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THE TREATMENT OF URÆMIC INTOXICATION COMPLICATING PYLORIC STENOSIS WITH VOMITING
Author(s) -
Falconer M. A.,
Lyall A.
Publication year - 1938
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1938.tb02801.x
Subject(s) - medicine , vomiting , pyloric stenosis , gastroenterostomy , surgery , anesthesia , gastrectomy , cancer
Summary Uræmic intoxication supervenes in many cases of pyloric stenosis when vomiting becomes copious and persistent. The causal mechanism is one of dehydration and excessive chloride loss associated with the appearance of toxic nephritis. If this intoxication is not first corrected, surgical intervention may result in a fatal issue should the ordinary procedure of gastroenterostomy be carried out. Eight cases are described illustrating the effects of various forms of treatment. They demonstrate that the usual routine treatment by frequent feeding of liquid food, cessation of alkalis and daily gastric lavage, is not sufficient to correct this intoxication in every case. In many cases the additional administration of saline solution, either rectally or parenterally, is required, and occasionally refractory cases of persistent vomiting are met with in which feeding by jejunostomy is indicated.