Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 87.—^Steps in the making of posterior gastrojejunostomy by meansof the gastric clamp. Portion of greater curvature nearest the pylorusbrought through a tear in transverse mesocolon. Loop of jejunum in posi-tion for application of clamp. position by means of gauze pads saturated with warmnormal salt solution. The loop of jejunum nearest thetransverse mesocolon is then brought up into view and a 432 CANCER OF THE STOMACH. 4- Fig. 88.—Posterior gastrojejunostomj for inoperable carcinoma oflesse
Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 87.—^Steps in the making of posterior gastrojejunostomy by meansof the gastric clamp. Portion of greater curvature nearest the pylorusbrought through a tear in transverse mesocolon. Loop of jejunum in posi-tion for application of clamp. position by means of gauze pads saturated with warmnormal salt solution. The loop of jejunum nearest thetransverse mesocolon is then brought up into view and a 432 CANCER OF THE STOMACH. 4- Fig. 88.—Posterior gastrojejunostomj for inoperable carcinoma oflesser curvature with obstruction of pylorus. Gastric clamp not used. Thecolon and omentum have been reflected upwards, an opening made into thetransverse meso-colon, the greater curvature of the stomach brought throughthe opening and held with mouse-tooth clamps. The loop of jejunum, 5 its beginning, is attached with a continuous row of silk sutures to thestomach. Initial openings through both stomach and jejunum, 8 cm. longand extending to but not through the mucosae, have been made. SURGICAL TREATMENT OF CANCER OF THE STOMACH 433 pair of fine-toothed clamps is placed upon the wall of theintestine farthest away from its mesentery, 5 cm. fromthe mesentery of the transverse colon. A second pair offine-toothed clamps is appUed in the same manner 6 from this first pair, the distance being slightlygreater than that between the two forceps on the stomachwall, because the longitudinal fibers of the jej
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Keywords: ., bookcentury1900, bookdecade1910, bookpublisherphiladelphialondon
