The subsequent histories of patients who have recovered after operation for perforated gastric or duodenal ulcer / by Herbert French.
- French, Herbert Stanley, 1875-1951.
- Date:
- [1907]
Licence: In copyright
Credit: The subsequent histories of patients who have recovered after operation for perforated gastric or duodenal ulcer / by Herbert French. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![THE SUBSEQUENT HISTORIES OF PATIENTS AVHO HAVE RECOVERED AFTER OPERATION rOR^,fPEEFORATED GASTRIC OR DI]^ENAiT'’K^EE. By HERBERT FRENC^*M.A.^i^;D,/Fj/c.P. ■ 4/«UA8i There has been considerable discussion lately upon the question whether or not a gastrojejunostomy should be performed at the same time that laparotomy and suture are undertaken for a perforated gastric or duodenal ulcer. Moynihan (Med. Chir. Trans., London, 1907) is in favour of it, upon the ground that it minimises the chances of subsequent ill-effects from the ulcer. Paterson (Hunterian Lectures, Lancet, vol. i., 1906), is also in favour of it in some cases. There can, of course, be little doubt that the performance of gastrojejunostomy at the time of the operation for perforation is an additional tax upon the strength of the patient, if only on account of the extra minutes for which the anaesthesia and manipulation must be prolonged. The answer to the question whether such additional tax is advisable or not must depend in great part upon a comparison of the after-effects with and without the gastrojejunostomy respectively. If it were certain, for example, that without gastrojejunostomy the ulcer which has perforated is very liable to cause severe and chronic symptoms, pyloric stenosis, gastrectasis, subsequent perforations, severe hsematemesis, or the like, and that gastrojejunostomy](https://iiif.wellcomecollection.org/image/b22424933_0005.jp2/full/800%2C/0/default.jpg)
