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July 1953

VARIATIONS IN MUCOSAL STRUCTURE OF STOMACH: Their Implications in Operations for Resection of Gastric or Duodenal Ulcer

Author Affiliations

From the Department of Pathology, Stanford University School of Medicine, San Francisco.

AMA Arch Surg. 1953;67(1):1-2. doi:10.1001/archsurg.1953.01260040004001

ARECENT survey of anatomical differences in stomachs observed at autopsy1 has pointed to several facts which may pertain to the subject of gastric resection for duodenal ulcer.

These studies have shown that variations in stomach size, as measured by mucosal area, are more pronounced than differences in the external size of the stomach or of other organs. Moreover, the size of the stomach measured in this way cannot be correlated closely with body size. In 222 stomachs selected at random, the mucosal area varied between 421 and 1,536 sq. cm. These differences in mucosal area are not readily noticed unless the stomachs are distended or stretched to flatten the mucosal folds. In general, these folds are more prominent in a large empty stomach than in the average stomach with a smaller amount of mucosa. The large stomachs, therefore, tend to carry a larger quantity of mucosa per unit