The Hahnemannian monthly . closed the stomach-opening tightlyaround the catheter. The closure of the abdominal wound fol-lowed, and before applying the bichloride dressing two ouncesof warm peptonized milk were injected into the stomachthrough the catheter. Time of operation, one hour and tenminutes. No post-operative complications occurred. Because of thepronounced state of inanition, inunctions of cod-liver oil andcoca butter were given alternately every four hours; nutritiveenemata were given every four hours; the stomach receivedtwo ounces of peptonized milk every two hours, with one grain
The Hahnemannian monthly . closed the stomach-opening tightlyaround the catheter. The closure of the abdominal wound fol-lowed, and before applying the bichloride dressing two ouncesof warm peptonized milk were injected into the stomachthrough the catheter. Time of operation, one hour and tenminutes. No post-operative complications occurred. Because of thepronounced state of inanition, inunctions of cod-liver oil andcoca butter were given alternately every four hours; nutritiveenemata were given every four hours; the stomach receivedtwo ounces of peptonized milk every two hours, with one grain 40 The Hahnemannian Monthly. [January, of arsenic, 2x, dissolved in the milk. Later, a special liquiddiet was given. And now comes an interesting point in the case. While herdysphagia varied in degree last spring, it was literally completefor several Aveeks before the gastrostomy. As far as could bejudged, not a drop of fluid passed beyond the point of obstruc-tion. One ounce swallowed (?) was ejected, one ounce by meas-. urement. However, one week after the operation it was foundthat swallowing was possible, and to-day four ounces of liquidcan be disposed of in from forty-live to sixty minutes. Thisgives us hope of yet being able to accomplish something bydilatation. The tube is not worn continuously, and there seems to be notendency upon the part of the fistula to contract. 1900.] Detection of Albumin in the Urine. 41 As to the kind of obstruction present in this case, \ believedfrom the beginning that it was cicatricial, the result of a deep-seated abscess, which perhaps ruptured into the oesophagus, ordisappeared by absorption. In either case a cicatrix could re-sult. To be sure, cicatricial strictures of the oesophagus arccommonly caused by the swallowing of lye, ammonia, acids,etc., and also by tubercular and syphilitic ulcers. They areusually situated at the beginning of the oesophagus,—the levelof the cricoid cartilage. Richardson (Boston Medical and Sur-gical Journa
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