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March 19, 1892


JAMA. 1892;XVIII(12):357-358. doi:10.1001/jama.1892.02411160015003

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The address of Dr. Nicholas Senn, before the New York Medical Association, on the above subject, has been published quite fully in three successive issues of the Press and Circular. The paper is based on the history of fifteen cases wherein Dr. Senn operated. Two of his operations were done for the relief of cicatricial stenosis of pylorus, by pyloroplasty. One operation was done without anæsthesia. Recovery followed in both cases. Thirteen operations were for malignant obstruction, and were gastro-enterostomies. Of these, eight are tabulated as recoveries—they survived the immediate effects of the operation—and five died. The recovered cases died in from five days to twenty months after the operation. The patient who survived the longest was aged 71 years; the oldest of the patients on the list. This man was enabled to resume business for eight months. Billroth has stated that in none of his cases of gastro-enterostomy for malignant

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