of comparison with a similar and much more favourable record that may be published in ten years time. THE CASES. The following are notes of the forty-seven cases that can be found in the Hospital Ward Eeports up to 1905, arranged in groups according to the result;— A. Cases of Gastrojejunostomy for Non-malignant Conditions of the Stomach, in which death resulted loithin a foi-tnight of the operation. Case 1.—Male, aged 28, admitted in April, 1895. The history was indefinite, except that there had been no hsematemesis, and that for seven weeks there had been repeated vomiting of large quantities of fluid food.