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March 22, 1913


Author Affiliations

Associate Surgeon, Mount Sinai Hospital; Associate in Surgery, Columbia University College of Physicians and Surgeons NEW YORK

JAMA. 1913;60(12):881-884. doi:10.1001/jama.1913.04340120007003

It is generally conceded that gastro-enterostomy exercises a favorable influence on open ulcers of the stomach situated in the antrum or at the pylorus, and on open ulcers of the duodenum. By this is meant that it establishes conditions favorable to the healing of ulcers which have resisted all other known forms of internal treatment, It is likewise recognized that this procedure has no effect on ulcers situated in parts of the stomach other than those just mentioned. It is furthermore admitted that the good effects of gastro-enterostomy on ulcers in the antrum, pylorus or duodenum are not always a lasting one; that recurrence or recrudescence of the ulcer takes place in at least 45 per cent, of the cases. It is well to state these facts at the outset, and with the lessons taught by them proceed to change or modify the operation of gastro-enterostomy as applied to the cure

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