TREATMENT OF PERFORATION OF GASTROJEJUNAL ULCER BY RESECTION OF STOMACH AND ANASTOMOSIS

Abstract

THE TYPE of primary operation performed for gastrojejunal ulcer and the technic are undoubtedly of great importance. As shown by the data recorded by Beresov,1Sokolov,2Levin3and Makkas,4the gastrojejunal ulcer most frequently complicates anterior anastomosis after the method of Wolfer, less frequently resection for exclusion as performed by Finsterer, the posterior anastomosis and resection of the stomach according to Billroth's type II and most rarely resection of the stomach according to Billroth's type I. The degree of physiologic and morphologic alterations in the stomach playing a decisive role in the pathogenesis of gastrojejunal ulcer is dependent not only on the type of operation but also on the character of the primary disease and on the technical deficiency of the first operation. The tendency of peptic ulcers toward perforation and penetration is well known. Nevertheless, despite the great number of gastroenteroanastomoses performed during recent years,