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Surgical Treatment of Duodenal Ulcer
Professor Cavina recently gave the Accademia medico-fisica of Florence a demonstration of the Judd operation for the treatment of duodenal ulcer. The operation consists in excision of the ulcer, together with a partial pylorectomy, which comprises the resection of the two anterior thirds of the sphincter. This operation eliminates two of the chief symptoms of duodenal ulcer; namely, stasis and gastric hyperacidity. The same purposes can be attained also by gastrojejunostomy, which, however, leaves the ulcer in situ and exposes the patient to the risk of jejunal ulcer. The Judd operation is indicated in young persons, provided the duodenum is sufficiently mobile and not too much distorted, and in recent ulcers of the stomach wall, anterior to the bulb. Such conditions of operability are found in about half the cases.The results are fairly satisfactory. According to statistics of the Mayo Clinic (1930), in 464
ITALY. JAMA. 1933;101(24):1893–1894. doi:10.1001/jama.1933.02740490053024
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