. Modern surgery, general and operative. lessened, for when the anastomosis opening is formed it iscompletely encompassed by firm adhesions. Further, the danger of the forma-tion of a vicious circle is greatly lessened, because there is no communicationbetween the stomach and bowel for between forty-eight and seventy-two hours,the period in which vomiting of the type previously described is most apt tooccvir. The method is not suitable for absolute pyloric occlusion. In thiscondition it is imperative to give nourishment early, and, again, an ordinarygastro-enterostomy allays auto-intoxication
. Modern surgery, general and operative. lessened, for when the anastomosis opening is formed it iscompletely encompassed by firm adhesions. Further, the danger of the forma-tion of a vicious circle is greatly lessened, because there is no communicationbetween the stomach and bowel for between forty-eight and seventy-two hours,the period in which vomiting of the type previously described is most apt tooccvir. The method is not suitable for absolute pyloric occlusion. In thiscondition it is imperative to give nourishment early, and, again, an ordinarygastro-enterostomy allays auto-intoxication and this operation cannot until theligature cuts through. It is particularly valuable in the performance of lateral Posterior Gastro-enterostomy 1235 intestinal anastomosis. The cuts show the operation of lateral anastomosisof intestine, but gastro-enterostomy is performed in the same manner. Jaboulays Gastroduodenostomy.—This operation was devised by Jabou-lay in 1892. It aims to obviate some of the objections to pyloroplasty and at. Fig. 756.—McGraws method of lateral anastomosis: One tie of the elastic ligature witha strong silk ligature underneath ready to fasten the elastic ligature where it is drawntaut (Walker). the same time to retain the advantages this operation possesses over gastro-jejunostomy. Jaboulays gastroduodenostomy has never become popularwith surgeons, and Finneys method is much more satisfactory (see page 1220).
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