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EXTENSIVE PARTIAL GASTRECTOMY AS THE SURGICAL TREATMENT OF CHRONIC GASTRIC ULCER.
Author(s) -
Catchlove S. G. L.
Publication year - 1937
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1937.tb03540.x
Subject(s) - medicine , gastrectomy , surgery , pathological , perforation , shock (circulatory) , general surgery , cancer , materials science , punching , metallurgy
Summary1 Six patients who gave a history of gastric symptoms of long duration associated with consistant pain have been submitted to partial gastrectomy with no mortality. 2 Medical treatment under hospital régime gave only partial or temporary relief. 3 The gross pathological condition found at operation confirmed the long‐standing nature of the disease with no evidence of complete healing, but showed evidence of slow progression towards deep penetration and perforation. 4 In four cases hiyperchlorhydria was transformed into achlorhydria. 5 Partial gastrectomy gave immediate relief in all cases, with no return of symptoms up to a period of twelve months. 6 Partial gastrectomy removes the “ulcer‐bearing” and “acid‐secreting” areas, and eliminates the possibility of malignant change. 7 Partial gastrertomy was attended by comparatively little Shock, both operative and post‐operative. 8 In view of the gross pathological change found, nothing less than partial gastrectoniy was indicated or held out any hope of permanent cure.