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February 2, 1935


Author Affiliations


JAMA. 1935;104(5):386-390. doi:10.1001/jama.1935.02760050032008

A jejunal ulcer is tragic evidence of faulty judgment in the treatment of a patient suffering from gastroduodenal ulceration.

Our remarks on jejunal ulcer are based on forty-three cases. We have ourselves operated on thirty-three patients. Included in this group were four instances of gastrojejunocolic fistula. We have studied four cases and confirmed the results roentgenographically but as yet have not operated in these cases. We have had an opportunity to study six cases treated by our associates. Five were proved by operation, and one was shown by roentgen studies. Twelve cases occurred following gastro-enterostomy that was performed by us. We have established a follow-up clinic for patients on whom we have operated for gastric or duodenal ulcer. A visit to this clinic includes a physical examination, a complete blood analysis, a fractional gastric analysis and roentgen studies. The latter is a joint examination by the clinician and the radiologist.

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