January 1923


Author Affiliations

From the surgical department of Rush Medical College.

Arch Surg. 1923;6(1_PART_I):136-150. doi:10.1001/archsurg.1923.01110160146008

Gastro-enterostomy has attained an important and standard position as a surgical procedure. Since the introduction of the anterior gastroenterostomy by Wölfler and Billroth in 1881 and the posterior gastro-enterostomy by Von Hacker in 1885, the operation has been improved step by step. As a result of refinements in technic, the complications and sequelae of gastro-enterostomy have been steadily removed, until today it is regarded, generally, as a safe and dependable operation. However, the possibility of the occurrence of gastrojejunal ulcers following gastro-enterostomy is still a menace to the patient and is considered by Moynihan and others as the most important sequel of gastro-enterostomy.

In 1897 Braun reported the first case of jejunal ulcer following gastro-enterostomy. Quénu, in 1902, published the first case reported from France, and Mayo-Robson described the first case from England, in 1904. After the attention of surgeons was directed to this important condition, the number increased yearly.

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