THE ETIOLOGY OF POSTOPERATIVE PEPTIC ULCERS

1 November 1932

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

Vol. 25 (5) , 819-848
https://doi.org/10.1001/archsurg.1932.01160230002001

Abstract

One of the most serious and distressing complications following surgical treatment for benign gastroduodenal ulcerations is the postoperative peptic ulcer. Jejunal ulcers following gastro-enterostomy have been reported frequently in the literature. It appears that no method of surgical procedure offers an absolute assurance against this much dreaded complication. In 1921, Denk¹reported six cases of definite peptic ulcers and eight doubtful cases following resection of the stomach. In 1925, Birgfeld²reported fifty-three cases of jejunal ulcerations following the Billroth II method of resection of the stomach. In a summary of 13,000 resections of the stomach Starlinger³reported 0.9 per cent recurrent ulcerations after the Billroth I method of resection, and 0.6 per cent jejunal ulcerations after the Billroth II method of resection. There is a great deal of discussion in the literature concerning the etiology of this complication and the surgical methods most effective in its prevention.

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