GASTROJEJUNAL ULCERS

Abstract

In any case in which gastro-enterostomy has been performed for symptoms due to a definite demonstrable lesion and has been followed by comfort for a varying period, and then by recurrence of certain or all the symptoms in greater or less degree, to determine the cause of the recurrence often occasions considerable perplexity. Without discussing the various possible causes, we wish to refer to the fact that the occasional disappointing result is due to the development of another ulcer in the vicinity of the gastroenterostomy. These ulcers have been variously described as gastrojejunal and jejunal ulcers, and it is quite probable that cases of jejunal ulcer have been reported which were essentially gastrojejunal, and vice versa. Thus in reviewing the literature one is confronted with considerable difficulty in selecting cases of undoubted gastrojejunal ulcer. Paterson 1 was one of the first to draw attention to these ulcers, and his comprehensive