Australian and New Zealand Journal of SurgeryVolume 24, Issue 4 p. 251-259 CANCER OF THE BREAST IN SYDNEY TEACHING HOSPITALS W. J. Pullen, W. J. Pullen THE ROYAL PRINCE ALFRED HOSPITALSearch for more papers by this authorJ. W. Spence, J. W. Spence THE ROYAL PRINCE ALFRED HOSPITALSearch for more papers by this authorAlan Sharp, Alan Sharp THE SYDNEY HOSPITALSearch for more papers by this authorJ. P. Fleming, J. P. Fleming ST. VINCENT'S HOSPITALSearch for more papers by this authorV. H. Cumberland, V. H. Cumberland THE ROYAL NORTH SHORE HOSPITALSearch for more papers by this author W. J. Pullen, W. J. Pullen THE ROYAL PRINCE ALFRED HOSPITALSearch for more papers by this authorJ. W. Spence, J. W. Spence THE ROYAL PRINCE ALFRED HOSPITALSearch for more papers by this authorAlan Sharp, Alan Sharp THE SYDNEY HOSPITALSearch for more papers by this authorJ. P. Fleming, J. P. Fleming ST. VINCENT'S HOSPITALSearch for more papers by this authorV. H. Cumberland, V. H. Cumberland THE ROYAL NORTH SHORE HOSPITALSearch for more papers by this author First published: May 1955 https://doi.org/10.1111/j.1445-2197.1955.tb06954.xCitations: 4AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume24, Issue4May 1955Pages 251-259 RelatedInformation

Summary Four late complications of partial gastrectomy are described. The partial gastrectomies were all of the antecolic Polya type with anastomosis of the afferent loop to the lesser curve. In the first of the cases described, partial gastrectomy was followed by perforation of a jejunal ulcer of the afferent loop. In the second case it was followed by “dumping” symptoms and then acute intestinal obstruction due to impaction of orange pith in the lower jejunum. In the third case partial gastrectomy was followed by obstruction of the afferent jejunal loop by adhesions; the distended loop was palpable as an epigastric tumour and the patient developed jaundice. In the fourth case the ileum was mistaken for the jejunum and was used in making the anastomosis.

Summary(a) A case of atypical lymphadenoid goitre is described.(b) There was marked forward displacement of the trachea.(c) The gland encircled completely the lower part of the larynx and upper trachea.(d) Histological examination showed features of Hashimoto's disease and Reidel's struma.