THE WORK OF 

 THE DIGESTIVE GLANDS. 



LECTURE I. 



A GENERAL SURVEY OF THE SUBJECT : METHODS. 



(Icni'i'iil Hut-raj : Introductory The digestive apparatus may be com- 

 pared to a chemical laboratory Unsolved problems in the physiology of 

 digestion Methods, their ideal requirements Temporary and permanent 

 pancreatic fistula 1 Difficulties connected with making the latter 

 Gastric fistula; : the same combined with oesophagotomy Methods of 

 forming a stomach cul-tlr-sac The author's operative experience 

 Importance of surgical methods in physiology The surgical department 

 of a physiological laboratory. 



GENTLEMEN, The physiology of the digestive glands has engaged the 

 attention of my whole laboratory i.e., of myself and my fellow workers 

 for many years, and I believe we have obtained results, both theoretical 

 and practical, which deserve serious consideration. The work of secretion 

 in the alimentary canal, so far as it concerns the most important organs 

 of digestion, viz., the stomach and the pancreas, has not by any means 

 proved to be that which is represented in text-books, and which in 

 consequence dwells in the mind of the physician. A desire, therefore, 

 arose to replace the older teaching by bringing into life a fuller and 

 more correct representation. With this object I gave, in 1H04, an 

 oration* before the Festival Meeting of the Society of Russian Physicians 

 in St. Petersburg, which was dedicated to the memory of the celebrated 

 Russian clinician, S. P. Botkin. In the short space of one hour, how- 

 ever, I could give a general survey only of the work of many years, and 

 was denied the possibility of sustaining my words with documentary 

 references. In my present lectures I hope to make good these deficien- 

 cies and to be able to convince my hearers by relating actual experi- 

 ments. The substance of the lectures is taken from work which for 



* Ti-diixiirtionx of the Sin: I'lisx. Physicians in St. Peterslury. 1X1(4-1)5 

 (Russian). 



A 



