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May 29, 1954


JAMA. 1954;155(5):510. doi:10.1001/jama.1954.03690230094023

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Tuberculosis in Gastrectomy Patients.  —In 1947 Olmer established a relation between gastrectomy and pulmonary tuberculosis. Others have since confirmed these observations. At a meeting of the medical society of Geneva on March 28, Demole and Rentchnick reported on 13 patients whom they listed as those whose pulmonary tuberculosis developed in the weeks following operation and those in whom it developed several years after gastrectomy. In many patients, there was no pulmonary lesion before the operation. In others, such lesions had been quiescent for several years. The operation would seem to represent a severe stress in these patients. The pathogenesis in those in whom tuberculosis developed several years after gastrectomy seems to be different from that of the first group. Undernutrition and hypoproteinemia are then responsible for the development of tuberculosis. The authors stress the importance of roentgenograms of the chest before any surgical operation and especially before a gastrectomy. They

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