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October 23, 1937


JAMA. 1937;109(17):1341-1347. doi:10.1001/jama.1937.02780430019005

Subtotal gastrectomy has become a well recognized and established procedure in the surgical management of gastric and duodenal ulcer. That it has become a controversial subject cannot be denied. There are, on the one hand, surgeons who are highly enthusiastic for the more radical methods and, on the other, those who advocate more palliative operative procedures. We believe that somewhere between these two points of view, at least today, rests a satisfactory position but that partial or subtotal gastrectomy is the method of choice when limited to properly selected cases. It naturally follows and should be emphasized that it is impossible for one method to fit every patient or every type of ulcer.

We therefore present from the experience of the Lahey Clinic what we consider the indications for partial gastrectomy, the surgical and gastro-enterologic aspects of the operation and the end results in 102 cases in which the procedure

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