On repeated surgeries for stomach and duodenal ulcers

Prof. S. S. Girgolav (Journal of Modern Surgery, vol. III, issue, 4.1928), having examined his 54 cases of repeated operations, came to the conclusion that with callosal ulcers of the lesser curvature of the stomach, resection should be done the first time. If after G E there was no light gap and an unhealed ulcer was found during the repeated operation, then, obviously, the anastomosis does not work and resection is necessary. If the anastomosis is functional and the ulcer is in the new or old site, resection is recommended. In case of complaints of upset gastric digestion and the absence of an ulcer during a second operation, the anastomosis should be destroyed.