Abstract Although numerous articles have appeared in the medical literature concerning the various complications encountered after gastric surgery, there has been no report of gastrectomy complicated by the Guillain-Barré syndrome (infectious neuronitis). A careful review of the literature has failed to reveal a single case of this type. The following case is, therefore, reported as an instance of chronic gastric ulcer treated by subtotal gastrectomy in which the Guillain-Barré syndrome appeared as a serious complication, from which the patient subsequently recovered completely. Report of a Case History. —A man aged 62 was admitted to the Suburban General Hospital, Dec. 6, 1953, with complaints of epigastric pain, nausea, and vomiting. The pain, which was related to meals, had become intractable during the two months prior to his admission. During this interval, there was a loss of 18 lb. in weight. The past medical history revealed that surgery had been performed Jan. 31, References 1. Blood, A.; Locke, W., and Carabasi, R.: Guillain-Barré Syndrome Treated with Corticotropin (ACTH) , J. A. M. A. 152:139-140, 1953.Crossref 2. Von Hagen, K. O., and Baker, R. N.: Infectious Neuronitis, Present Concepts of Etiology and Treatment , J. A. M. A. 151:1465-1472, 1953. 3. Karsner, H. A.: Human Pathology , Ed. 8, Philadelphia, J. B. Lippincott Company, 1955, p. 865. 4. MacNeal, P. S., and Bland, J. H.: The Guillain-Barré Syndrome: Review of Literature; Current Implication and Report of 7 Cases , Am. Pract. & Digest Treat. 1:337-346, 1950. 5. Reitman, N., and Rothschild, K.: The Non-Infectious Nature of the Guillain-Barré Syndrome with a Possible Explanation for the Albumino-Cytologic Dissociation , Ann. Int. Med. 32:923-934, 1950. 6. Bendz, P.: Respiratory Problems in Acute Guillain-Barré Syndrome , A. M. A. Arch. Neurol. & Psychiat. 73:22-27, 1955. 7. Baker, A. B.: Guillain-Barré's Disease in the Older Age Group , Geriatrics 1:132-143, 1946. 8. Newey, J. A., and Lubin, R. I.: Corticotropin (ACTH) Therapy in Guillain-Barré Syndrome , J. A. M. A. 152:137-139, 1953. 9. Dripps, R. D., and Vandam, L. D.: Long-Term Follow-Up of Patients Who Received 10,098 Spinal Anesthetics , J. A. M. A. 156:1486-1491, 1954.
A.M.A. Archives Surgery – American Medical Association
Published: Mar 1, 1958
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