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The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo

In the early era of therapeutic laparotomy, surgeons developed operations where the extirpation of pathology only required simple ligation of blood supply, detachment of diseased organs or drainage of infection. In 1881, when sutured anastomosis was in its infancy, a surgeon at Billroth’s clinic in...

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Autor principal: Pappas, Theodore N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431371/
https://www.ncbi.nlm.nih.gov/pubmed/37601146
http://dx.doi.org/10.1097/AS9.0000000000000200
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author_facet Pappas, Theodore N.
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description In the early era of therapeutic laparotomy, surgeons developed operations where the extirpation of pathology only required simple ligation of blood supply, detachment of diseased organs or drainage of infection. In 1881, when sutured anastomosis was in its infancy, a surgeon at Billroth’s clinic in Vienna, Anton Wolfler, performed the first successful gastrojejunostomy to treat gastric outlet obstruction. The patient was a 38-year-old male who presented weak and emaciated with an obstructing stomach cancer. After Dr Wolfler’s sutured gastrojejunostomy, the patient recovered without complication and was able to eat by mouth. Over the next 40 years, surgeons around the world explored variations in the technique of this operation until it was used in common practice for the management of gastric outlet obstruction. During that same era, gastrojejunostomy severed as a testing ground for sutured anastomosis, which became the accepted method of enteric anastomosis. This article will review the early history of gastrojejunostomy, its origination and the European and American innovators who created modifications of this life-saving operation. The importance that gastrojejunostomy had in the evolution of sutured enteric anastomosis will be highlighted.
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spelling pubmed-104313712023-08-18 The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo Pappas, Theodore N. Ann Surg Open Surgical Retrospection (Historical) In the early era of therapeutic laparotomy, surgeons developed operations where the extirpation of pathology only required simple ligation of blood supply, detachment of diseased organs or drainage of infection. In 1881, when sutured anastomosis was in its infancy, a surgeon at Billroth’s clinic in Vienna, Anton Wolfler, performed the first successful gastrojejunostomy to treat gastric outlet obstruction. The patient was a 38-year-old male who presented weak and emaciated with an obstructing stomach cancer. After Dr Wolfler’s sutured gastrojejunostomy, the patient recovered without complication and was able to eat by mouth. Over the next 40 years, surgeons around the world explored variations in the technique of this operation until it was used in common practice for the management of gastric outlet obstruction. During that same era, gastrojejunostomy severed as a testing ground for sutured anastomosis, which became the accepted method of enteric anastomosis. This article will review the early history of gastrojejunostomy, its origination and the European and American innovators who created modifications of this life-saving operation. The importance that gastrojejunostomy had in the evolution of sutured enteric anastomosis will be highlighted. Wolters Kluwer Health, Inc. 2022-09-01 /pmc/articles/PMC10431371/ /pubmed/37601146 http://dx.doi.org/10.1097/AS9.0000000000000200 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Surgical Retrospection (Historical)
Pappas, Theodore N.
The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo
title The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo
title_full The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo
title_fullStr The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo
title_full_unstemmed The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo
title_short The First 40 Years of Gastrojejunostomy: From Billroth to Murphy to Mayo
title_sort first 40 years of gastrojejunostomy: from billroth to murphy to mayo
topic Surgical Retrospection (Historical)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431371/
https://www.ncbi.nlm.nih.gov/pubmed/37601146
http://dx.doi.org/10.1097/AS9.0000000000000200
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