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September 1956

Subtotal Gastrectomy for Peptic Ulcer: A Comprehensive Review of Two Hundred Thirty-Six Cases with Emphasis on the Treatment of the Ulcer Which Causes Obstruction

Author Affiliations

From the Department of Surgery, University of Cincinnati College of Medicine, and the Surgical Services, Cincinnati General and Veterans Administration Hospitals, Dayton and Cincinnati.

AMA Arch Surg. 1956;73(3):469-480. doi:10.1001/archsurg.1956.01280030095011

Dissatisfaction with the results obtained by conservative methods has led, during the past 20 years, to a more aggressive approach to the treatment of peptic ulcer and to the use of gastric resection in an increasing proportion of cases. Yet if the results of resection were indeed as favorable as many reports would suggest, there would be little need for the numerous published appraisals of one technique as compared with another or for the continual restless search for better methods. A good deal has been written about the management of the patient whose ulcer is bleeding severely or has perforated. Extensive consideration has been given to the anatomical or physiological merits of the Billroth I and Billroth II principles, and to departures from either of these basic techniques in the elective surgery of peptic ulcer. In most of the studies in the latter group emphasis has been on the operation

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