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September 1962

Blind Gastric Resection in Upper Intestinal HemorrhageAccomplishments

Arch Surg. 1962;85(3):470-475. doi:10.1001/archsurg.1962.01310030118018

Every conscientious surgeon must be bedeviled by the questionable use of a blind procedure, especially if it requires extensive surgical maneuvering in regard to its feasibility and appropriateness.1-7 It does not suffice to state to oneself that the urgency of the emergency permits this large mutilating procedure. That idea can be dangerous, as it would permit the surgeon to rationalize a step that might be foolish and unsafe. If it fails, a certain humility, sense of remorse, and frustration must follow. To avoid this, one simply examines the results of this modus operandi and thereby recognizes what satisfaction exists from the effect, but, more importantly, it may well foretell the reasons for not doing the procedure.

This study includes observations upon 13 patients who had the so-called blind gastric resection for bleeding peptic ulcer (Table). A total of 643 bleeding-ulcer patients had been treated by cooperative medical-surgical therapy, and