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Article
July 1950

DIFFUSE POLYPOSIS OF THE STOMACHTotal Gastrectomy

Author Affiliations

PORTLAND, ORE.
From the Surgical Service, Veterans Hospital.

Arch Surg. 1950;61(1):95-101. doi:10.1001/archsurg.1950.01250020098011
Abstract

POLYPS of the stomach occur either as discrete isolated papillary projections from the gastric mucosa or as diffuse multiple nodules transforming the entire mucosa into a polypoid mass. Ménétrier's1 classic description of both varieties has not been excelled. He named the discrete form polyadénomes polypeux and the diffuse form polyadénomes en nappe, designations which are widely used at the present time.

The frequency of malignant degeneration occurring in gastric polyps, together with their inaccessibility which prevents continued direct observation and control, makes resection of the polyp-bearing area, rather than simple excision, advisable. Because the majority of these polyps are found in the prepyloric and antral regions, subtotal gastrectomy will usually eradicate themsuccessfully. However, polyps may cover the mucosa from the duodenum to the esophagus in either form of gastric polyposis. It is obvious that subtotal gastrectomy would be inadequate in the surgical treatment of such growths. Equally unsatisfactory would

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