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BASIC PRINCIPLES IN THE SURGICAL TREATMENT OF DUODENAL ULCERS

Richard Lewisohn, M.D.
JAMA. 1952;149(5):423-425. doi:10.1001/jama.1952.02930220013005.
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Almost 30 years have elapsed since the late Dr. A. A. Berg1 and I2 became convinced that in our hands gastroenterostomy was a complete failure in many cases of duodenal ulcer. At that time we advocated, for the first time in this country, that the operation of partial gastrectomy be employed in its stead as the surgical procedure of choice for duodenal ulcer. This decision was based largely upon the work of Haberer.3

Haberer's technique consisted in removing a distal onehalf to two-thirds of the stomach together with the pylorus and the ulcerative lesion in the duodenum. This procedure apparently appeared unnecessarily radical to many surgeons. For this reason a great deal of antagonism was encountered when the method was first introduced. At a meeting of the American Medical Association in Washington4 in 1927, where I presented results with partial gastrectomy as compared with results with

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