[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.163.94.5. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
July 19, 1952

RESULTS OF SUBTOTAL GASTRECTOMY FOR GASTRIC AND DUODENAL ULCERS SINCE 1917

Author Affiliations

Chicago
From the Stomach Group and Surgical Services of Michael Reese Hospital, Mount Sinai Hospital, and Franklin Boulevard Hospital.

JAMA. 1952;149(12):1095-1101. doi:10.1001/jama.1952.02930290017005
Abstract

In 1914, when most surgeons considered gastroenterostomy the proper surgical therapy for duodenal ulcers, we devised a method for pyloric closure in this operation, using submucous fascial transplants from the fascia lata. We found that this procedure was much more difficult in an inflamed stomach with a duodenal ulcer than it had been in dogs. In a number of cases the pyloric antrum was torn so badly that, as a means to an end, we did a subtotal gastrectomy. These were our first cases of subtotal gastrectomies, and we noted that the results with this operation were much more satisfactory than they had been with a simple gastroenterostomy.

Advocating subtotal gastrectomy as the operation of choice for duodenal ulcer, we presented six such cases at a meeting of the Chicago Surgical Society in 1915. Many of our colleagues at that time opposed this operation on the principle that radical surgical

First Page Preview View Large
First page PDF preview
First page PDF preview
×