Total extirpation of the stomach and a union of the severed pyloric end with the esophagus is an operation almost unique in the annals of surgery. The first operation was performed in September, 1898, since which time four operations have been added to the list, two done in this city. It is with pleasure that I am permitted to present the history of a third as follows:
Mrs. S. F., a native of Germany, aged 52, housewife, gave this history: Her father died, aged 48, of pneumonia, the mother at 62, the cause unknown. The patient entered St. Mary's Hospital on June 23, 1898. She had worked very hard for the past twenty years, doing rough work, lifting heavy weights, and as a laundress had used the wash-board a great deal, causing much pressure on the abdomen. She had been married twenty years and had three children, two being still-born