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February 1965

Gastrectomy in Early Childhood: Case Report With 12-Year Follow-Up

Author Affiliations

From the departments of surgery (Dr. Collins) and pediatrics, University of British Columbia, Health Centre for Children, Vancouver General Hospital.

Am J Dis Child. 1965;109(2):149-155. doi:10.1001/archpedi.1965.02090020151011

IN RECENT YEARS, many writers have pointed out that peptic ulcer is commoner in children than is generally realized. The recent article by Schuster and Gross1 gives a good survey of the problem, with up-to-date references.

Although previously it was thought that most childhood ulcers were acute, it is evident from the Mayo Clinic series of 92 cases of duodenal ulcer in childhood2 that as many as 30%-50% have recurring symptoms indicating chronicity.3 While it is agreed that medical treatment should form the first line of defense against this disease, undue procrastination in the face of complications or intractability is just as out of place in children as it is in adults. This means that it will occasionally be necessary to undertake definitive surgical treatment of peptic ulcers in small children and even infants. It appears that the type of operation to be done is undergoing