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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July 18.-Bronchoscopy (I. L.) showed the orifice of the R. bronchus to be filled by a soft, yellowish white growth, a little firmer than brain tissue. Only a small chink remained open. The attachment of the growth extended right up to the carina. It was not lobulated. Large pieces of it were removed by forceps, securing good entry into the bronchus; a fair amount of bleeding. X-ray next day already showed re-aeration of about half the R. lung. August 7 to 29: Course of radiotherapy, Total 6,353 r. August 10: Re-bronchoscoped. There was now a smooth prominence, rather like an inflamed turbinate viewed from the posterior nares. September 3: X-ray showed normal position of heart with practically complete aeration of the R. lung. October 10: Bronchoscopy; only a small residual growth, 1 cm. long x 2 mm.

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SUMMARY One hundred and twenty‐three cases of carcinoma of the prostate are reviewed with a five‐year follow up of thirty‐six cases and a three‐year follow up of a further forty cases. Methods of diagnosis and treatment are discussed. Evidence is shown that treatment improves the outlook for such cases significantly, but that it never cures the disease.