In none of the common methods of gastrostomy is there adequate provision against leakage around the gastrostomy tube and into the peritoneal cavity. I therefore suggest an expedient to which I have resorted for preventing this leakage.
The gastric wall is sutured around the tube. Then, before the stomach is anchored to the anterior abdominal wall, a piece of the omentum is drawn up and sutured to the stomach wall around the tube.
The omentum used in this way is more than a reinforcement. Its value lies rather in its inherent properties, for it heals more quickly than other body tissues; then, too, it has a tendency to insinuate itself into tiny nooks and crannies, thus sealing them up in a most satisfactory and efficacious manner.
Ulcer and Cancer.
—Many cases of cancer of the stomach could be prevented by earlier and better treatment of chronic gastric