A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Pylorectoniy for carcinoma of the pylorus. (TlLLMANNS.) Suture of the duodenum into the greatercurvature of the stomach after section ofthe pylorus. (Tillmanns.) ner as is done after excision or resection of the intestines. On ac-count of the stomach at the point of excision having greater caliberthan the duodenum, it becomes necessary to diminish the lumen of theformer in order that it may join the duodenum without causing leak
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Pylorectoniy for carcinoma of the pylorus. (TlLLMANNS.) Suture of the duodenum into the greatercurvature of the stomach after section ofthe pylorus. (Tillmanns.) ner as is done after excision or resection of the intestines. On ac-count of the stomach at the point of excision having greater caliberthan the duodenum, it becomes necessary to diminish the lumen of theformer in order that it may join the duodenum without causing leak-age. This may be done by cutting out a V-shaped portion of themuscular and peritoneal coats of the stomach, thus narrowing the pyloric disease it will sometimes be better for the surgeon tomake a permanent opening between the stomach above the pylorusand the intestine below the duodenum by gastroenterostomy. Thismay be done by suturing or by Murphys buttons or similar mechan-ical devices. Stricture of Gastric Orifices. A strictured condition of the pyloric or cardiac orifices may be dueto malignant disease, to cicatricial contraction after ulceratio
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