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Stomal Obstruction Following Gastric Resection

Arch Surg. 1961;83(6):869-871. doi:10.1001/archsurg.1961.01300180069012.
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One of the complications of gastric resections one encounters is the occasional patient whose gastric remnant will fail to empty completely and in whom a gastric stasis occurs for a varying period of time. How long to persist in the use of conservative measures before resorting to surgical exploration then becomes an important consideration. Since this is a subject of considerable practical importance, and since it has been my misfortune to have to contend with a fair number of such complications, this experience is recorded.

It seems to me, since combining vagotomy with gastric resection in the treatment of duodenal ulcers, the delay in gastric emptying appears to occur more frequently. Immediately after vagotomy, gastric atony may be especially prominent. Because many surgeons believe that rapid emptying of the stomach with over-distension of the jejunum is an important contributing factor in the cause of the postoperative dumping syndrome, the creation


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