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JOSEPH K. NARAT, M.D.; LOUIS A. MANELLI, M.D.

AMA Arch Surg. 1953;66(2):192-197.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

NONFUNCTIONING or malfunctioning anastomosis after gastroenterostomy or subtotal gastric resection is a relatively frequent postoperative complication, which may or may not necessitate further surgical intervention. Eastman and Cole¹ encountered 7 cases of postoperative obstruction in a series of 191 gastrectomies. In a series of 100 cases reported by Gray and Sharpe² in which posterior gastroenterostomy had been performed for duodenal ulcer, the incidence of gastric retention was 35%. Certain changes in the technique of operation and of postoperative care reduced this complication in another series of 100 cases to 19%. Serious retention was recorded in 24% in the first series and in 13% in the second group.

A multitude of factors may be responsible for postoperative gastric retention. According to location, they may be divided into three groups:

1. Those affecting the proximal or afferent limb. When the resection has been unusually high, a kink may form where . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Surgical Service, St. Elizabeth Hospital.

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