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September 1958

A Method for Estimating the Proportion of Stomach Removed in Partial Gastrectomy

Author Affiliations

Evansville, Ind.; Rochester, Minn.
Former Fellow in Surgery, Mayo Foundation (Dr. Heinrich). Section of Surgical Pathology (Dr. Dockerty); Section of Surgery (Dr. Priestley); Section of Biometry and Medical Statistics (Mr. Gage), Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Surg. 1958;77(3):396-401. doi:10.1001/archsurg.1958.01290030096011

Those interested in the surgical treatment of duodenal ulcer by gastric resection agree that the amount of stomach that is removed at operation bears a relationship to the incidence of recurrent ulcer. It is frequently stated that at least three-quarters of the stomach should be removed if the rate of recurrent ulceration is to be kept at an acceptably low level. If vagotomy is combined with gastric resection, it appears that less of the stomach need be removed to accomplish the same results. Many different methods have been employed by surgeons to determine the percentage of stomach removed, ranging from gross estimates or a guess to calculations based primarily on weight, linear measurements, or other single variables. It appeared that a more accurate method of determining the proportion of stomach removed at the time of partial gastrectomy might be helpful. The present study was undertaken with the purpose of developing

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