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.

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    Case 9.—Male, aged 42, admitted in February, 1903. He was found to have a cicatrised pyloric ulcer. Posterior gastrojejunostomy by suture was performed. Vomiting after the operation was so extreme that a second operation was performed next day, and jejunostomy done. The patient died the day after. At the autopsy there was no peritonitis, and no obvious obstruction to the bowel. Case 10.—Female, aged 25, was admitted in March, 1904, for dilated stomach, and apparent pyloric obstruction. At the operation the trouble was found to be due to a cicatrising duodenal ulcer. Posterior gastro- jejunostomy by means of a Murphy’s button was performed. Symptoms of acute peritonitis set in on the second day, and the patient died on the third day after the operation. At the autopsy the gastrojejunostomy was found to be all right, but the duodenal ulcer had itself perforated and caused the peritonitis. Case 11.—Male, aged 47, was admitted in January, 1905, for traumatic cicatrix of the pylorus. Antero gastrojejunostomy was performed by means of a Murphy’s button, and entero-enterostomy was done at the same time. The patient died of shock and collapse on the third day. Case 12.—Female, aged 44, was admitted in November, 1902, for excessive and repeated hsematemesis. Anterior gastrojejunostomy was performed by means of a Murphy’s button. The haematemesis persisted after the operation as badly as before; a second operation was performed, gastrotomy done, and searchmadefor the bleeding point. The patient died on the sixth dayexhausted and blanched from further haemorrhage. At the autopsy the intestines were full of blood ; the stomach contained no ulcer, nor could any erosions or other abnormality be seen. Case 13.—Male, aged 18, was admitted in January, 1905, for repeated hffimatemesis and blanching. Anterior gastrojejunostomy by means of a Murphy’s button was performed. When the stomach was opened general oozing from the gastric mucosa was seen, but no ulcer. The patient died on the second day collapsed from further haemorrhage. At the autopsy the intestines were full of blood ; there was no ulcer; on careful searching multiple minute haemorrhagic erosions were found in the gastric mucosa. I B. Cases of Gastrojejunostomy for Non-malignant Conditions of the Stomach in lohich Becovery from the OiJeration occurred, but in tvhich no Belief to the SymiHoms Besulted. Case 14.—Male, aged 53, was admitted in October, 1895. He had been quite well till February, 1891, when he first had severe epigastric pain lasting on and off for four months. At that time he had neither haemate- mesis, melaena, nor vomiting. In December, 1894, the pains recurred; a week later he brought up three pints of vomit containing altered blood. Since then he had had copious vomiting at intervals ; as much as sixty-eight ounces were measured at a time. On November 12th, 1895, posterior gastro-