[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.166.3.44. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
July 1966

Vagotomy and PyloroplastyAn Inadequate Operation for Stress Ulcers?

Author Affiliations

LEXINGTON, KY
From the Department of Surgery, University of Kentucky Medical Center, Lexington.

Arch Surg. 1966;93(1):161-170. doi:10.1001/archsurg.1966.01330010163020
Abstract

ACUTE gastroduodenal ulceration occurring in association with major illness,1,2 burns3 (Curling's ulcer), or central nervous system trauma4-6 (Cushing's ulcer) is generally referred to as "stress ulceration." Although the exact mechanism of their development is unknown, the lesions are characteristically shallow ulcers or erosions, often multiple, and without surrounding induration or microscopic evidence of chronic inflammatory response. Most often the erosions occur in the stomach or duodenum,1,3 but they have been described in the distal esophagus,4,5 small bowel,2 and colon.6 In some instances the stress ulcers produce no clinical manifestations or their presence is masked by the primary illness or injury which leads to their development, and they are discovered only at autopsy. More frequently, the sudden onset of upper gastrointestinal hemorrhage or the signs of peritonitis from perforation heralds the development of acute gastroduodenal ulceration. These complications imposed on a patient who is

First Page Preview View Large
First page PDF preview
First page PDF preview
×