. Annals of surgery . Fig. I.—RonlgenoKram of be-fore opera!ion immediately after ingestion ofbismuth, showing great dilatation of pyloricpouch. Position of photograph is reversed. movements can be seen travelling from left to right and ending under rightcostal border. Clapotagc present. There is a palpable movable mass about thesize of a lemon just above and to the right of umbilicus. Wassermann —There is a huge stomach, the pyloric pouch three times the sizeof the cardiac pfjuch. The constriction between the two pouches is due to cica-trization of a large ulcer wh
. Annals of surgery . Fig. I.—RonlgenoKram of be-fore opera!ion immediately after ingestion ofbismuth, showing great dilatation of pyloricpouch. Position of photograph is reversed. movements can be seen travelling from left to right and ending under rightcostal border. Clapotagc present. There is a palpable movable mass about thesize of a lemon just above and to the right of umbilicus. Wassermann —There is a huge stomach, the pyloric pouch three times the sizeof the cardiac pfjuch. The constriction between the two pouches is due to cica-trization of a large ulcer which forms a tumor nearly the size of a is obstructed by a similar large callous, apparently cicatrized, ulcer. Asmall node lying on the pylorus excised (microscopical report normal). Double Read before the .American Surgical Association. May 31, Medical News, .April. 1896. .)87 L. GIBSON. posterior gastro-enterostomy is done, one in the cardiac poncli witliuut clamps,using five rows of sutures, three posteriorly and two anteriorly, using silk forthe first and last and fine chromic gut for the other three. The same loop ofintestine is used five inches away for a second gastro-enterostomy in the middleof the pyloric pouch. Subsequent —Recovery uneventful. day taking soft-solid diet;tenth day sat up in a chair. Discharged March 5, 1917, free from symptoms. loll(KC-uf. May 7. 1917. Free from symptoms. Has gained thirty-twoIiMiiiicN. series shows stomach empties rapidly, being nearly empty at the end of one hour and practically free frombarium at the end of five hours. Bothaastro-enterostomy openings are work-ing well. (See Figs. 1-5.) Subsequent Notes.—January 30, enormously in weight. May i,1922. Feels O. K. June 15, 1923,Recently mild gastric upset which patientattributes to disturbance of same. Case II.—M. L. Fem
Size: 1655px × 1509px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
