Gastric Surgery: Being the Hunterian Lectures Delivered Before the Royal College of Surgeons of England, on February 19, 21 and 23, 1906

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Wood., 1906 - 181 pages

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Page 111 - For it is a philosophy which never rests, which has never attained, which is never perfect. Its law is progress. A point which yesterday was invisible is its goal to-day, and will be its starting-post to-morrow.
Page 110 - Men, my brothers, men the workers, ever reaping something new: That which they have done but earnest of the things that they shall do...
Page 53 - Murchison29 reported two cases of fatal haemorrhage from minute ulcers which had perforated a small artery in the stomach wall. He observes that ' they are remarkable for the minuteness of the ulcers, which are little more than haemorrhagic erosions, but also for the absence of the usual symptoms of ulceration of the stomach. Neither of the patients had suffered from vomiting prior to the occurrence of the haemorrhage.s Chiari30 in 1882 described a similar case.
Page 1 - The day is short and the work is great ; but the laborers are idle, though the reward be great, and the master of the work presses. It is not incumbent upon thee to complete the work ; but thou must not therefore cease from it.
Page 70 - We thought a few years ago we had, in the absence of free hydrochloric acid and the presence of lactic acid, an infallible indication of cancer.
Page 71 - Secondly, adhesions are frequently present which impair the motility of the stomach and keep up a certain degree of gastric stasis. This leads to hyperchlorhydria, which in its turn causes, or at least predisposes to, and keeps up, ulceration. The same criticism applies to the operation of gastro-gastrostomy. At least 30 per cent. of the patients on whom this operation has been performed have either obtained no relief or have relapsed.
Page 30 - in none did the unabsorbed nitrogen amount to more than 2 per cent above the amount usually passed in the faeces by a healthy individual, while the amount of fat passed unabsorbed did not on any occasion exceed 7...
Page 75 - One day after dinner she complained several times of pain. She drank some succory water as a stomachic, and, putting the cup down with one hand, with the other she pressed her side, and said in a voice which betokened much suffering : ' Ha ! what a stitch in the side ; what pain ! I cannot bear it.s Speaking these words, she flushed, and a moment afterwards turned pale with a wan lividity which astonished everybody.
Page 76 - ... nothing more could be done; they suggested a score of remedies, and at last her physicians, in sheer desperation, made an attempt to bleed her, but the blood would not flow. They gave her some broth, for she had taken no food since dinner. She no sooner swallowed it than her sufferings (if not her pain) increased; she complained that her stomach was filling up. Death was painted on her face; the last struggle was short, and after two or three convulsive movements about her mouth she died, nine...

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