Excerpt from Section on Surgery: General and Abdominal
Whether the case be a resection for cancer or a gastro-enterostomy for ulcer, the reserves of the starved patient must be built up by the introduction of water, sodium bicarbonate and glucose and especially by an adequate amount of sleep and rest; and acid formation must be diminished by the elimination, as far as possible, of worry, fear, anxiety, exertion, loss of Sleep, trauma and anesthesia.
In the case of ulcer, the fate of the ulcer-bearing area is the chief consideration, for the evidence on many Sides, especially that presented by the Mayo Clinic, shows the tendency to cancer growth in ulcers of the stomach, though happily not in duodenal ulcers. Our lamented President, Dr. Rodman, made a logical departure in the complete excision of the ulcer-bearing area, but even this is not enough. At this point we must join hands with our medical confreres and for a period of many months - Six or more - the patient Should be kept under strict dietetic care, such, for example, as the Sippy regimen. If the patient is dis missed from the surgeon's care to the same habits of life, and the same dietetic carelessness that existed when the ulcer originated, and if in certain cases mouth infections and teeth defects are uncorrected, then there is bound to result a certain percentage of failures. It is just as illogical to exercise no care over a postoperative ulcer patient as it would be to dismiss a postoperative exophthalmic goiter patient without therapeutic instructions and prolonged oversight.
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