As early as the beginning of 1900 the second edition bad been exhausted; but the time being too near the last publication, the book was reprinted without any changes. The present edition has been entirely revised, and quite a few additions have been made to the text. As heretofore, it has been my aim not to overburden the reader with too much detail, but to present the salient points in a succinct yet entirely adequate manner.

It is most gratifying to me to note that my work has been accorded so friendly a reception by my fellow-practitioners, and I trust that the present edition will meet with the same share of approval.

Max Einhorn.

New York. October 3d, 1902.

Preface To The Second Edition

It is about a year now since my book on "Diseases of the Stomach" was published. In this short time the first edition has been exhausted and a reprint rendered necessary. It is quite natural that in so brief a period no radical changes were called for in the text. A revision, however, was undertaken and a few alterations and slight additions were made.

I trust that the second edition will be as favorably received by the medical profession as the first.

Max Einhorn.

New York, October 25th, 1807.

Preface To The First Edition

During the last twenty years our views in the field of diseases of the stomach have undergone great changes. W. Beaumont in this country laid the corner-stone of scientific research and experimental study on the functions of this organ in 1825. From that time on the science of gastric diseases remained in a state of quiescence until 1867, when Kussmaul methodically applied the stomach pump in the treatment of dilatation of the stomach. The real progress, however, began a few years later, when Leube made use of the stomach pump for diagnostic purposes. Ewald, Boas, Beichinann, Biegel, and others then instituted extensive studies of the gastric functions in health and disease. This second epoch in the study of digestive diseases, which had its inception in Germany, soon made itself felt in other countries, notably France, Russia, Austria, England, and America. In our country especially it seems that a very fruitful activity is developing in this direction. Among the older writers I would mention the names of Austin Flint, Delafield, Pepper, and Osier, all of whom contributed largely to our clinical knowledge in this branch of medicine.

The newer researches were taken up here and further advanced by Charles G. Stockton, Francis P. Kinnicutt, Allen A. Jones, D. D. Stewart, J. C. Hemmeter, and many other very active investigators. The progress achieved relates to a more profound knowledge of gastric affections - by examination of the functions - and to a more successful therapy, first by diet, secondly by the newer mechanical means of treatment (lavage, spray, electricity), and thirdly by surgical procedures. Our more extensive knowledge of diet and treatment is of advantage not only to the specialist, but to the general practitioner as well, and it is with the view of assisting the latter in the acquisition of all these advantages which have of late accrued that this treatise has been written. A series of articles on Diseases of the Stomach, which I contributed to the "Twentieth Century Practice of Medicine" has greatly facilitated my work. In this book the subject has been considered from a more practical standpoint, and special attention has been paid to diet and treatment.

I trust that this work will aid in awakening a deeper interest in the study of diseases of the stomach among American physicians, and if this object be realized, I shall feel more than recompensed for the time spent in its preparation.

Max Einhorn.

New York, June 15th, 1896.