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I would the bowels or without any peritoneal symptoms whatever? There seem to have been a number of such cases. The author then reviewed the operation of pylorectomy, speaking in favor of it in suit able cases, and the operation of in gastro-duodenostomy, as performed by Wolfler, and pointed out the great drawback in this operation, that the stomach is not relieved of its physiological duties at all, the pylorus not being required to act. Alvine evacuation is followed by pain, which, especially when the disease is prolonged, does not cease for two or three hours, and is attended australia by losses of blood, which sometimes occasion exsanguine exhaustion, the sphincter ani becoming wide and relaxed, and the tumours protruding.

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