FREQUENCY OF GASTROJEJUNAL ULCERS FOLLOWING SIMPLE GASTROENTEROSTOMY FOR DUODENAL ULCERS

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To the Editor:— In an interesting paper entitled "Vagotomy as a Prophylactic and Curative Procedure in Peptic Ulcer" (The Journal153:993 [Nov. 14] 1953), Walters and Chance refer to my paper on the "Frequency of Gastrojejunal Ulcers" that was published nearly 30 years ago (Surg., Gynec. & Obst.40:70 [Jan.] 1925). They quote from this paper the fact that recurrent ulceration was proved by operation in 18% of the cases and suspected clinically in another 16% of the cases, a total of 34%. In discussing these figures, they state: "Although mention is not made of the nationality of the patients in the reports from Mount Sinai Hospital, it may be assumed that the majority were Jews, among whom recurrent ulceration is greatly increased." May I point out again (as I have done previously on a number of occasions) that the frequency of gastrojejunal ulcers following gastroenterostomy does not

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