THE AFTER-HISTORY OF PATIENTS UPON WHOM GASTRIC OPERATIONS HAVE BEEN PERFORMED: [Second Series.]
Authors: C. M. Moullin
Journal: BMJ (1905)

3, Haematemesis five years before.Stomach dilated.Pyloro plasty.Patient discharged on October 31st with the note thal the stomach, the walls of which were more or less atonic, did not appear to empty itself so well as it would have done through a gastro-jejunostomy History of indigestion for years past: of frequent vomiting, and of an attack of haematemesis and melaena.Pylorus thickened contracted, and fixed by adhesions.Pyloroplasty Haematemesis on two occasions.Vomiting frequent for nine months.Cicatricial stenosis of pylorus.Pyloroplasty 3, Severe pain for many years.Copious vomiting.Haematemesis on one occasion.Chronic ulcer at pylorus with many adhesions and enlarged glands in mesentery.Posterior gastro-jejunos- tomy with lateral anastomosis History of continued dyspepsia with two attacks of haemat- emesis.Slight dilatation of stomach.Recent erosion atcardiac end.Anterior gastro-jejunostomy 15 Two attacks of haemateimiesis.Pain beginning two hours after food, relieved by vomiting.Cicatricial contraction at pylorus.Posterior gastro-jejunostomy with lateral anastomosis S. Severe indigestion for fifteen years.Pain very severe of late lhalf an hour after food.Slight haematemesis once.Pyloric stenosis.Posterior gastro jejunostomy with lateral anastomosis Pain and vomiting for four years, growing more severe.Haemat- emesis once.No ulcer or scar found.Posterior gastro- jejunostomy with lateral anastomosis Severe pain after meals, occasionally relieved by vomiting.No haematemesis or melaena.Stomach dilated.Thickening around p;lorus.No sear or ulcer.Posterior gastro-enterostomy with lateral anastomosis Frequent vomiting.Severe haematemesis on several occasions.Pain not severe.Deep crater-like ulcer on the anterior surface ot the stomach near cardiac end'of lesser curvature.Anterior gastro-jejunostomy with lateral anastomosis History of indigestion and vomiting for many years.Seven weeks before admission is reported to have brought up twelve pints of blood No tumour to be felt.Old scar upom wall of stomach near pylorus.Excised.Anterior gastro-jejunostomy with lateral anastomosis lower down Pain after food for many years, relieved by vomiting.Haematemesis and melaena two days before admission.No tumour.Old, densely-indurated scar occupying lesser curvature of stomach.Excised.This affected the shape of the stomach so much that it was thought advisable to perform a posterior gastro-jejunostomy as well.No lateral anastomosis was made Dilated stomach, with copious vomiting.Old ulcer, with ad- hesions about pylortis.Posterior gastro-jejunostomy, with lateral anastomosis Haematemesis twice eight years before, with continuous Dain and frequent vomiting since.Hard mass to be felt between umbilicus and ensiform cartilage.Stomach dilated.Dense, hard scar, involving lesser curvature and pylorus, with a great deal of infiltration.Posterior gastro-jejunostomy, with lateral anastomosis History of pain after food relieved by vomiting, and of haemat- emesis and melaena on several occasions.Laparotomy had already been performed at another hospital.Numerous ad- hesions, especially to transverse colon and on posterior surface of stomach.No ulcer found.Anterior gastro-jejunostomy and lateral anastomosis.During convalescence suffered from re- peated attacks of vomiting which bore no relation to meals.An hour after food had been taken patientwouldbring uD large amount of fluid, which did not show a visible trace of the last meal History of six years' duration.Incessant vomiting with severe paintor the last four months.Old sear puckering up lesser Posterior gastro-jejunostomy with lateral anastomosis than it was.F.