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Article
March 5, 1898

GASTROTOMY FOR THE REMOVAL OF FOREIGN BODIES IN THE STOMACH.WITH REPORT OF A CASE, AND A TABLE OF REPORTED CASES OPERATED ON UP TO THE PRESENT TIME.

Author Affiliations

PROFESSOR OF SURGERY IN THE MARION SIMS COLLEGE OF MEDICINE. ST. LOUIS, MO.

JAMA. 1898;XXX(10):513-523. doi:10.1001/jama.1898.72440620001001
Abstract

INTRODUCTION.  Although gastrotomy for the removal of foreign bodies was performed as early as 1602, it is remarkable to note that from 1602 to 1887, a period of 285 years, only thirty-five cases have been reported as operated on. Many cases of foreign bodies in the stomach, no doubt, were not operated on, and perhaps some have been operated on of which no reports have been made. From 1887 to date twenty-two cases have been reported. Gastrotomy, even in the pre-antiseptic and aseptic period, was a comparatively safe operation, only five out of the thirty-five cases operated on prior to 1887 having proved fatal.The patients on whom this operation was done were usually either lunatics, or fakirs who swallowed the objects for money.The indications for the performance of gastrotomy for the removal of foreign bodies in the stomach are: 1, the presence of a body that, on account

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