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Article
July 30, 1892

THE FUNCTIONS OF THE STOMACH AFTER GASTROSTOMY.

JAMA. 1892;XIX(5):144. doi:10.1001/jama.1892.02420050026004

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Abstract

Ewald has observed the functions of a stomach which has been subjected to gastrostomy, and reports some of his findings in the Deutsche Medizinal-Zeitung for March 24. In this case the peptic activity of the stomach was entirely destroyed, and the nutrition began to take place in the intestines. The movements of the stomach were lessened, and a certain amount of stagnation of the gastric contents took place in consequence of adhesions. For this reason Ewald has suggested that the fistula should be made near the pylorus, so that the food, or some of it, can be introduced by a tube directly into the duodenum. So long as a patient's strength is maintained gastrostomy cannot be strongly recommended. The prognosis of obstruction due to pressure from without is much the same as that due to tumor unless the tumor is syphilitic. The stricture may be due to peptic ulcer in

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