In considering congenital pyloric stenosis from the standpoint of clinical observation, I shall endeavor to emphasize some new facts regarding the diagnosis, etiology and operative procedure. Our results and opinions are gained from the observation of 101 cases sent to the clinics of Drs. Abt, Hess, Lackner, Jampolis and Michaels, of which sixty-five were treated surgically and thirty-six medically. In this series, we had three deaths following surgical procedure. In the first thirty-four cases in which operation was performed there was but one death. A child was brought to the hospital in a moribund condition, pulseless, cyanotic, with impetigo infection over its entire body. Dr. Abt advised against operation because the child was in a dying condition. In spite of this fact I operated.
The second fatality was in a case in which distention occurred on the fourth day after operation, the child dying on the sixth day. Necropsy revealed