TY - CHAP M1 - Book, Section TI - Chapter 26. Stomach and Duodenum: Operative Procedures A1 - Soybel, David I. A1 - Zinner, Michael J. A2 - Zinner, Michael J. A2 - Ashley, Stanley W. Y1 - 2013 N1 - T2 - Maingot's Abdominal Operations, 12e AB - The earliest recorded operations on the stomach were performed for penetrating injuries.1 In the late 1800s, experimental studies in the surgical laboratories of Billroth confirmed the feasibility of removing the pylorus, a concept developed by Michaelis in the early part of that century. In 1881, Rydygier performed the first successful pylorectomy, and in 1884 he performed the first gastroenterostomy. Both of these operations were performed for complications of benign peptic ulcer disease. In 1881, Billroth performed the first successful pylorectomy for malignancy. In this case, the duodenum was anastomosed to the lesser curvature of the stomach and the greater curvature was oversewn. The patient initially did well but died from disseminated abdominal carcinomatosis 4 months later. In 1885, Billroth performed a resection of a large pyloric carcinoma, using an anterior gastrojejunostomy for the reconstruction. In subsequent years, Billroth, his students, and others devised several approaches to gastroduodenal and gastrojejunal reconstruction.1–3 Following popularization of gastrojejunostomy for reconstruction after gastric resection or palliation of unresectable gastric malignancy, surgeons were confronted with early complications such as bleeding, anastomotic leak, intestinal obstruction, and late complications such as stomal ulceration, bilious vomiting, afferent and efferent limb obstructions, and dumping.4,5 At present, these problems remain only partially understood and controllable. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=57011880 ER -