The common bacterial infections of the digestive tract and the intoxications arising from them / by C.A. Herter.

  • Herter, Christian Archibald, 1865-1910.
Date:
1907
Catalogue details

Licence: In copyright

Credit: The common bacterial infections of the digestive tract and the intoxications arising from them / by C.A. Herter. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    357/384 (page 341)
    The pyloroplastic operations have also frequently been followed by striking benefit in chronic conditions. Even in cases where an operation is done, not so much for dilatation of the stomach as for a spastic or hyper- trophic condition at the pylorus, the improvement may have been associated with a diminished excretion of the ethereal sulphates. I recall one case in which the ethereal sulphates had regularly run far in excess of the normal but in which this excess promptly disap- peared after a pyloroplastic operation done for the relief of a gradually increasing stenosis of the stomach as- sociated with hyperchlorhydria and periodical seizures of vomiting. Here the rehef from putrefactive decom- positions was probably merely one incident of ameliora- tion of more acute and pressing conditions. Looking at the pyloroplastic and similar operations from the stand- point of chronic putrefactive intestinal disorders, one has to admit that the indications for such operations are at present not entirely clear. The operations to which reference has just been made are designed to secure the prompt emptying of the stomach into the small intestine. An entirely different type of operation and one which has as yet been seldom performed relates to the attempt to exclude a portion of the large intestine. The fact that the large intestine is the seat of some of the most distressing derangements associated with putrefaction strongly suggests the pos- sibiUty that these putrefactive disorders maybe mitigated by surgical procedures which have for their aim the elimination of a portion of the colon. Operations with