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Article
May 1936

TREATMENT OF GASTROJEJUNOCOLIC FISTULA BY MULTIPLE STAGE OPERATIONS

Author Affiliations

SANTA BARBARA, CALIF.

Arch Surg. 1936;32(5):896-906. doi:10.1001/archsurg.1936.01180230151011
Abstract

HISTORICAL REVIEW  Gastrojejunocolic fistula is one of the rare complications attending gastric surgical procedure. Czerny1 reported the first case in 1903. Bolton and Trotter in 1920 added four cases to the thirty-four already reported in the literature, while Judd2 found records of only six cases at the Mayo Clinic previous to 1921. Rankin, Bargen and Buie3 in their book published in 1932 attested to the rarity of the lesion. Lahey4 in 1933 reported the observation of only six cases.Since 1881, when Wolfer introduced the operation of gastroenterostomy, surgeons have had complications following gastric operations. Of the late complications following gastroenterostomy, none is more disappointing or more feared by the conscientious surgeon than the development of jejunal ulcer. Walton5 stated: "As soon as it is evident that a gastrojejunal ulcer is present, an operation must be performed, for the condition is certain to progress and

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