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July 1955

Operation for Duodenal Ulcer After Inadequate Surgery

Author Affiliations

U. S. Army; U. S. Army
From the General Surgery Service, Brooke Army Hospital, Fort Sam Houston (Major Schirmer); Chief, Department of Surgery, and Chief, General Surgery Service, Brooke Army Hospital; Chief, Clinical Surgery, Medical Field Service School, and Surgical Consultant, 4th Army Headquarters, Fort Sam Houston; Professor of Surgery, Graduate School, Baylor University (Colonel Bowers).

AMA Arch Surg. 1955;71(1):80-90. doi:10.1001/archsurg.1955.01270130082014

Experimental and clinical observations over a period of many years have brought about general agreement on the basic principles involved in surgical operations performed for the cure of duodenal ulcer. Much has been written concerning the importance of adequate initial surgical treatment of the disease. Still, patients are seen again and again, in the large centers, who were operated upon initially in an inadequate manner. At Brooke Army Hospital, 117 patients have been operated upon for duodenal ulcer disease in the last two years, 14 of these patients having been operated upon previously for this disease, and most of the initial operations having been performed at other institutions. In most of these instances the recurrence or the continuation of the disease was due to the choice of a poor surgical procedure at the initial operation or the improper application of a satisfactory operation. A few of the patients required additional

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