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THE RÔLE OF THE TRANSVERSE MESOCOLON FOLLOWING GASTROENTEROSTOMY

C. A. ROEDER, M.D.
JAMA. 1917;LXIX(16):1320-1323. doi:10.1001/jama.1917.02590430014005.
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A gastro-enterostomy is no exception to the rule that it is impossible to short-circuit completely any portion of the gastro-intestinal tract unless a complete obstruction is present. However, if the operation is properly performed the irritating gastric juices are drained off as fast as secreted, affording Nature an opportunity to heal the ulcer. She ejects the food when ready through the most convenient opening. It is now definitely established that we obtain equally as good results whether or not the pylorus or duodenum is blocked, and that we obtain better results for gastric ulcer when the ulcer is destroyed by cautery or excision, the former method being preferred. The good results are attributed by many to the presence of the alkaline bile and pancreatic juices in the stomach neutralizing the acid. This makes it quite difficult to explain why a duodenal ulcer becomes chronic when we know that from its

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