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From a number of questions submitted, the following were selected because of their common application to technical problems concerning gastric resection for duodenal ulcer. These questions were submitted to the editors, and the answers are summarized. It should be emphasized that this forum is meant to be informal as well as informative. Review of the literature or dogmatic answers are not its goal but rather ideas, experiences and opinions which may in turn stimulate careful and scientific investigation and thus lead to deductions of lasting therapeutic value.
Readers are invited to report their findings, whether in agreement or not, and to submit experiences as well as further questions about this or other general surgical problems.
1. In the performance of a partial gastrectomy for duodenal ulcer, is there convincing evidence that excision of the ulcer (aside from cases of massive hemorrhage) leads to better clinical results?
Only one editor deviates
ELMAN R. Surgical Forum. Arch Surg. 1949;58(4):539-540. doi:10.1001/archsurg.1949.01240030547013