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February 1948


Author Affiliations

Fellow in Surgery, Mayo Foundation ROCHESTER, MINN.
From the Mayo Clinic and the Mayo Foundation.

Arch Surg. 1948;56(2):145-152. doi:10.1001/archsurg.1948.01240010150004

ALTHOUGH Merrem1 performed the first total gastrectomy in an experimental animal in 1810, Schlatter2 in 1897 was the first to perform this operation successfully in man. Since that time it has been employed in a limited number of cases, mostly in the treatment of cancer. Because of three main reasons this operation has not been used extensively, namely, (1) the technical difficulty of its execution, (2) the high operative mortality and (3) the poor late results. At present, these factors have been overcome only partially, and therefore the procedure is still used with relative infrequency. Excellent articles dealing with total gastrectomy have been contributed by Finney and Rienhoff,3 Pack and McNeer,4 Graham,5 Ransom,6 Waugh and Fahlund,7 Lahey8 and others, and the subject has also been reviewed by Walters, Gray and one of us.9

It is not the purpose of this paper

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