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December 24, 1960

Postsurgical Problems of the Gastrointestinal TractGastric Resection Difficulties

Author Affiliations


From the Gastro-Intestinal Section (Kinsey-Thomas Foundation) of the Medical Clinic of the Hospital of the University of Pennsylvania and the school of Medicine of the University of Pennsylvania.

JAMA. 1960;174(17):2111-2117. doi:10.1001/jama.1960.03030170001001

The purpose of this article is to describe the clinical manifestations, development, and treatment of some of the undesirable sequelae which sometimes follow subtotal gastric resection. They include the "dumping" syndrome, postprandial hypoglycemia, loss of weight, diarrhea, anemia, gastroileal fistula, marginal ulcer, gastrojejunocolic fistula, failure of the gastric remnant to empty, the afferent loop syndromes, jejunal obstruction due to herniation internally between the peritoneal rings, rupture of the duodenal stump, leakage at the "corner of sorrow," and stasis in a long afferent loop.