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Clinical Note
JAMA. 1964;190(8):779-781. doi: 10.1001/jama.1964.03070210085026

Temporary Impairment of Vitamin B12 Absorption

Another Side Effect of Therapeutic Gastric Freezing

  1. Hendrick B. Barner, MD;
  2. Theodore I. Jones, MD;
  3. Thomas B. Garlick, MD
  1. Rochester, NY
  2. From the Department of Surgery, Highland Hospital.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

WIDESPREAD use of gastric freezing rapidly followed its introduction for the treatment of peptic ulcer. Despite this current vogue therapeutic results have been variable and temporary, and several hazards are known to be associated with the technique, We have demonstrated another untoward side effect which was previously thought not to occur.1

Method Twelve male and four female patients, 24 to 67 years of age, with nonobstructing peptic ulceration of the duodenum documented by an upper gastro-intestinal study received a single, 60-minute period of gastric freezing employing a gastric hypothermia machine, as described by Peter and co-workers.2 Inflow temperatures of —15 to —19 C (5 to —2.2 F) and outflow temperatures of —11 to —14 C (12.2 to 6.8 F) were maintained with a constant flow rate of 500 cc per minute. The volume of the standard, latex rubber balloon was the maximal consistent with patient comfort and ranged

Footnotes

  • Reprint requests to 260 Crittenden Blvd, Rochester, NY 14620 (Dr. Barner).

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