swallowed the liquid, he experienced distress over the pit of the
stomach, followed by painful regurgitations. For three days, every
attempt made by Dr. Terrillon to remove the obstacle that evidently
existed at the level of the cardia entirely failed. Several times
after such attempts a little blood was brought out, but there was
never any hemorrhage.

The patient suffered, grew lean and impatient, and was unable to
introduce into his stomach anything but a few spoonfuls of water from
time to time. As he was not cachectic and no apparent ganglion was
found, and as his thoracic respiration was perfect, it seemed to be
indicated that an incision should be made in his stomach. The patient
at once consented.

The operation was performed February 9, at 11 o'clock, with the aid of
Dr. Routier, the patient being under the influence of chloroform. A
small aperture was made in the wall of the stomach and a red rubber
sound was at once introduced in the direction of the cardia and great
tuberosity. This gave exit to some yellowish gastric liquid. The tube
was fixed in the abdominal wall with a silver wire. The operation took
three quarters of an hour. The patient was not unduly weakened, and
awoke a short time afterward. He had no nausea, but merely a burning
thirst. The operation was followed by no peritoneal reaction or fever.
Three hours afterward, bouillon and milk were injected and easily
digested.

Passing in silence the technical details, which would not interest the
majority of our readers, we shall be content to say that Mr. X.,
thanks to this alimentation, has regained his strength, and is daily
taking his food as shown in Fig. 1. The aperture made in the stomach