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May 1967

Obstructing Peptic Ulcers: Results of Treatment

Author Affiliations

From the Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore. Dr. Ebert is with the Department of Surgery, Duke University Medical Center, Durham, NC.

Arch Surg. 1967;94(5):724-727. doi:10.1001/archsurg.1967.01330110140018

PATIENTS undergoing operations for obstruction of the stomach and duodenum due to benign ulcer disease are thought to have a high incidence of postoperative complications.1 Moreover, postvagectomy gastric atony has reportedly been associated with prolonged hospitalization in many patients with outlet obstruction.1-3 Tube gastrostomy4,5 and nasogastric suction6,7 have been used to relieve this troublesome condition with varying degrees of success. The concept has been that the chronically distended stomach found in patients with pyloric or duodenal obstruction was slow to empty after operation, lacked active peristalsis, and was more susceptible to postvagectomy atony. In a retrospective study of 700 patients undergoing operation for benign ulcers of the stomach or duodenum at The Johns Hopkins Hospital from 1952 to 1965,8 attention was directed to the operative and postoperative management of a group of 65 patients with obstructing ulcers. The purpose of the study was to evaluate