0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Operative Experience Following Gastric Irradiation for Ulcer

WALTER E. RECKLING, M.D.; BEN EISEMAN, M.D.
Arch Surg. 1962;84(4):467-469. doi:10.1001/archsurg.1962.01300220091015.
Text Size: A A A
Published online

X-irradiation of the stomach has been reported for the treatment of peptic ulcer in well over 1,000 cases.1,2,5,6 The operative findings in the 16% to 27%2 of treatment failures where recurrences or complications required subsequent surgery have not as yet been reported, as most of the cases have been treated by gastroenterologists and radiologists, not surgeons. This is a review of the operative experience at the Denver Veterans Administration Hospital with 5 cases in which surgical intervention followed irradiation treatment of complicated peptic ulcer.

Irradiation of the body and fundus of the stomach with 1,600-2,600 r (depth dose) produces a cellular degeneration in the gastric mucosa after a lag period of approximately 3 weeks.3,7 This degeneration is mainly in the base of the gastric tubules, with loss of parietal and chief cells. Subsequently there is a reduction in the volume and acidity of gastric secretion beginning 2

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();