When the etiology of a disease is uncertain, the treatment of that disease is bound to be in question. So it is that pyloric stenosis has had different forms of treatment advocated for its cure, depending on the point of view held at the time.
Recently medical treatment alone was practiced, until the brilliant results of Downes and those following him, by means of the Rammstedt operation, showed the cures which could be obtained by surgery, with the result that now operation alone is advocated, and medical treatment is supposed to have no place. Such a state of affairs must prevail so long as the results of treatment are the only criteria on which judgment can be founded.
To have seen and felt a pyloric tumor such as exists in this condition is sufficient excuse for any one to hold that nothing short of surgery can possibly relieve the existing