The strides in gastric surgery during the last ten years have been very remarkable. Originally the first aim of the surgeon was to diminish the mortality of disease with the least mortality resulting from the means of relief, but as Dr. Charles Mayo says, the modern requirement is the relief of morbidity. In other words, the patient not only demands relief from the immediate conditions with a low mortality, but he has a right to expect symptomatic relief and immunity from sequelæ. I dare say that the first thought of most, if not all operators in the early development of the surgical treatment of callous gastric ulcer was the excision of the ulcer. The first stomach operation of any kind that I ever attempted was ten years ago, when an ulcer in the posterior wall and lesser curvature, such as shown in Figure 4, was excised. The patient died from
COFFEY RC. A PLEA FOR MORE DIRECT METHODS IN DEALING WITH GASTRIC ULCERS AND CANCER. JAMA. 1911;LVII(13):1034–1040. doi:10.1001/jama.1911.04260090256005
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