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June 1956

The Billroth I Subtotal Gastric Resection: A Follow-Up Report on Four Hundred Ninety-Three Cases

Author Affiliations

From the Department of Surgery, University of Washington School of Medicine. Consultant in Surgery (Dr. Kanar); Instructor in Surgery (Dr. Nyhus); Clinical Assistant Professor of Surgery (Dr. Olson); Former Instructor, Department of Surgery (Dr. Schmitz); Former Associate Chief Resident, Department of Surgery (Dr. Scott); Instructor in Surgery and Postdoctorate Research Fellow, U. S. Public Health Service (Dr. Stevenson); Assistant in Surgery and Postdoctorate Research Fellow, U. S. Public Health Service (Dr. Jesseph); Chief Resident and Instructor in Surgery (Dr. Sauvage); Clinical Associate in Surgery (Dr. Finley), and Professor and Executive Officer, Department of Surgery (Dr. Harkins).

AMA Arch Surg. 1956;72(6):991-1002. doi:10.1001/archsurg.1956.01270240103015

This report is submitted to present the current findings of the follow-up studies of 493 Billroth I type of subtotal gastric resections done over a period of seven and one-half years (1948-1955). The clinical studies reported here are supplemented by experimental data comparing the results of the Billroth I and the Billroth II types of operation when there is an abnormally high stress of acid-peptic secretion.

I. CLINICAL DATA  The operative procedures were performed in the affiliated hospitals of the University of Washington School of Medicine. The operations were done by the members of the surgical faculty or residents in surgery trained by them.Among the total of 493 Billroth I gastrectomies, 42 were carried out for malignant disease. Since our interest in this presentation is directed primarily toward the treatment of benign lesions, the patients with malignancy will be eliminated from further consideration, except for some brief comments.During

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