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December 1, 1951

BELGIUM

JAMA. 1951;147(14):1378-1379. doi:10.1001/jama.1951.03670310068025

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Abstract

Gastroduodenal Perforations.  —The Belgian Association of Surgery heard a report by Morelle, who, on the basis of his personal statistics (101 cases) and the experience of Herman Taylor, initiator of the aspiration method, concluded that gastroplication is not inferior to aspiration, provided that the delays of perforation (12 and 24 hours) are taken into consideration.After this report Coryn presented statistics of gastrointestinal perforations treated at the Brugmann hospital. Preference was given to emergency gastrectomy (56 cases, with a mortality rate of 12%) rather than to simple gastroplication (30 cases, with a mortality rate of 36.6%). Dr. Coryn emphasized that the high mortality rate in the second group may be explained by the fact that gastroplication was reserved only for grave cases, in which gastrectomy did not seem to be justified. Samain routinely performed emergency gastrectomy in 121 cases of perforation, with a mortality rate of 3%. These excellent results

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