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Treatment of Postgastrectomy Stomal Ulcer by Gastric Freezing
EUGENE F. BERNSTEIN, MD;
ARTHUR S. McFEE, MD;
ROBERT L. GOODALE, JR., MD;
ARTHUR J. MADSEN, MD;
OWEN H. WANGENSTEEN, MD
AMA Arch Surg. 1963;87(1):13-23.
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Introduction
The development of stomal ulcer following gastric resection for duodenal ulcer, whether manifested by recurrent ulcer symptoms or by upper gastrointestinal tract bleeding, represents a difficult and challenging problem. Almost invariably surgery has been necessary to correct the situation, with vagotomy and/or further resection as the conventional surgical approach. Vagotomy is the simpler and lesser procedure and has been widely employed in the management of stomal ulcer in recent years.
Gastric freezing for the definitive control of the peptic ulcer diathesis is a direct outgrowth of successes with milder forms of gastric hypothermia for the control of massive upper gastrointestinal hemorrhage.1 Gastric cooling for this latter purpose followed studies in frogs and dogs in which it was observed that gastric digestion was completely suspended at temperatures of 10 to 15 C. In fact, subsequent studies have shown virtual suspension of gastric digestion at temperatures below 10 C, as
. . . [Full Text PDF of this Article]
Author Affiliations
MINNEAPOLIS
Advanced Research Fellow, American Heart Association (Dr. Bernstein).; Department of Surgery, University of Minnesota Medical School.
Footnotes
Presented at the 20th Annual Meeting of the Central Surgical Association, Chicago, Feb 21-23, 1963.
This work was supported by grants from the United States Public Health Service and the Donald J. Cowling Funds for Surgical Research.
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