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GASTROSTOMY BY A CIRCULAR VALVE METHOD.

EMANUEL J. SENN, M.D.
JAMA. 1896;XXVII(22):1142-1145. doi:10.1001/jama.1896.02431000018002d.
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ABSTRACT

Gastrostomy, since it was first suggested by Egeberg in 1837 and performed by Sedillot in 1849, has undergone many transformations in the evolution of technique. The primitive operations as done by Sedillot, Fenger, Foster, Durham, Langenbeck, Krönlein and Verneuil, consisted simply in making the external incision through the abdominal wall and fastening the stomach in the wound with sutures or steel needles as a support, and then incising it. There naturally was no resistance to the stomach contents, the great obstacle to gastrostomy. The operation fell into ill repute and practically lay dormant until the present decade, when it was revived and received an impetus in the modern methods of Von Hacker, Hahn, Witzel, Ssabanajew and Frank, in the hope of rectifying the disagreeable features that are inevitable in a continual leakage of a gastric fistula. It is rather strange when we compare the great mortality attendant upon gastrostomy with

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