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American Journal of Roentgenology, Vol 101, 459-467, Copyright © 1967 by American Roentgen Ray Society

THE RETAINED GASTRIC ANTRUM

PREOPERATIVE ROENTGENOLOGIC DIAGNOSIS OF AN IATROGENIC SYNDROME

H. JOACHIM BURHENNE M.D.1

1 From the University of California, San Francisco Medical Center and Children's Hospital—Adult Medical Center, San Francisco, California

Surgical retention of the endocrinologically active gastric antrum results in a high incidence of recurrent ulcer disease after partial gastrectomy.

This introduction of the iatrogenic syndrome of the retained gastric antrum to the radiologic literature includes the report of 4 cases. Symptoms of ulcer recurrence had occurred within 2 to 5 months following surgery. All 4 patients are symptom free after resection of a retained antrum with follow-up ranging from II months to 5 years.

The roentgenologic technique and diagnosis of the retained gastric antrum are discussed with differential considerations. The importance of the roentgenologic diagnosis before re-exploration is stressed.


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Copyright © 1967 by the American Roentgen Ray Society.