File:The Cleveland medical journal (1907) (14595853220).jpg

Identifier: clevelandmedical06clev (find matches)
Title: The Cleveland medical journal
Year: 1907 (1900s)
Authors:
Subjects: Medicine Medicine
Publisher: Cleveland : The Cleveland Medical Journal Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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stics collected by Gosset, we learn thatof the 31 cases, 29 occurred in males; this is in striking contrastto the fact observed in gastric ulcer, which, as is well known, ismuch more common in females. It seems to have occurred mostoften after anterior gastroenterostomy, for out of 27 cases, 15were anterior operations; it occurred once after Rouxs opera-tion; four times after anterior gastroenterostomy with entero-anastomosis; six times after the posterior operation and onceafter the posterior operation with enteroanastomosis. In thisconnection it is to be recalled that the anterior operation has been Hamann—Peptic Ulcer 185 done oftener than the posterior, at any rate in Germany, wheremost of the peptic ulcers have occurred. The mode of operationtherefore seems to have had no particular influence. MayoRobson points out that many cases must have passed unrecog-nized because nonperforating, and many others must have causeddeath by abscess formation or in other ways; the adhesions and
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other complications having obscured the parts, so that at theautopsy the true nature of the affection was not ascertained. The age of the patients in the statistics collected by Gossetvaried from four months to 59 years. The time after operationat which the ulcer appeared varied from 10 hours to seven years.There were 10 deaths and 19 recoveries; in two the result wasnot stated. All the cases followed operation for benign disease.In 14 cases, in the record of which the mode of operation was 186 The Cleveland Medical Journal mentioned, nine were by the method of suturing, four were donewith the Murphy button and one with the bone bobbin. In 21of the cases collected by Gosset, the gastric juice was foundnormal in two; in two there was hypochlorhydria and in 17 therewas hyperchlorhydria. In 10 out of 14 cases collected by Watts, there was hyper-acidity of the gastric juice, as was true of my own case; in somecases, however, the acidity was normal or decreased. Therewould seem to be a rel

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