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April 24, 1926


JAMA. 1926;86(17):1275-1276. doi:10.1001/jama.1926.02670430017007

The increasing interest in pyloric resection and its growing importance as a method of treating ulcerations of the stomach and duodenum are matters of common knowledge. Furthermore, there is the mounting conviction that in suitable cases some form of pyloroplasty or gastroduodenostomy is the operation of choice. Unfortunately, until quite recently the choice of operations of this type was comparatively small. The Billroth I operation, the Finney pyloroplasty and the physiologic pyloroplasty of Horsley for many years offered the only satisfactory surgical means of restoring the normal physiologic relations of the stomach after resection of an ulcer at the pylorus or in the duodenum. The Billroth I operation fell into a rather undeserved disrepute, and in the latter two operations ordinarily half the pyloric ring remained intact, which may possibly be a disadvantage, for certain it is that there is a marked delay in emptying in many cases following pyloroplasty.