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Article
September 1949

ADEQUATE SUBTOTAL GASTRIC RESECTION FOR DUODENAL ULCER

Author Affiliations

DULUTH, MINN.
From The Department of Surgery, Duluth Clinic.

Arch Surg. 1949;59(3):750-757. doi:10.1001/archsurg.1949.01240040758035
Abstract

THE LITERATURE since 1946 has abounded with reports and discussions concerning the merits and complications of vagotomy for duodenal ulcer. We do not propose to present definite opinions regarding the procedure, since we have had no experience with the operation. The summaries and conclusions reached by others are available to all for study, and, since the majority of investigators have reported favorably, we who have resorted exclusively to subtotal resection must pause and carefully consider the longer term results of the latter operation.

Visick,1 of England, in reporting 505 resections for peptic ulcer, of which 357 were for duodenal ulcer, has stated that "only by carefully following all patients and assessing their condition by independent tribunal can we gain a true picture of the effectiveness of any procedure."

Crile2 has pointed out that the results of resection have left much to be desired. Extensive resections are often

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