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January 1923


Arch Surg. 1923;6(1_PART_I):136-150. doi:10.1001/archsurg.1923.01110160146008

Gastro-enterostomy has attained an important and standard position as a surgical procedure. Since the introduction of the anterior gastroenterostomy by Wölfler and Billroth in 1881 and the posterior gastro-enterostomy by Von Hacker in 1885, the operation has been improved step by step. As a result of refinements in technic, the complications and sequelae of gastro-enterostomy have been steadily removed, until today it is regarded, generally, as a safe and dependable operation. However, the possibility of the occurrence of gastrojejunal ulcers following gastro-enterostomy is still a menace to the patient and is considered by Moynihan and others as the most important sequel of gastro-enterostomy.

In 1897 Braun reported the first case of jejunal ulcer following gastro-enterostomy. Quénu, in 1902, published the first case reported from France, and Mayo-Robson described the first case from England, in 1904. After the attention of surgeons was directed to this important condition, the number increased yearly.

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