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
Strauss AA, Strauss SF, Schwartz AH, Kram DD, Masur WW. RESULTS OF SUBTOTAL GASTRECTOMY FOR GASTRIC AND DUODENAL ULCERS SINCE 1917. JAMA. 1952;149(12):1095-1101. doi:10.1001/jama.1952.02930290017005