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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    Class 1.—Summary of Cases of Acute Perforating Ulcer. Since April 30tli, 1897, the date of my first operation, I have had under my care 24 cases of perforating ulcer of the stomach or duodenum. In these 24 cases there were 15 recoveries (626 per cent.) and 9 deaths (375 per cent.). There were 8 cases in which a duodenal ulcer had perforated; 16 in which a gastric ulcer had per- forated. In the first 10 cases there were 6 deaths ; in the last 14 cases there were 3 deaths. My first case recovered, and then in succession were 5 unsuccessful cases. The ages of the patients varied from 17 to 44. The cases of gastric ulcer were 16 in number ; of these, 2 were males, aged 23 and 24, 14 females of average '^1--^<^- The cases of duodenal ulcer were 8 in number; of these, 4 were males, aged 44, 25, 22, and 40 ; 4 females, aged 17, 17, 25, and 38. An inquiry into the previous history of the cases of gastric ulcer showed that in eveiy case, with one excep- tion—and in that no record of inquiry is made—the patient had suffered from symptoms referable to the ulcer for periods varying from a few weeks to several years. Of the 12 patients, 6 had been under treatment within a year of the occurrence of the perforation for indigestion, vomiting, or haematemesis and ansemia. Similarly, in every case of perforated duodenal ulcer previous symptoms had been observed, and 4 of the 8 patients had recently been unc^er treatment. In none of these cases had relief been afforded. In the majority of the patients there had been no increase in the severity of the symptoms during the few days preceding perforation. In 3 of the 24 cases, how- cvei', a distinct and notable exacerbation is recorded. The time which elapsed between the perforation of the