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 |

Secretory Studies in Frozen Heidenhain Pouches

LAWRENCE E. SAVAGE, MD; L. STANTON STAVNEY, MD; JOHN K. STEVENSON, MD; HENRY N. HARKINS, MD; LLOYD M. NYHUS, MD
Arch Surg. 1963;87(4):690-695. doi:10.1001/archsurg.1963.01310160152030.
Text Size: A A A
Published online

Since the advent of gastric freezing as a definitive treatment of duodenal ulcer at the University of Minnesota, considerable interest has evolved concerning this procedure. Wangensteen et al (1962)6 have stated that local gastric hypothermia may produce a physiological gastrectomy since there is a marked reduction in acid secretion after freezing. Their laboratory investigations have demonstrated a total achlorhydria in three Heidenhain preparations with marked reduction in secretory responses in two other animals after the Heidenhain pouches were frozen. Similar data were obtained from other of their pouch preparations, and it eventually seemed feasible to apply the technique clinically.2,3 In this regard it is estimated that 1,000 patients in the United States have currently undergone gastric freezing as definitive treatment of chronic duodenal ulcer.

Prior to any clinical evaluation of gastric freezing we have felt the necessity to fulfill two fundamental propositions in our experimental laboratory. In the

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

Figures

Tables

References

Correspondence

CME
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.
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();