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  Vol. 60 No. 1, January 1950 TABLE OF CONTENTS
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EVALUATION OF GASTROSTOMY FOR MALIGNANT DISEASE

RICHARD C. CLAY, M.D.

Arch Surg. 1950;60(1):75-80.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

EARLY HISTORY OF GASTROSTOMY

PRESUMABLY the first gastrostomies were the accidental results of trauma and were mere curiosities, but their occurrence suggested the possibility of intentional creation of such artificial fistulas for the relief of esophageal obstruction. Sédillot1 is generally conceded to have been the first surgeon to perform gastrostomy, but his patients, operated on in 1849 and 1853, failed to survive the immediate postoperative period. To Sydney Jones,2 a London surgeon, must go the credit for having first successfully created an artificial gastric fistula since his patient, operated on in 1875, survived for forty days after the operation.

The first attempt at gastrostomy in the United States was made in 1870 by Maury.3 His patient survived only fourteen hours. In 1879 Staton4 in North Carolina operated on a child near starvation consequent on stricture of the esophagus due to the ingestion of lye, and the . . . [Full Text PDF of this Article]


Author Affiliations

BALTIMORE

From the Department of Surgery of the Johns Hopkins School of Medicine and the Johns Hopkins Hospital.



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