Of the complications which are associated with the surgical treatment of peptic ulcer, marginal ulceration is one of the most serious. This complication is difficult to manage and carries a poor prognosis. The many different methods of treatment which have been and are recommended indicate that many of the problems related to this disorder remain unsolved.
In this communication, the experience with marginal ulceration at the University and Veterans Administration Hospitals is reviewed. An attempt has been made to evaluate critically the effectiveness of treatment.
Methods and Results
The case records of about 300 patients seen during the interval 1928 through 1960, in which a diagnosis of marginal, stomal, or gastrojejunal ulceration and/or gastrojejunocolic fistula was recorded, were reviewed by one of us (L. R.). The 151 of these patients who were accepted for inclusion in the study had convincing clinical and x-ray findings confirming the diagnosis, or the diagnosis