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  • Title: Safer gastrectomy; 100 consecutive cases without mortality.
    Author: ALESEN LA, QUINN WF, CARDEY NL.
    Journal: Calif Med; 1949 Sep; 71(3):187-9. PubMed ID: 18137214.
    Abstract:
    Duodenal stump disruption accompanied by fatal peritonitis is the complication most to be feared following gastrectomy and anastomosis by any one of the Billroth II modifications. While many explanations of this complication have been presented and many means devised to prevent it, by far the most frequent cause is distention of the proximal duodenum because of obstruction at the stoma due to kinks, angulations or postoperative edema.A supplemental report is made on a disintegrating T-tube designed to facilitate gastroenteric anastomosis, insure patency of the stoma and make impossible obstruction of the proximal loop. This report covers 100 consecutive instances in which the disintegrating tube was used and emphasizes the favorable postoperative course usually experienced by the patients.
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