TOTAL GASTRECTOMY

1 May 1946

journal article
research article
Published by American Medical Association (AMA) in Archives of Surgery

Vol. 52 (5) , 603-609
https://doi.org/10.1001/archsurg.1946.01230050611007

Abstract

IN the last few years, removal of the entire stomach has been accomplished with sufficient frequency and success to establish it as a sound procedure in certain cases of neoplastic infiltration of a major part of the stomach. In 1938, Lahey¹ reported 8 cases with 3 deaths. By 1944 Lahey and Marshall² were able to report 73 cases, the largest series on record, with an operative mortality of 33 per cent. In 1943 Pack³ reviewed 278 cases of total gastrectomy for carcinoma and added 20 cases from the Memorial Hospital for the Treatment of Cancer and Allied Diseases. The operative mortality for the entire group was 37.6 per cent; for the cases from the Memorial Hospital it was 30 per cent. DeAmesti⁴ called attention to the fact that complete removal of the stomach may be followed by a fairly healthy existence. The reservoir function of the

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