This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (16)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

FRANCIS D. THREADGILL, M.D.; ARTHUR HAGELSTEIN, M.D.

AMA Arch Surg. 1961;83(6):878-882.

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

Obstruction of the distal duodenum may result from congenital diaphragm, annular pancreas, pancreatic tumors, mesenteric vessel pressure, occluding veils and adhesions, megaduodenum, and other^1-9 causes. Essentially, the obstruction is due to mechanical factors causing extrinsic occlusive pressure or to intrinsic occlusions, the result of ulcers, diaphragms, or other processes. This essay concerns the management of obstruction due to duodenal diaphragm in the adult.

It will be shown that in the adult chronic incomplete obstruction causes a proximal duodenal dilation and hypertrophy. Pylorospasm is at first associated to enable the duodenum to empty distally. After some time the pylorus may become permanently patulous, and distal emptying may then no longer be possible.

In infants, one of the most frequent causes of distal duodenal obstruction is congenital duodenal diaphragm. Duodenojejunostomy, first done by Stavely,¹⁰ has been the treatment of choice. Gross¹¹ reports generally good results in a series of . . . [Full Text PDF of this Article]

Author Affiliations
WASHINGTON, D.C.

Department of Surgery, Washington Hospital Center.

Footnotes
Received for publication Feb. 17, 1961.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?