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Article
June 16, 1928

A METHOD OF CARRYING OUT TWOSTAGE OPERATIONS FOR CARCINOMA OF THE STOMACH

Author Affiliations

ROCHESTER, MINN.

JAMA. 1928;90(24):1936-1938. doi:10.1001/jama.1928.02690510020008
Abstract

Resection of the stomach in cases of carcinoma offers the patient the only chance for cure. It follows, therefore, that this operation will be performed in advanced stages of the disease until some better method of treatment is found. Usually if resection is indicated it can be carried out as a primary operation, with as much safety as if done in stages. Such safety is chiefly due to the preparation of the patient for operation by (1) the control of obstruction and its effects, (2) gastric lavage, (3) intravenous administration of fluids and nourishment, and (4) transfusions when necessary. Occasionally, however, a fixed mass is encountered in the pyloric end of the stomach, which has extended into the regional lymph nodes and is fixed to the pancreas, possibly actually involving it; the duodenum is inflamed and thick walled, and the patient is in poor condition because of prolonged starvation resulting

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