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ACUTE TRAUMATIC ULCERS OF THE SMALL INTESTINE: OBSERVATIONS ON THE EFFECTS OF APPLICATION OF CLAMPS ON THE GASTRO-INTESTINAL TRACT: AN EXPERIMENTAL STUDY

ACUTE TRAUMATIC ULCERS OF THE SMALL INTESTINE: OBSERVATIONS ON THE EFFECTS OF APPLICATION OF... Abstract It is generally recognized that trauma may be an important contributing factor in the genesis of chronic peptic ulcer. However, opinions differ regarding the influence of clamps as a source of trauma in gastro-intestinal operations and the relation of this form of trauma to chronic jejunal and experimental ulcers. A study of this problem was undertaken that more definite knowledge might be obtained of the nature and extent of the injury produced by clamps. The questions that I have endeavored to answer are: Do acute ulcers occur from pressure, and if so, do these ulcers become chronic? What is the influence of the nutritional state of the animal on the production and healing of these lesions? What is the effect of injury from clamps on those parts of the intestinal tract free from peptic activity? LITERATURE The first postoperative jejunal ulcer was reported by Braun1 in 1899. Since then References 1. Braun, H.: Demonstration eines Präparates einer 11 monate nach der Ausfuhrung der Gastro-Enterostomie entstandenen Perforation des Jejunum , Arch. f. klin. Chir. 59:157, 1899. 2. Haberer: Zur Frage des Ulcus pepticum jejuni auf Grund alterer und neurer klinischer Erfahrungen , Arch. f. klin. Chir. 119:712, 1922. 3. Verbrugge, Jean: Gastro-jejunocolic Fistula , Collected Papers of the Mayo Clinic 16:104, 1924. 4. Lewisohn, R.: The Frequency of Gastro-jejunal Ulcer , Surg. Gynec. Obst. 40:70, 1925. 5. Moynihan, B.: Jejunal Ulcer, Abdominal Operations , ed. 4, Philadelphia, W. B. Saunders Company, 1926, p. 288. 6. Erchenbrecht, H. P.: Ein Beitrag zur Kasuistik des Ulcus pepticum jejuni postoperativum , Beitr. z. klin. Chir. 127:365, 1922. 7. Haberer and Denk, cited by Kausch, footnote 9, ninth reference. 8. Orator, V.: Beitr. zur Magenpathologie (histologische Untersuchungen an klinischen Resktionsmaterial) Virchows Arch. f. path. Anat. 255:637, 1925.Crossref 9. Kausch, W.: Das Ulcus pepticum , Handbuch der Praktischen Chir. 3:289, 1923. 10. Roeder, C. A.: The Relation of Surgical Technic to Gastro-Jejunal Ulcer , Arch. Surg. 3:622 ( (Nov.) ) 1921.Crossref 11. Konjetzny, G. E.: Entzündliche Genese des Magen-Duodenal-gechwürs. Ein Beitrag zur Kenntnis der Ätiologie, Pathogenese, und Therapie Magenduodenal geschwürs , Arch. f. Verdauungskr. 36:189 ( (Dec.) ) 1925.Crossref 12. Pauchet, V.: Ulcus jéjunal post-operatoire , Bull. Acad. de méd. Paris 83:527 ( (June) ) 1920. 13. Woolsey, J. H.: Gastro-Jejunal and Jejunal Ulcer, Cause, Diagnosis and Treatment , S. Clin. N. Amer. 3:657 ( (June) ) 1923. 14. Terry, W. I.: Ulcer of the Jejunum following Gastro-Enterostomy , J. A. M. A. 75:219 ( (July 29) ) 1920.Crossref 15. Coffey, R. C.: A Plea for More Direct Methods in Dealing with Gastric Ulcers and Cancers , J. A. M. A. 57:1034 ( (Sept. 23) ) 1911.Crossref 16. Ivy, A. C.: Contributions to the Physiology of the Stomach , Arch. Int. Med. 25:6 ( (Jan.) ) 1920.Crossref 17. Mann, F. C., and Williamson, C. S.: The Experimental Production of Peptic Ulcer , Ann. Surg. 77:409, 1923.Crossref 18. Morton, C. B.: Observations on Peptic Ulcer , Ann. Surg. 85:207 ( (Feb.) ) 1927.Crossref 19. Ivy, A. C.: Personal communication to the author. 20. Gallagher, W. J., and Mullen, B. P.: Gastric Ulcer Studies, unpublished. 21. Dogliotti, A. M., and Riccio, F.: Jejunal Ulcer After Gastro-Enterostomy , Arch. Ital. di Chir. 10:821 ( (Dec.) ) 1924. 22. Howell, W. H.: Textbook of Physiology , ed. 6, Philadelphia, Saunders, 1918, p. 499. 23. Danzer, C. S., and Hooker, D. R.: Capillary Blood Pressure in Man , Am. J. Physiol. 52:136, 1920. 24. Dawson, cited by Howell (footnote 23). 25. Burton-Opitz, cited by Howell (footnote 23). 26. Dragstedt, L. R., and Vaughn, A. M.: Gastric Ulcer Studies , Arch. Surg. 8:791 ( (May) ) 1924.Crossref 27. Ivy, A. C.: Experimental Studies on Gastric and Duodenal Ulcer , Am. J. Physiol. 49:143, 1919. 28. Bogendörfer, L.: Beziehungen zwischen Magensaftsekretion und Dünndarm , Arch. f. Verdauungskr. 39:99 ( (Oct.) ) 1926.Crossref 29. Ivy, A. C.: Studies on Gastric and Duodenal Ulcer , J. A. M. A. 75:1540 ( (Dec. 4) ) 1920.Crossref 30. Carlson, A. J.: Personal communication to the author. 31. Luckhardt, A. B.: Personal communication to the author. 32. Wilson, L. B., and McCarty, W. C.: The Pathological Relationship of Gastric Ulcer and Gastric Carcinoma , Am. J. Med. Sc. 138:846, 1909.Crossref 33. Spilsbury, B. H.: Morbid Anatomy and Histology of Gastric and Duodenal Ulcer , Proc. Roy. Soc. Med. 15:25, 1922. 34. Bolton, Chas.: Ulcer of the Stomach, Arnold, 1913, p. 396. 35. Jona, J. L.: Experimental Study of Duodenal Ulcer , M. J. Australia 1:316 ( (April 19) ) 1919. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ACUTE TRAUMATIC ULCERS OF THE SMALL INTESTINE: OBSERVATIONS ON THE EFFECTS OF APPLICATION OF CLAMPS ON THE GASTRO-INTESTINAL TRACT: AN EXPERIMENTAL STUDY

GALLAGHER, WILLIAM JOHN
Archives of Surgery , Volume 15 (5) – Nov 1, 1927
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References (31)

Publisher
American Medical Association
Copyright
Copyright © 1927 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1927.01130230025003
Publisher site
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Abstract

Abstract It is generally recognized that trauma may be an important contributing factor in the genesis of chronic peptic ulcer. However, opinions differ regarding the influence of clamps as a source of trauma in gastro-intestinal operations and the relation of this form of trauma to chronic jejunal and experimental ulcers. A study of this problem was undertaken that more definite knowledge might be obtained of the nature and extent of the injury produced by clamps. The questions that I have endeavored to answer are: Do acute ulcers occur from pressure, and if so, do these ulcers become chronic? What is the influence of the nutritional state of the animal on the production and healing of these lesions? What is the effect of injury from clamps on those parts of the intestinal tract free from peptic activity? LITERATURE The first postoperative jejunal ulcer was reported by Braun1 in 1899. Since then References 1. Braun, H.: Demonstration eines Präparates einer 11 monate nach der Ausfuhrung der Gastro-Enterostomie entstandenen Perforation des Jejunum , Arch. f. klin. Chir. 59:157, 1899. 2. Haberer: Zur Frage des Ulcus pepticum jejuni auf Grund alterer und neurer klinischer Erfahrungen , Arch. f. klin. Chir. 119:712, 1922. 3. Verbrugge, Jean: Gastro-jejunocolic Fistula , Collected Papers of the Mayo Clinic 16:104, 1924. 4. Lewisohn, R.: The Frequency of Gastro-jejunal Ulcer , Surg. Gynec. Obst. 40:70, 1925. 5. Moynihan, B.: Jejunal Ulcer, Abdominal Operations , ed. 4, Philadelphia, W. B. Saunders Company, 1926, p. 288. 6. Erchenbrecht, H. P.: Ein Beitrag zur Kasuistik des Ulcus pepticum jejuni postoperativum , Beitr. z. klin. Chir. 127:365, 1922. 7. Haberer and Denk, cited by Kausch, footnote 9, ninth reference. 8. Orator, V.: Beitr. zur Magenpathologie (histologische Untersuchungen an klinischen Resktionsmaterial) Virchows Arch. f. path. Anat. 255:637, 1925.Crossref 9. Kausch, W.: Das Ulcus pepticum , Handbuch der Praktischen Chir. 3:289, 1923. 10. Roeder, C. A.: The Relation of Surgical Technic to Gastro-Jejunal Ulcer , Arch. Surg. 3:622 ( (Nov.) ) 1921.Crossref 11. Konjetzny, G. E.: Entzündliche Genese des Magen-Duodenal-gechwürs. Ein Beitrag zur Kenntnis der Ätiologie, Pathogenese, und Therapie Magenduodenal geschwürs , Arch. f. Verdauungskr. 36:189 ( (Dec.) ) 1925.Crossref 12. Pauchet, V.: Ulcus jéjunal post-operatoire , Bull. Acad. de méd. Paris 83:527 ( (June) ) 1920. 13. Woolsey, J. H.: Gastro-Jejunal and Jejunal Ulcer, Cause, Diagnosis and Treatment , S. Clin. N. Amer. 3:657 ( (June) ) 1923. 14. Terry, W. I.: Ulcer of the Jejunum following Gastro-Enterostomy , J. A. M. A. 75:219 ( (July 29) ) 1920.Crossref 15. Coffey, R. C.: A Plea for More Direct Methods in Dealing with Gastric Ulcers and Cancers , J. A. M. A. 57:1034 ( (Sept. 23) ) 1911.Crossref 16. Ivy, A. C.: Contributions to the Physiology of the Stomach , Arch. Int. Med. 25:6 ( (Jan.) ) 1920.Crossref 17. Mann, F. C., and Williamson, C. S.: The Experimental Production of Peptic Ulcer , Ann. Surg. 77:409, 1923.Crossref 18. Morton, C. B.: Observations on Peptic Ulcer , Ann. Surg. 85:207 ( (Feb.) ) 1927.Crossref 19. Ivy, A. C.: Personal communication to the author. 20. Gallagher, W. J., and Mullen, B. P.: Gastric Ulcer Studies, unpublished. 21. Dogliotti, A. M., and Riccio, F.: Jejunal Ulcer After Gastro-Enterostomy , Arch. Ital. di Chir. 10:821 ( (Dec.) ) 1924. 22. Howell, W. H.: Textbook of Physiology , ed. 6, Philadelphia, Saunders, 1918, p. 499. 23. Danzer, C. S., and Hooker, D. R.: Capillary Blood Pressure in Man , Am. J. Physiol. 52:136, 1920. 24. Dawson, cited by Howell (footnote 23). 25. Burton-Opitz, cited by Howell (footnote 23). 26. Dragstedt, L. R., and Vaughn, A. M.: Gastric Ulcer Studies , Arch. Surg. 8:791 ( (May) ) 1924.Crossref 27. Ivy, A. C.: Experimental Studies on Gastric and Duodenal Ulcer , Am. J. Physiol. 49:143, 1919. 28. Bogendörfer, L.: Beziehungen zwischen Magensaftsekretion und Dünndarm , Arch. f. Verdauungskr. 39:99 ( (Oct.) ) 1926.Crossref 29. Ivy, A. C.: Studies on Gastric and Duodenal Ulcer , J. A. M. A. 75:1540 ( (Dec. 4) ) 1920.Crossref 30. Carlson, A. J.: Personal communication to the author. 31. Luckhardt, A. B.: Personal communication to the author. 32. Wilson, L. B., and McCarty, W. C.: The Pathological Relationship of Gastric Ulcer and Gastric Carcinoma , Am. J. Med. Sc. 138:846, 1909.Crossref 33. Spilsbury, B. H.: Morbid Anatomy and Histology of Gastric and Duodenal Ulcer , Proc. Roy. Soc. Med. 15:25, 1922. 34. Bolton, Chas.: Ulcer of the Stomach, Arnold, 1913, p. 396. 35. Jona, J. L.: Experimental Study of Duodenal Ulcer , M. J. Australia 1:316 ( (April 19) ) 1919.

Journal

Archives of Surgery – American Medical Association

Published: Nov 1, 1927

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