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May 1945


Arch Surg. 1945;50(5):223-228. doi:10.1001/archsurg.1945.01230030232001

This paper is concerned with the immediate postoperative appearance of the remnant of the stomach following subtotal gastrectomy. Twenty-one cases are presented. For each patient a fluoroscopic examination was made by Dr. L. W. Paul, of the department of radiology, to check the mechanics of evacuation of the barium sulfate from the remnant of the stomach. The roentgenogram taken at the completion of the fluoroscopic examination in each case is reproduced here as a black and white copy of the original film. All gastrectomies were performed in an identical manner. Evaluation of the operation from the standpoint of the clinical course of the patient as well as the mechanics of stomach evacuation is thus possible. Technical detail has purposely been omitted in favor of emphasizing important points of the operation.

METHOD  Figure 1 presents diagrammatically the method of performing the operation. In A is shown the method of placing the

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