An attempt is here made to assess the merits of four types of anastomosis used in partial gastrectomy. The operations were performed for chronic gastric and duodenal ulcer during the six years ending Dec. 31, 1946. We have excluded all cases of carcinoma, those cases of peptic ulcer in which a previous operation other than suture of a perforation had been performed, emergency gastrectomies for haemorrhage, and a few operations in which the pylorus was not removed but was excluded. The series consists of 248 patients, and in reviewing the results we have paid particular attention to (a) the immediate post-operative course, with special reference to complicationsy due to the type of anastomosis, and (b) the functional results. These have been divided into good, fair, and poor. The result is good if the patient is satisfied with the operation and admits to no significant sideeffects. It is fair if the patient is satisfied with the operation but is found to have modified his diet or eating habits to avoid unpleasant symptoms. It is classified as poor when the patient is dissatisfied with the operation or when we have considered the functional result to be unsatisfactory.The length of time since the operation ranges from one to six years, the average period being thirty-seven months. Fifteen patients have not been traced. The last known residence of eleven of these has been visited, but they had left the district and all attempts at follow-up have failed. Visits were not paid to the residences of the other four, as two were known to have left the country and two lived a long distance away.

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and the stomach was again washed out. On the table, when going under chloroform she had her last seizure, becoming livid in the face and rigid in the limbs.On opening the abdomen to the left of the middle line above and below the umbilicus we found the dilated stomach

attack. This result seems to be incompatible with the view that the inspiratory spasm is secondary to bronchial narrowing and wholly compensatory in nature and suggests either that it is a primary event or, again, that there is some obstruction to the emission of air which cannot be overcome