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April 18, 1885


JAMA. 1885;IV(16):439-440. doi:10.1001/jama.1885.02390910019007

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Dr. Randolph Winslow, of Baltimore, contributes a very interesting article on this subject to the April number of the American Journal of the Medical Sciences. It is only within the last six years that surgeons have awakened to the fact that there is any operative measure for this affection, either palliative or curative. No special difficulty attends the diagnosis of pyloric stenosis, even without the use of the gastroscope of Mikulicz. With internal medication the prognosis is necessarily hopeless, and any measure for the relief must be surgical.

Six different operations have been recommended and practised for the relief of stenosis of the pyloric orifice: 1, pylorectomy; 2, gastroenterostomy; 3, gastrectomy; 4, gastrostomy; 5, duodenostomy; 6, digital divulsion of the pylorus, Loreta's operation.

The first resection of the pylorus was performed by Pean, in 1879, with a fatal result from inanition. It was next performed by Rydygier in the following

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