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CLINICAL OBSERVATIONS IN STOMACH SURGERY.

A. J. OCHSNER, B.S., F.R.M.S., M.D.
JAMA. 1903;XL(23):1571-1576. doi:10.1001/jama.1903.92490230021002h.
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Surgery of the stomach is still in a developmental state. Many surgeons are making progress in this field, and although there can not as yet be many conclusions which can reasonably be expected to be permanent, still it seems worth the effort to exchange the points of clinical experience at this time.

It is, of course, out of the question to discuss this subject thoroughly in the time given to a paper in this Section, but I believe that it will be possible to present the features which seem of greatest practical importance as they have impressed themselves on me in my clinical observations.

Ultimately the greatest portion of stomach surgery must be done for the relief of gastric ulcer or one of its various sequelæ—hemorrhage, perforation, adhesions, cicatricial contraction with pyloric obstruction and its consequent gastric dilatation, hour-glass stomach and carcinoma. The wider my field of observation has become

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