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May 1948


Author Affiliations

Fellow in Surgery, Mayo Foundation ROCHESTER, MINN.
Dr. Priestley is from the Division of Surgery, Mayo Clinic.

Arch Surg. 1948;56(5):625-641. doi:10.1001/archsurg.1948.01240010635008

FOR MANY years gastrojejunal ulcer has constituted one of the major complications in the surgical treatment of duodenal ulcer. In fact, the possible occurrence of this lesion has been so important a consideration that it has been a significant factor in the development of various surgical procedures designed for the treatment of duodenal ulcer. Thus, although a procedure such as gastroenterostomy results almost uniformly in healing of the duodenal ulcer, it has been abandoned largely because of the relatively high incidence of jejunal ulcer which follows its use. Obviously, the patient it not benefited by elimination of an ulcer in the duodenum if one develops in the jejunum.

Until recently the treatment of jejunal ulcer has been fairly well standardized. Excision of the jejunal ulcer associated with high resection of the stomach has been recognized as the procedure most frequently followed by good results. Few have questioned the physiologic basis