Gastric Resection. 



289 



Lateral anastomosis without resection but with occlusions of the 

 pyloric end of the stomach and duodenum Fig. G show the fol- 

 lowing results: 



Exp. No. Days of Life. Pathology. 



201 2 Pancreatitis, superficial necrosis 



and erosions in stomach and in- 

 testine about stoma. 



207 3 Necrosis similar to but earlier than 



in 201. 



219 1 Pancreatitis. 



Lateral anastomosis combined with simple ligation in first 

 portion of duodenum : 



Exps. 86 and 87 after 6 and 2 days, respectively, pancreatitis. 



Lateral anastomosis without resection but with pyloric occlu- 

 sion and duodenostomy, Fig. F: 



Exp. No. Days of Life. Pathology. 



204 5 Pancreatitis. 



205 4 Pancreatitis. 



209 2 Pancreatitis; hydropneumothorax. 



210 3 Pancreatitis. 



211 14 Malnutrition. 



213 14 Ulcer, gastrojejunal. 



In the above experiments, mobilization of the extreme oral 

 end of the duodenum in the dog sufficient for closure and inversion 

 of that end is invariably followed by fatality of evident pancreatic 

 origin. Of six duodenostomies, four give evidence of pancreatitis 

 and two (211, 213) show extreme emaciation on fourteenth days. 



Note: In the above tables, the term pancreatitis has been used 

 to designate the complex found in the clinical cases: fat necrosis, 

 free haemolyzed blood in the peritoneal cavity and often in the 

 intestinal loops, and evidences of pancreatic injury from conges- 

 tion and cloudy swelling to suppuration. 



