THE SURGICAL procedure which we shall consider is not a new one. In 1881 the first successful gastric resection ever performed was carried out by Billroth, who used a rather similar technic. The Billroth I operation, as it has been called since its original description, has had varying degrees of favor. In general, the Billroth II procedure, the Polya types of gastric resection and their innumerable modifications have been used more extensively than the Billroth I procedure, and a review of the literature on gastric resection has convinced us that the Billroth I procedure has been performed only rarely in most surgical clinics in the last twenty years.
Some of the great surgeons of the past were well aware of the advantages of the Billroth I type of gastric resection. Haberer,1 Finney,2 Mayo3 and Schoemaker4 developed their own modifications of the original operation and used them