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GERHARD KOLIG, MD; FREDRICK W. MARX, JR., MD

AMA Arch Surg. 1965;90(2):182-187.

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

SINCE WANGENSTEEN and associates'²⁵ earliest papers on "physiological gastrectomy" through gastric freezing, there has been considerable controversy with regard to the efficacy of the freeze in the reduction of gastric acid^{2,3,9,10,20,21} Of even more concern to clinicians, however, have been the persistent reports that the procedure itself is not without risk.^1,8,15,21 Mild bleeding and gastric ulceration are the most commonly reported problems following freezing in patients. Wangensteen himself has reported such complications and has stated that they have influenced him frequently to reappraise the freezing technique.^3,25 Of still more concern have been the reports of death directly related to postfreezing gastric ulcer. In laboratory animals, McIlrath and others,¹⁷ Artz et al,¹ Savage and others,²⁰ and Scott and associates²¹ reported necrotic lesions in canine stomachs subjected to freezing. In this laboratory hemorrhagic necrosis was observed to occur consistently in the acid-bearing portions of . . . [Full Text PDF of this Article]

Author Affiliations
LOS ANGELES

From the University of California, Los Angeles, School of Medicine, Department of Surgery. Present Address, University Clinic of Surgery, Heidelberg, Germany, (Dr. Kolig).

Footnotes
Submitted for publication July 20, 1964.

Reprint requests to Los Angeles, Calif 90024 (Dr. Marx).

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