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Transactions of the Section on Surgery, General and Abdominal of the American Medical Association at the Annual Session (Volume 72)

Transactions of the Section on Surgery, General and Abdominal of the American Medical Association at the Annual Session (Volume 72)


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921. Excerpt: ... GASTROJEJUNAL AND JEJUNAL ULCERS REPORT OF TWENTY-ONE CASES RICHARD LEWISOHN, M.D. Attending Surgeon, Beth Israel Hospital; Associate Surgeon, Mount Sinai Hospital NEW YORK Gastro-enterostomy has been considered, until a few years ago, by the large majority of surgeons as the operation of choice for the radical treatment of pyloric and duodenal ulcers. However, the results obtained by this operative procedure have not been such as to justify the high hopes that were entertained by surgeons for it. There is no doubt that about 75 per cent. of all pyloric and duodenal ulcers are permanently cured by gastro-enterostomy. This is verified by the statistics of the large surgical clinics. The object of this paper is to deal with one of the causes of failure to effect a radical cure by gastroenterostomy, namely, gastrojejunal1 and jejunal ulcer. Gastrojejunal and jejunal ulcers occur in about 4 per cent. of gastro-enterostomies. Numerous theories have been advanced as to the causation of these ulcers. Many authors have assumed that nonabsorbable suture material (Pagenstecher's linen thread) was one of the most frequent causes for the formation of these ulcers. Eusterman2 reports from the Mayo Clinic that in one third of eighty-three gastrojejunal ulcers, retained suture material was a From the Wimpfheimcr Division for Gastro-Enterological Surgery (Service of Dr. A. A. Berg), Mount Sinai Hospital. 1. The term "marginal ulcer," which is often applied to these ulcers, is nondescriptive and should not be used. 2. Eusterman, G. B.: Gastrojejunal Ulcers, Minnesota Med. 3:517 (Nov.) 1920. highly probable causative factor. Our statistics do not warrant the same conclusion. In none of our patients suffering from gastrojejunal or jejunal ulcers were remnants of suture ma...


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Product Details
  • ISBN-13: 9781154099164
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 102
  • Spine Width: 5 mm
  • Width: 189 mm
  • ISBN-10: 1154099164
  • Publisher Date: 01 Feb 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 249 gr


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