Diseases of the stomach and their surgical treatment / by A.W. Mayo Robson and B.G.A. Moynihan.
- Robson, A. W. Mayo (Arthur William Mayo), 1853-1933.
- Date:
- 1901
Licence: Public Domain Mark
Credit: Diseases of the stomach and their surgical treatment / by A.W. Mayo Robson and B.G.A. Moynihan. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![regular vomiting began, the amount corresponding with the quantity of fluids taken. It seemed clear that the new opening had, for some reason or other, ceased to be effectual. I therefore was face to face with a most discouraging chain of events, and the patient herself was as badly off as she was before she submitted herself to operative interference. I decided to act on the assumption that the new opening between the stomach and the jejunum had closed, and determined to reopen for the purpose of ascertaining the reason. Accord- ingly I reopened the abdomen, and I found that the junction between the bowel and the stomach externally was quite satis- factory. I then made an incision into the stomach 2 inches above the junction, and, putting my finger inside, found that all trace of the bone-plate had disappeared, and also that all trace of the opening was absent. After a minute or two I felt the edge of the oyal cut of the former operation, and, pressing firmly in the centre of this, tore through a membrane by which the opening had been oc- cluded. My finger then passed easily into the bowel, and I stretched the opening freely in all directions. I then closed the exploratory incision into the stomach, and finished the operation in the usual manner. After a day'^or two, during which time vomiting was incessant, improvement set in. The pain again left, and it has not since returned. The patient is able to take light food, and the vomiting has ceased. She is now out of bed daily, and is gaining strength. [This patient is still alive (April, 1901J and well.] 3. Changes in the Stomach.—If dilatation, as the result of obstruction, has been present before the gastro-enterostomy, a certain lessening in the size of the stomach may be expected to occur as soon as a fresh outlet is formed. The extent of this lessening depends entirely upon the condition of the muscular tunic of the stomach. If the stomach has dilated gradually, during' many months or years, and if the dilata- tion has been extreme, there will be little or no rebound, the dilatation will undergo little or no perceptible diminution. On the other hand, if dilatation has been rapid in its oncoming and has never attained a supreme degree, the return to the normal size of the stomach will be almost, or](https://iiif.wellcomecollection.org/image/b21209236_0293.jp2/full/800%2C/0/default.jpg)
