Southern medicine and surgery [serial] . pancreatitis or aswelling around the common and pan-creatic ducts. The bile is thus saved to the patientand bridges him over a temporary ob-struction until such time as nature mayrestore the duct to its proper function,when the external drainage will cease ofits own accord. It will not stop untilthere is free passage through the ductinto the gut, and it cannot be kept openafter proper drainage has been estab-lished, provided it has been fastened tothe peritoneum and not to the fascia orskin. The indicat:ons for draining thegall bladder into the gastroin
Southern medicine and surgery [serial] . pancreatitis or aswelling around the common and pan-creatic ducts. The bile is thus saved to the patientand bridges him over a temporary ob-struction until such time as nature mayrestore the duct to its proper function,when the external drainage will cease ofits own accord. It will not stop untilthere is free passage through the ductinto the gut, and it cannot be kept openafter proper drainage has been estab-lished, provided it has been fastened tothe peritoneum and not to the fascia orskin. The indicat:ons for draining thegall bladder into the gastrointestinal December, 1924. ORIGINAL COMMUNICATIONS 517 tract are any obstruction which pre-vents the passage of bile into the gut byits natural channel, which cannot be re-moved. If the obstruction is in the cys-tic or hypatic duct it would be unwise todo a cholecysto-enterostomy. We havehad recently more than our share of gallbladder and gall duct diseases of unus-ual severity, and many of these caseshave been in old people, some of them. Chlecystectomy cholecysto-jejunistomy andentero-enterostomy to overcome an intestinalobstruction caused by angulation at point ofanastomosis (g). beyond 80 years. Old people stand oper-ation better than we have thought; andespecially since we are able to do theseoperations under local anesthesia with-out pain, we are able to operate uponthem with comparative safety and witha probability of satisfactory results inmany of them, which would otherwisebe hopeless. The nerve supply is easilylocated in the upper right quadrant andwe know pretty well where the gall blad-der can be found and it does not requirea search as in the case of some abdomi-nal operations such as removal of the appendix. In no other pathology does nature putforth a greater effort to bring restora-tion of function than it does in gall blad-der and duct diseases. It is no uncom-mon thing to find at operation thatthere has been a connection made be-tween the gall bladder and the cy
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
