TOTAL GASTRECTOMY WITH ESȮPHAGODUODENAL ANASTOMOSIS

1 February 1948

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

Vol. 56 (2) , 145-152
https://doi.org/10.1001/archsurg.1948.01240010150004

Abstract

ALTHOUGH Merrem¹ performed the first total gastrectomy in an experimental animal in 1810, Schlatter² in 1897 was the first to perform this operation successfully in man. Since that time it has been employed in a limited number of cases, mostly in the treatment of cancer. Because of three main reasons this operation has not been used extensively, namely, (1) the technical difficulty of its execution, (2) the high operative mortality and (3) the poor late results. At present, these factors have been overcome only partially, and therefore the procedure is still used with relative infrequency. Excellent articles dealing with total gastrectomy have been contributed by Finney and Rienhoff,³ Pack and McNeer,⁴ Graham,⁵ Ransom,⁶ Waugh and Fahlund,⁷ Lahey⁸ and others, and the subject has also been reviewed by Walters, Gray and one of us.⁹ It is not the purpose of this paper

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