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Article
October 1937

GASTRIC SURGERY AND GASTROSCOPYDIFFERENTIAL DIAGNOSIS OF BENIGN AND MALIGNANT LESIONS; OPERABILITY OF TUMORS AS DETERMINED BY GASTROSCOPY; EARLY DIAGNOSIS OF GASTRIC CARCINOMA; THE POSTOPERATIVE STOMACH

Author Affiliations

Visiting Professor of Medicine at the University of Chicago; Assistant Resident of the University of Chicago Clinics CHICAGO
All surgical work was done by the Surgical Department of the University of Chicago Clinics unless otherwise stipulated. Splendid cooperation was given by the Department of Radiology (Dr. Hodges).

Arch Surg. 1937;35(4):712-765. doi:10.1001/archsurg.1937.01190160094005
Abstract

The purpose of this paper is to show the usefulness and value of gastroscopy to the surgeon.1 The following questions will be discussed: 1. Is a lesion of the stomach, which has been diagnosed by other methods, a benign ulcer or a carcinoma? 2. Is cancer of the stomach operable or not? 3. Of what value is gastroscopy in the early diagnosis of carcinoma, and may it improve the operative results? 4. What are the reasons for the abdominal distress which so frequently follows operations for gastric lesions?

We shall not include the results of the numerous gastroscopies carried out by one of us (R. S.) in Germany, because the records cannot be controlled. Thus we shall restrict ourselves to the gastroscopic examinations carried out at the Billings Hospital of the University of Chicago Clinics.2 The majority of the patients were referred for gastroscopy by Dr. W. L.

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