The Year Book of Medicine Volume 6

The Year Book of Medicine Volume 6

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1913 edition. Excerpt: ...surgical treatment is perfectly unnecessary, and in all probability a great part of the benefit obtained in the case of operation is in reality due to the absolute rest which the patient is forced to take after the operation. Dr. Jacobi, in an excellent paper on gastric ulcer, concluded that at least 75 per cent. of cases of gastric ulcer recover under nonoperative treatment, and quotes Kr6nlein's results_--out of 85 operations, 'recovery 61 per cent., improvement 24 per cent., secondary carcinoma 3 per cent. In simple cases of gastric ulcer, where there is free passage of food through the pylorus, nothing is really gained by a gastro-enterostomy, since it has been shown by observation with:1t-rays that in such cases after a bismuth meal the food still passes through the pylorus, and not through the gastro-enterostomy opening. In cases of hemorrhage which persist, gastro-enterostomy may be of service, but even in such cases an operation should' not be lightly recommended. Hemorrhage may follow gastro-enterostomy for chronic ulcer _of the stomach, many surgeons now recognize this fact. The operation is not indicated in hematemesis--B. In those cases in which true retention of food occurs, owing to obstinate spasm or constriction of the pylorus, owing to the ulcer being situated in 'this region, gastroenterostomy should be at once advised, and these are the cases which yield the brilliant results for the surgeon. Of course, there can be no two opinions in the case of perforation, and as soon as the symptoms point to per foration the surgeon should be at once called in. Vascular Changes and Trauma. S. H. Habershon3 does not agree with Hunter that oral sepsis and stapylococcus infection are frequent causes of gastric ulcer....show more

Product details

  • Paperback | 118 pages
  • 189 x 246 x 6mm | 227g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236789172
  • 9781236789174