Abstract IN SPITE of a more aggressive approach in the treatment of malignant disease of the upper intestinal tract that has come about during the past few years, there still remains a large group of unfortunate people on whom even palliative extirpation of their lesions cannot be safely performed. We still encounter, therefore, as a result of obstruction, pain, or persistent fistulae, situations in which for a considerable length of time feeding through an artificial stoma must be utilized. Our experience with permanent gastrostomy at such times has not been too rewarding. In spite of the many techniques available, sooner or later most gastrostomy stomas leak or develop an unpleasant odor. The frequency of feeding becomes a nuisance, not only to the patient but to his entire household. This has led us to reexplore the efficacy of jejunal feedings when such feedings are required. Of the four principal varieties of jejunostomy References 1. Surmay: De l'entérostomie , Bull. gen. therap. med. 94:445-45, 1878 2. Observation d'entérostomie , Surmay Bull. gen. therap. med. 95:198-208, 1878. 3. Maydl, K.: Über eine neue Methode zur Aüsfuhrung der Jejunostomie und Gastroenterostomie , Wien. med. Wchnschr. 42:740-743, 1892. 4. Albert E.: Eine neue Methode der Jejunostomie , Wien. med. Wchnschr. 44:57-59, 1894. 5. Witzel, O.: I. Zur Technik der Magenfistelanlegung , Zentralbl. Chir. 18:601-604, 1891. 6. von Eiselsberg, A. F.: Über Ausschaltung inoperabler Pylorus-Stricturen nebst Bemerkungen über die Jejunostomie , Arch. klin. Chir. 50:919-939, 1895. 7. Zollinger, R. M., and Hoerr, S. O.: Gastric Operations: Troublesome Postoperative Symptoms with Special References to Carbohydrate Ingestion , J. A. M. A. 134:575-579 ( (June 14) ) 1947.Crossref 8. Hawk, P. B., and Bergeim, O.: Practical Chemistry , Ed. 12, Philadelphia, The Blakiston Company, 1948. 9. Fortune, W. B., and Mellon, M. G.: Determination of Iron with O-Phenanthroline , Indust. & Engin. Chem., Anal. Ed. 10:60-64, 1938.
A.M.A. Archives Surgery – American Medical Association
Published: Sep 1, 1952
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