II. Gastric resection: Notes on the surgical pathology

Abstract

Terminal anastomosis between the divided ends of the stomach and jejunum, as represented in Part I, Fig. D, combined with duodenal occlusion and implantation of the duodenal loop into the jejunum caudad of the stomach gives the following results: Lateral anastomosis without resection but with occlusions of the pyloric end of the stomach and duodenum Fig. G show the following results: In the above experiments, mobilization of the extreme oral end of the duodenum in the dog sufficient for closure and inversion of that end is invariably followed by fatality of evident pancreatic origin. Of six duodenostomies, four give evidence of pancreatitis and two (2 I I, 2 13) show extreme emaciation on fourteenth days. Note: In the above tables, the term pancreatitis has been used to designate the complex found in the clinical cases: fat necrosis, free haemolyzed blood in the peritoneal cavity and often in the intestinal loops, and evidences of pancreatic injury from congestion and cloudy swelling to suppuration.