A CASE OF COMPOUND FRACTURE OF THE PATELLA TREATED BY WIRING: COMPLETE FUNCTIONAL RECOVERY

J.B. Hance
1917 The Lancet  
569 the cannula these acid secretions could plainly be seen coming from the oral side. The secretions were collected and analysed. After the seventeenth day the analysis proved that when milk was given to the dog the fluid collected from the duodenum contained sugar. The sugar estimation was performed by Bertrand's method of analysis. We came to the conclusion that the sugar was probably lactose. When meat was fed to the dog the duodenal juice showed very clearly the biuret reaction. As the
more » ... rus was certainly now open again in spite of our ligature, it was necessary to find out whether the gastro-enterostomy was still working. It could be surmised, a priori, that once the pylorus had opened its fupctional activity would increase in the course of time, whilst most probably the activity of the gastro-enterostomy would decrease in proportion. Clinicians are of the opinion that the anastomosis would in this case become closed. To clear up these questions we resolved to make a second fistula (a jejunostomy) below the entero-anastomosis. If during the emptying of the stomach the duodenal fistula is kept wide open only such food as has escaped through the i , gastro-jejunostomy will be found in the jejunal fistula.
doi:10.1016/s0140-6736(00)44852-x fatcat:yodpkpudynbovlfepuja24njtm