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  Vol. 78 No. 4, April 1959 TABLE OF CONTENTS
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  MANAGEMENT OF COMPLICATIONS OF DUODENAL ULCER
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Prognosis When Patient Develops Marginal Ulcer After Subtotal Resection for Duodenal Ulcer

WALTMAN WALTERS, M.D.

AMA Arch Surg. 1959;78(4):516-517.

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

Two series of cases form the basis for my discussion of treatment of gastrojejunual ulcer following previously performed gastroenterostomy or partial gastrectomy. The first series consists of 301 cases in which operation for gastrojejunal ulcer was performed at the Mayo Clinic. In 186 of these cases the gastrojejunal ulcer had developed after gastroenterostomy, and in 115 it had followed partial gastrectomy. The mean interval between the previous operation and the definitive operation for gastrojejunal ulcer was 11.2 years for those having previous gastroenterostomy and 3.7 years for those having previous gastric resection. Of the 301 patients, 91% were men and 9% women. A history of hemorrhage from the ulcer, or evidence of it, was found in about half of the cases (149), and perforation into the colon was present in 6.5%. The perforation occurred mostly as a complication of gastrojejunal ulcer after gastroenterostomy, 16 of our 20 cases being in . . . [Full Text PDF of this Article]


Author Affiliations

Rochester, Minn.

Section of Surgery, Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.


Footnotes

Submitted for publication June 26, 1958.

Read in a Panel Discussion before the Section on Gastroenterology and Proctology at the 107th Annual Meeting of the American Medical Association, San Francisco, June 26, 1958.



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