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Article
September 1953

TREATMENT OF DUODENAL ULCER BY SUBTOTAL GASTRIC RESECTIONA Ten-Year Study

Author Affiliations

DULUTH, MINN.
From the Department of Surgery, Duluth Clinic, Duluth. Minn.

AMA Arch Surg. 1953;67(3):444-450. doi:10.1001/archsurg.1953.01260040451016
Abstract

PROGRESS in medicine is directly related to the willingness of the profession to apply and evaluate new forms of therapy. Surgeons were encouraged when Dragstedt1 advocated and performed vagus section for the treatment of duodenal ulcer. Gastroenterostomy and pyloroplasty had proved inadequate, and gastric resection was followed by a substantial mortality and morbidity. Because of the high percentage of major complications, such as marginal ulcer, obstruction at the site of anastamosis, and leakage from the duodenal stump, American surgeons were slow to accept gastric resection. At the Duluth Clinic, it was not until 1938 that the number of resections exceeded the total figure for gastroenterostomy and pyloroplasty. Although some surgeons and medical centers preceded us in this transition, others followed by a number of years.

We have rarely used vagus resection in treating duodenal ulcer because of our satisfaction with subtotal gastric resection. This is a review of our

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