Modern surgery, general and operative . e Cholecystenterostomy 1127 proved that if a tube draining bile from the gall-bladder is connected to anirrigator containing salt solution (elevated not more than 20 inches and givinga rate of flow not over 5 or 6 drops a second), there will be a continuous flow offluid into the duodenum without any discomfort to the patient (McArthur, inNew York Med. Jour., Jan, 27, 1912). Matas has improved the method byintroducing into the duodenum at the time of operation and by way of theconmion duct a ureteral catheter, through which food, fluid, or medicine canbe
Modern surgery, general and operative . e Cholecystenterostomy 1127 proved that if a tube draining bile from the gall-bladder is connected to anirrigator containing salt solution (elevated not more than 20 inches and givinga rate of flow not over 5 or 6 drops a second), there will be a continuous flow offluid into the duodenum without any discomfort to the patient (McArthur, inNew York Med. Jour., Jan, 27, 1912). Matas has improved the method byintroducing into the duodenum at the time of operation and by way of theconmion duct a ureteral catheter, through which food, fluid, or medicine canbe at any time carried into the duodenum. (Rudolph Matas, in New OrleansMed. and Surg. Jour., Oct., 1911). The method is used in many cases ofobstructive jaundice (after removal of the obstruction). The salt solutionreheves thirst, removes toxins, and stimulates the kidneys. It relieves post-operative vomiting, favors intestinal peristalsis, combats flatulent distention,and causes movements of the bowels, Matas points out that liquid food. Fig. 726.—Showing method of holding parts while approximating a Murphy button in cholecjstenter- ostomy. and medicines (strychnin, castor oil, Hunyadi water, etc.) can be given bythe biliary route. McArthur believes that the method can be used instead ofjejunostomy in certain cases of pyloric obstruction and stomach ulceration. Cholecystenterostomy^ consists in making an anastomosis between thegall-bladder and intestine, preferably the duodenum, or, if this cannot bedone, the jejuniun. It is employed in cases of irremovable obstruction ofthe common duct. It is done chiefly in cases of malignant is not a suitable operation for gall-stones impacted in the common duct,because it does not remove the cause of trouble, infection of the bile-passages may follow, and the fistula is liable to contract. In those rare casesof common duct obstruction from gall-stones, in which the gall-bladder isdistended and the patient is desperately ill,
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