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June 26, 1954

The Billroth I Gastric Resection with Particular Reference to the Surgery of Peptic Ulcer.

JAMA. 1954;155(9):872. doi:10.1001/jama.1954.03690270068042

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This monograph is based on a careful study of 140 consecutive Billroth 1 gastric resections performed at the King County Hospital in Seattle. As a result of this study and a consideration of the literature, the authors are convinced that the Billroth 1 operation is, in general, superior to the Billroth 2 method and should be used whenever the stomach must be resected in the treatment of gastric or duodenal ulcer or, in some cases, of gastric carcinoma. They point out that with free mobilization of the duodenum the operation is much more widely feasible than has generally been supposed. They believe that the discharge of gastric content into the duodenum is much more physiological than discharge into the jejunum, as is the case with the Billroth 2 procedure. The volume is beautifully illustrated, and the drawings should be of distinct service to surgeons who are not already familiar with

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