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September 3, 1938


JAMA. 1938;111(10):909-915. doi:10.1001/jama.1938.02790360017005

Although the operation of gastroduodenostomy was suggested in 1892 by Jaboulay1 and first applied in 1898 by Henle,2 it has received no widespread application and in fact is unknown to many surgeons. This is a curious circumstance to us, for although gastroduodenostomy is by no means a panacea for all duodenal ulcers, there are certain situations in which it can be readily applied with most satisfactory results. It is not our intention at this time to enter the controversy which still continues regarding the relative advantages of short-circuiting operations and some type of gastric resection for duodenal ulcer. It is generally recognized that duodenal ulcers which finally require surgical intervention because of the failure of medical treatment or because of the occurrence of complications during their course cannot all be managed by any one surgical procedure. The surgeon must be prepared in each case to apply the operation best adapted to the conditions encountered. Some patients should certainly have a subtotal resection of the stomach, and for others it is recognized that some type of short-circuiting operation is best. Gastroduodenostomy is