quarters of an inch above the greater curvature, giving an opening somewhat oblique from above down, right to left not less than two inches in length (Fig. 1). The torn edges of the transverse meso-colon are attached to the suture line by three mattress sutures in such manner as to leave a perfectly smooth peritoneal border, the ragged and fatty margins being tucked up underneath so as not to cause adhesions. It is important that the distal end of the jejunum be attached as it naturally lies that it may at once drop to the left and posteriorly in its normal anatomical position.
The operation thus briefly outlined has a nominal mortality. We had but 1 death in 135 "no loop" operations. The anterior method preferably with a Murphy button or McGraw ligature, is occasionally demanded by reason of posterior adhesions or abnormalities in the mesocolon or duodeno-jejunal juncture; but