. Modern surgery, general and operative. Fig. 733.—Finneys pyloroplasty: The con- Fig. 734.—Finneys pyloroplasty completedtinuous posterior catgut suture. by tying the anterior sutures. 1222 Diseases and Injuries of the Abdomen I agree with Hemmeter that stenotic symptoms, even when no tumor ispalpable, call for exploratory laparotomy. If the stomach is dilated, if thereis cachexia, if there is no free hydrochloric acid in the gastric juice, if there isan excess of lactic acid in the gastric juice, if the patient is forty or beyond,when there is vomiting of blood, when the Oppler bacillus is p
. Modern surgery, general and operative. Fig. 733.—Finneys pyloroplasty: The con- Fig. 734.—Finneys pyloroplasty completedtinuous posterior catgut suture. by tying the anterior sutures. 1222 Diseases and Injuries of the Abdomen I agree with Hemmeter that stenotic symptoms, even when no tumor ispalpable, call for exploratory laparotomy. If the stomach is dilated, if thereis cachexia, if there is no free hydrochloric acid in the gastric juice, if there isan excess of lactic acid in the gastric juice, if the patient is forty or beyond,when there is vomiting of blood, when the Oppler bacillus is present, whenblood examination shows a diminution in red corpuscles and hemoglobin, andalso shows that there is no increase in white corpuscles after a full meal—explore. After the abdomen has been opened the stomach is examined, andif a tumor exists, the surgeon must decide between the performance of pylo-rectomy and gastro-enterostomy. If the tumor is not very extensive, if thereis no glandular involvement or only involvement whi
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