The pancreas : its surgery and pathology / by A.W. Mayo Robson and P.J. Cammidge.

  • Robson, A. W. Mayo (Arthur William Mayo), 1853-1933.
Date:
1907
Catalogue details

Licence: Public Domain Mark

Credit: The pancreas : its surgery and pathology / by A.W. Mayo Robson and P.J. Cammidge. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    perusal of the chapter dealing with general symptoma- tology and diagnosis will show that while no single sign or symptom is characteristic of disease of the pancreas, no more than of any other organ, the cumulative evidence to be obtained by a careful investigation of the history, clinical symptoms, and signs, and the indications to be obtained by the methods of the laboratory, should leave no doubt as to the presence or absence of pancreatic trouble in any particular case and, in the large majority, allow of a definite opinion as to the nature of the lesion being arrived at. The classification of inflammatory lesions of the pan- creas is the same as that outlined in the Hunterian Lectures of 1904. Increased experience has only served to demonstrate its clinical utility, and its adoption by subsequent writers shows that they recognise the numer- ous forms that inflammation of the pancreas may assume under various conditions. We have emphasised the in- timate etiological relation existing between gall-stones and pancreatitis and pointed out the conditions under which biliary calculi in the common bile-duct are likely to cause, and will fail to give rise to, pancreatic inflamma- tion. We have also laid stress upon the no less important, but less commonly recognised, association of inflammation of the pancreas with catarrhal conditions of the upper part of the gastro-intestinal tract. Pancreatitis resulting from a duodenal catarrh may, under certain conditions, give rise to more or less persistent jaundice, and, in our ex- perience, is the most common cause of the conditions usually known as acute and chronic catarrhal jaundice. In dealing with the subject of diabetes we have devoted much space to a consideration of its relations to the pan- creas, and have quoted the more important experimental evidence and clinical work bearing upon the subject. Between the ofttimes conflicting, and even contradictory, statements of different authors it is difficult to arrive at