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Postgastrectomy State and Tuberculosis

IRVING CHOFNAS, MD; ROBERT W. LOVE JR., MD
Arch Surg. 1966;92(5):704-706. doi:10.1001/archsurg.1966.01320230052009.
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THE YEARS 1948-1958 contain a small but impressive literature associating the postgastrectomy state with pulmonary tuberculosis.1-12 This literature in the main emanates from outside the United States.1-9 One may find that 3% of tuberculous patients have the scar of gastric surgery1 and in reverse it is stated that 2% of postgastrectomy patients may develop tuberculosis.10 Concern has been expressed regarding the form that the tuberculosis may take; a 25% mortality is reported.10 The pulmonary lesions are described as far advanced with a large pneumonic component.10,11

During the past 15 to 20 years gastrectomy has been more frequently used in the care of peptic ulcers and chest x-ray films have become a part of routine care and population study. The incidence of tuberculosis is still high. Antimicrobial combinations have led to ready control of morbidity and very limited mortality. Prior to present day concepts of

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