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CARCINOMA OF THE GASTROJEJUNAL STOMA FOLLOWING OPERATION FOR PEPTIC ULCER

HARRY A. SINGER, M.D.
Arch Intern Med (Chic). 1932;49(3):429-438. doi:10.1001/archinte.1932.00150100086007.
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Since gastro-enterostomy came into general use in the treatment for peptic ulcer and its complications, certain nosologic entities previously practically unknown have loomed into prominence. Gastrojejunal ulcer, a unique and unimportant lesion prior to the era of gastro-enterostomy, is now accorded a great deal of space in treatises on peptic ulcer. High intestinal obstruction accompanied by symptoms of a vicious cycle evoked little attention until the universal adoption of gastro-enterostomy, after which an enormous literature appeared on the subject. To these more common sequelae of the anastomosis can be added carcinoma of the stoma, an extremely rare but interesting condition.

The occurrence of a malignant growth at the site of a gastrojejunal anastomosis was mentioned by Schwarz1 in a paper dealing with observations at operation in gastro-enterostomized persons. The author gave an account of a patient who had an anterior gastro-enterostomy performed in 1909 for pyloric ulcer. The patient

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