A review of 282 operations for non-malignant diseases of the stomach / by B.G.A. Moynihan.

  • Berkeley Moynihan
Date:
1906
Catalogue details

Licence: In copyright

Credit: A review of 282 operations for non-malignant diseases of the stomach / by B.G.A. Moynihan. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    Hsemorrhage.—The relation between duodenal ulcer and hfemorrhage is brought out in the following table : No hsemor- Hsematemesis. Melaena. Both. rhage. Of all cases of peptic ulcer (213) 56 . 10 . 21 . 126 Of all cases of duodenal ulcer . 7 . 8 . 12 . 36 Operative treatment. ~1 Suture 216^ ] Posterior Murphy's button 1 Gastro- enterostomy Gastro- }- )■ jejunostomy | | gi^^pi^ J Eoux's J Gastro-duodenostomy Finney . Pyloroplasty ....... Enteroplasty ....... Gastro-enteroplasty ...... -ry, , , . r anastomosis in Y (Eoux) iintero-anastomosis ■< n , i j. • [ lateral anastomosis Excision of ulcer alone ..... Exploratory ....... Total Laplace forceps S.^^^^j^g^ 2J 3 1 1 1 4 1 1 236 Three of the earliest gastro-jejunostomies were done with the aid of Laplace forceps ; two of these were quite satisfactory, but the third relapsed after a month of relief, and when a second gastro-jejunostomy with Murphy's button was done the former opening was found almost completely closed. Gastro-enteroplasty.—In two cases gastro-enterostomy had previously been performed by other surgeons, and after temporary relief the symptoms had returned. In one case the anastomosis had been made by Murphy's button, and I found the opening almost closed. In the other case the anastomosis, made by the aid of a bone bobbin, had contracted, and was found high up on the posterior surface, near the lesser curvature. In the former case the opening was considerably enlarged and the union of the stomach and the jejunum effected by suture ; in the latter the opening was brought down to the greater curva-