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PANCREATIC CONSIDERATIONS IN GASTRIC SURGERY

PANCREATIC CONSIDERATIONS IN GASTRIC SURGERY Gastric surgeons have long been wary of injuries to the pancreas during the mobilization of certain benign and malignant ulcers of the stomach or duodenum. Failure to respect the possibilities of injury to the pancreas under such circumstances is an invitation to disaster. Surgeons are less aware, however, of the occurrence of varying degrees of pancreatitis or fulminating pancreatic necrosis following gastric surgery. Schmieden and Sebening1 pointed out many years ago that acute pancreatitis as a complication of surgery on organs adjacent to the pancreas was commoner following operations on the stomach than on any other viscera (table 1). The traditional concept that pancreatic affections related to gastric or duodenal surgery were always secondary to trauma cannot, in our opinion,2 be sustained by a careful analysis of the pertinent data. Millbourn,3 in an excellent survey of this problem, considered many etiological factors and implied that his own http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

PANCREATIC CONSIDERATIONS IN GASTRIC SURGERY

JAMA , Volume 154 (10) – Mar 6, 1954

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Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1954.02940440001001
Publisher site
See Article on Publisher Site

Abstract

Gastric surgeons have long been wary of injuries to the pancreas during the mobilization of certain benign and malignant ulcers of the stomach or duodenum. Failure to respect the possibilities of injury to the pancreas under such circumstances is an invitation to disaster. Surgeons are less aware, however, of the occurrence of varying degrees of pancreatitis or fulminating pancreatic necrosis following gastric surgery. Schmieden and Sebening1 pointed out many years ago that acute pancreatitis as a complication of surgery on organs adjacent to the pancreas was commoner following operations on the stomach than on any other viscera (table 1). The traditional concept that pancreatic affections related to gastric or duodenal surgery were always secondary to trauma cannot, in our opinion,2 be sustained by a careful analysis of the pertinent data. Millbourn,3 in an excellent survey of this problem, considered many etiological factors and implied that his own

Journal

JAMAAmerican Medical Association

Published: Mar 6, 1954

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