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September 20, 1913

The Surgery of the Stomach.

JAMA. 1913;61(12):984. doi:10.1001/jama.1913.04350120074028

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The author has written much of value on this subject which, with much more, is gathered together here. Although a surgeon lays great stress on the value of a chemical analysis of the gastric contents; in fact, he would have the stomach-tube be a part of the armamentarium of every practitioner so that he can carry out the ordinary qualitative tests and estimate the total acidity. He says that the practitioner, be he consultant or otherwise, who, without the aid which such investigation affords, continues to treat the patient suffering from persistent indigestion or gastric pain, is acting unfairly to his patient and unjustly to himself. He believes that the greater use of the stomach-tube would reduce the mortality from stomach cancer, which, he says, can be treated successfully if diagnosed early. The operation of gastrojejunostomy he terms the keystone of gastric surgery, although not a panacea for all the ills to which the stomach is heir. The methods of investigation of gastric cases, the

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