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February 12, 1949, Vol 139, No. 7 >
ARTICLE | February 12, 1949

MECHANISM OF THE POSTGASTRECTOMY SYNDROME

DAVID ADLERSBERG, M.D.; ERNST HAMMERSCHLAG, M.D.
JAMA. 1949;139(7):429-437. doi:10.1001/jama.1949.02900240007002.
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Partial gastrectomy remains at present the method of choice in the surgical treatment of peptic ulcer. Studies of the past few years regarding vagotomy alone or in combination with gastroenterostomy or gastric resection do not as yet permit a final evaluation of this procedure. A recent discussion on vagotomy1 disclosed a considerable difference of opinion with regard to the selection of cases, the technical procedure and the postoperative complications. Many more years of study will be necessary to answer these questions, so that at present vagotomy is still on trial. In contrast, partial gastrectomy has been practiced for many years in all parts of the world and considerable experience is available concerning immediate and late results. With advancement of technic, postoperative mortality has been reduced to a minimum and the final results appear to be in general satisfactory. Jejunal ulcer, exceedingly common after gastroenterostomy, represents a rare complication of

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