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November 1921


Author Affiliations

From the Department of Experimental Surgery. Nebraska University College of Medicine, Omaha.

Arch Surg. 1921;3(3):622-633. doi:10.1001/archsurg.1921.01110090181006

Previous to the performance of gastro-enterostomy for ulcer, we find the lesion practically always in the duodenum, pylorus, and lesser curvature. Following the operation, if a new ulcer occurs, it is practically always in the region of operative procedure, that is, in the jejunum, stomach, or on the rim of the anastomosis; occasionally a new ulcer occurs on an old suture line such as is found in the resected stomach. The location and the time of occurrence of the ulcers before and after gastro-enterostomies are so dissimilar that a different etiology is most strongly suggested. Reports of new peptic ulcers occurring after this operation must be carefully analyzed as such ulcers are generally the old ulcers reactivated, which had never healed, or are new ulcers in the region of previous surgical procedure. Can the latter be termed true peptic ulcers?

Gastrojejunal is the adjective used to describe the ulcer which