Pyloric obstruction is a well-recognized complication of chronic peptic ulceration of the duodenum, and, when persistent, is an accepted indication for surgical intervention. Despite the frequency with which this complication is encountered, few reports have analyzed in detail the clinical and pathological aspects of obstruction in contrast to hemorrhage and perforation. This report is an analysis of experience with this entity over a 5-year period.
Primary definitive operations for duodenal ulcer were performed upon 242 patients on the pavilion service of the New York Hospital during the 5-year period of July 1, 1953, through June 30, 1958. Pyloric obstruction was the indication for operation in 70 patients, or 28.9%. This group was composed of 54 men and 16 women who had an age range from 28 to 78 years.The duration of ulcer symptoms among these patients with pyloric obstruction varied from less than one year in 4