Original communication| Volume 69, ISSUE 1, P29-33, January 1971

Pyloric closure for difficult gastrectomies

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      A type of gastrectomy which avoids difficult and dangerous duodenal dissection by closure of the pylorus following excision of the antral mucosa is described. In dogs, this closure was compared to both the standard duodenal stump closure and to Bancroft's antral closure. The pyloric closure was equal in strength to the closure of normal duodenum and was leak-proof. The Bancroft closure was considerably weaker and showed leakage. The results in 16 clinical cases undergoing such a procedure and the advantages of a safer and easier gastrectomy which avoids dissection of a scarred duodenum are presented.
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