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August 1956

Gastric LesionsDifficulties of Identification at Operation

Author Affiliations

U. S. Army
From the Gastroenterology Service, Walter Reed Army Hospital, Washington, D. C. At present assigned to U. S. Army Hospital, Ft. Knox, Ky. (Lieut. Col. Deutsch).

AMA Arch Surg. 1956;73(2):241-246. doi:10.1001/archsurg.1956.01280020055010

The surgeon is often frustrated in his efforts to find lesions of the stomach by inspection and palpation at time of laparotomy. Even when a gastrotomy is performed, this difficulty cannot always be overcome. This problem has been the subject of several reports, yet the number has been small compared to its frequency. The paucity of reports might lead one to believe that most surgeons have not had such difficulty in finding gastric lesions. Rappaport1 recently posed this very problem in relation to gastric hemorrhage and reported five cases in which gastroscopy and x-ray studies indicated a probable source for gastric bleeding, yet at operation no cause for the bleeding was found. Subsequent reoperation in each case confirmed the original preoperative diagnosis. He stressed the importance of opening the stomach for inspection. An editorial in the Dec. 5, 1953, issue of The Journal of the American Medical Association cited

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