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August 3, 1929


Author Affiliations


JAMA. 1929;93(5):375-376. doi:10.1001/jama.1929.27110050001011

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Although surgeons are coming to recognize the fact that individuals who have either by accident or by direct intention swallowed an acid or an alkali, and others with a probable or definite diagnosis of a malignant condition, are markedly benefited by gastrostomy, careful research has failed to reveal in any of the modern textbooks a diet that would be suitable for these cases. Water starvation is also a very strong indication for gastrostomy, as are spasmodic stenosis and esophageal paralysis.

It should be the earnest endeavor of all surgeons to have these patients in as good a constitutional state as is consistent with their physical make-up. This can be augmented by liquids subcutaneously, by rectum or intravenously, the most commonly used being physiologic solution of sodium chloride, dextrose or dextrose-sodium bicarbonate combinations.

I have had under my care and direct supervision a number of such patients. I have found that

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