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Radical Subtotal Gastrectomy for Peptic Ulcer DiseaseA Clinical and Laboratory Evaluation
CARL S. HOAR, Jr., M.D.;
Robert G. Simpson
AMA Arch Surg. 1959;78(3):384-392.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The decision regarding the type of surgical procedure to be done for a patient with peptic ulcer disease is hampered by the difficulty of an intelligent evaluation of the published results of surgery. This is due to the fact that accurate descriptions are often not given of the exact extent of resection or of the nature of the anastomoses performed. It seems valuable, therefore, to continue to examine, by careful clinical studies, certain points which are still unsettled. The one chosen for appraisal here is the effect of the extent of resection on postoperative nutrition and symptoms.
Visick1 reported on a "measured radical gastrectomy" which removed all the stomach but 3 in. of the greater curvature and 1 in. of the lesser curvature. Observation2 of these patients at postoperative intervals averaging 2.6 years showed that 81% had less than 10% weight loss, a figure comparable to that (namely,
. . . [Full Text PDF of this Article]
Author Affiliations
West Roxbury, Mass.
From Veterans Administration Hospital.; Assistant Chief in Surgery, Veterans Administration Hospital.
Footnotes
Submitted for publication Sept. 12, 1958.
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