A Study of the Results of Surgical Treatment of Peptic Ulcer

John, Fordyce B. St.; Harvey, Harold D.; Gius, John A.; Goodman, Edmund N.

doi:10.1097/00000658-193902000-00003

Cited by 15 publications

(2 citation statements)

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“…An attempt has been made to develop methods with a high cure rate and few sequelae. The patients in the present study are derived from a period in which Billroth II gastrectomy had become generally accepted [8][9][10][11][12]. Later studies showed considerable sequelae [13][14][15] appearing in the early postoperative years, but only few have described the long-term (i.e., 20-30 years) results [16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

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Twenty‐five years after Billroth II gastrectomy for duodenal ulcer

Fischer¹

1984

World j. surg.

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One thousand twenty‐five patients underwent a Billroth II resection for duodenal ulcer between 1948 and 1956. The operative mortality rate was 2.4%. At follow‐up between 22 and 30 years later, 522 had died and 423 patients were traced. Recurrent ulcer appeared in 2.6% of the cases. Postgastrectomy symptoms occurred with the following frequency: dumping 10%, diarrhea 5%, vomiting 7%, and pain 4%. Anemia developed in 18%, hypoalbuminemia and hypocalcemia in 40 and 15%, respectively. Eleven percent had lost more than 10 kg in weight. Tuberculosis was found in 3% of the cases. While 90% of the patients were satisfied with the result, 10% were failures. The overall mortality rate was significantly increased because of suicide. Gastric carcinoma was the cause of death no more often than expected.

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Section: Discussionmentioning

confidence: 99%

“…The indications, procedures, and results appear in Tables 4 and 5. Indications were recurrence (20), dumping (12), vomiting (8), pain (3), and unknown (4). Only eight (22%) improved.…”

Section: Clinical Symptomsmentioning

confidence: 99%