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December 1958

Postoperative Mortality: A Major Consideration in Selection of an Operation for Duodenal Ulcer

Author Affiliations

Cleveland Clinic 2020 E. 93d St. Cleveland 6
From the Department of General Surgery, The Cleveland Clinic Foundation, and The Frank E. Bunts Educational Institute.

AMA Arch Surg. 1958;77(6):857-858. doi:10.1001/archsurg.1958.01290050027005

In a recent survey1 made by a committee of the Ohio Chapter of the American College of Surgeons, with Dr. S. O. Hoerr as chairman, it was found that for the group of 29 hospitals regarded as being among the best in the State of Ohio the mortality for a total of 2562 elective operations for duodenal ulcer was 4.3%. Eighty-nine per cent of the operations were performed by Board-Certified surgeons or Fellows of the American College of Surgeons. This mortality occurred in the past five years and did not include deaths following emergency operations for bleeding or perforation. The highest reported mortality was 7.8% and the lowest 0%.

Differences in mortality appeared to be mainly the result of differences in the types of operation employed. The state-wide mortality for elective gastric resection was 4.9%, whereas the mortality for operations exclusive of resection (mostly vagotomy with a drainage procedure)

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