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November 1952


Author Affiliations

Director, the Surgical Clinic of the Central Hospital.

AMA Arch Surg. 1952;65(5):673-681. doi:10.1001/archsurg.1952.01260020665004

DURING recent years two new methods have been developed for treatment of perforated gastric or duodenal ulcers: primary subtotal gastrectomy and conservative therapy without surgical intervention. The marked fall in the mortality figures for gastric resection which has occurred during recent years has induced some surgeons to employ this procedure in certain of their patients with perforated ulcer. Owing to the effect of antibiotics, blood transfusions, and adequate parenteral administration of fluids combined with continuous suction through an indwelling stomach tube, conservative therapy without surgical intervention has been successfully used in treating the same disorder.

I have had no experience with the latter method of treatment, but through a follow-up study of our patients at Central Hospital I am able to give an opinion on the use of primary gastrectomy, for which reason I publish the following report. The series presented consists of all the patients who were treated for

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