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September 1965

Benign Ulcer DiseaseGastrectomy in a Community Hospital

Author Affiliations

From the Surgical Service of the Burbank Hospital. Surgeon-in-Chief, Burbank Hospital (Dr. Ross); Senior Assistant Resident Surgeons, Peter Bent Brigham Hospital and Burbank Hospital (Drs. Cahill and Zollinger).

Arch Surg. 1965;91(3):443-448. doi:10.1001/archsurg.1965.01320150073010

DURING the last two generations the problem of peptic ulceration has loomed large on the horizon of medical and surgical practice. Only 10% to 15% of patients suffering from benign ulcer disease eventually require surgical attention because of intractability, acute complications, or the possibility of cancer. However, the number of people who suffer from ulcer in our modern civilization is so great that this represents a huge number of surgical patients. The hazards and benefits of a large number of surgical procedures have been evaluated and reevaluated by many, and the final answers are not yet at hand. Reported operative mortality rates vary from zero in 300 consecutive gastric resections in a private clinic to 30% in older people requiring emergency surgery for massive hemorrhage.1-4 Excellent results have also been reported from Veterans Hospitals,5 but here we are dealing with a group heavily weighted by World War II

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