Gastro-enterostomy from the economic viewpoint; a plea for its more extensive use, with a review of 104 cases

ABSTRACT

Attention is drawn to the high incidence of peptic ulceration as a result of faulty habits in the country parts of Jamaica. The reasons for the recommendation of the posterior No-Loop isoperistaltic operation are propounded. A discussion of the pathology, and the aims of operative treatment, are given. The opinion is expressed that the ankylostoma may be an aetiologic factor in peptic ulceration. 104 cases are presented. The pre- and post-operative treatment are outlined, and emphasis laid on the important points of operative technique, which seems to be the cause of widely diverging reports on the incidence of anastomotic ulcers(AU)