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June 8, 1889

DIGITAL DIVULSION OF THE PYLORUS FOR CICATRICIAL STENOSIS.Read before the American Surgical Association, May 15, 1889.

Author Affiliations


JAMA. 1889;XII(23):799-802. doi:10.1001/jama.1889.02401000007001c

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Digital divulsion of the pylorus for cicatricial stenosis as first practiced by Prof. Loreta, of Bologna, Italy, in 1882, has scarcely received the attention which I think it deserves anywhere except in Italy. The mortality from the twenty-five operations which I have succeeded in collecting is not great, when we consider that every successful case is a patient rescued from certain and by no means distant death, and this mortality is already decreasing.

The cases in which the operation would be of service are not so rare. When searching the journals for records of such operations, I found the reports of the presentation of many specimens of cicatricial stenosis of the pylorus to various pathological societies. My own experience has been limited to two operations. Even the first, though it proved fatal on the fourth day, encouraged me to operate again, as I was fully satisfied that had it been

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