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. 1977 Feb;185(2):205–209. doi: 10.1097/00000658-197702000-00012

The surgically treated chronic gastric ulcer: an extended followup.

Z Davis, C N Verheyden, J A Van Heerden, E S Judd
PMCID: PMC1396098  PMID: 836093

Abstract

Since the overall results of the medical management of chronic gastric ulcer are discouraging, the records of 595 patients with chronic gastric ulcers who underwent surgical treatment at the Mayo Clinic from 1961 through 1965 were reviewed. Gastric and duodenal ulcer (or scar) occurred together in 18%. Partial gastric resection was the predominant surgical procedure employed. There was an uneventful postoperative course in 83.2% of patients. Early complications occurred in 16.8%, death in 1%, and early reoperation in 3.4% of patients. Followup extended from 1 to 14 years. Late complications occurred in 31.1% of patients. The overall results, graded according to a modified Visik classification, were excellent in 31.9%, good in 48.4% and unsatisfactory in 8.1%. In patients undergoing partial gastrectomy for "channel ulcers", the incidence of reo 1% recurrence rate for ulcers elsewhere in the stomach, with or without truncal vagotomy. For the majority of gastric ulcers, partial gastric resection, with or without vagotomy, remains theoretically advantageous and clinically proven.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. DUPLESSIS D. J. PATHOGENESIS OF GASTRIC ULCERATION. Lancet. 1965 May 8;1(7393):974–978. doi: 10.1016/s0140-6736(65)91214-6. [DOI] [PubMed] [Google Scholar]
  2. Davenport H. W. Is the apparent hyposecretion of acid by patients with gastric ulcer a consequence of a broken barrier to diffusion of hydrogen ions into the gastric mucosa? Gut. 1965 Oct;6(5):513–513. doi: 10.1136/gut.6.5.513. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dragstedt L. R., Doyle R. E., Woodward E. R. Gastric ulcers following vagotomy in swine. Ann Surg. 1969 Nov;170(5):785–792. doi: 10.1097/00000658-196911000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Farris J. M., Smith G. K. Some other operations for gastric ulcer. A. Kelling-Madlener operation. B. Wedge resection and pyloroplasty. C. Pyloroplasty (with ulcer in situ). Surg Clin North Am. 1966 Apr;46(2):329–338. doi: 10.1016/s0039-6109(16)37835-5. [DOI] [PubMed] [Google Scholar]
  5. Hennessy T. P., Whelton M. J., Brady M. P. The place of pylorus-preserving gastrectomy in the treatment of duodenal ulcer. Br J Surg. 1974 Oct;61(10):844–846. doi: 10.1002/bjs.1800611022. [DOI] [PubMed] [Google Scholar]
  6. Johnson C. L., Judd E. S. The usefulness of vagotomy in treatment for gastric ulcer. Surg Clin North Am. 1971 Aug;51(4):907–914. doi: 10.1016/s0039-6109(16)39486-5. [DOI] [PubMed] [Google Scholar]
  7. Johnson H. D. Gastric ulcer: classification, blood group characteristics, secretion patterns and pathogenesis. Ann Surg. 1965 Dec;162(6):996–1004. doi: 10.1097/00000658-196512000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kraft R. O., Myers J., Overton S., Fry W. J. Vagotomy and the gastric ulcer. Am J Surg. 1971 Feb;121(2):122–128. doi: 10.1016/0002-9610(71)90088-2. [DOI] [PubMed] [Google Scholar]
  9. Kukral J. C. Gastric ulcer: an appraisal. Surgery. 1968 Jun;63(6):1024–1036. [PubMed] [Google Scholar]
  10. LARSON N. E., CAIN J. C., BARTHOLOMEW L. G. Prognosis of the medically treated small gastric ulcer. II. Ten-year to nineteen-year follow-up study of 391 patients. N Engl J Med. 1961 Feb 16;264:330–334. doi: 10.1056/NEJM196102162640705. [DOI] [PubMed] [Google Scholar]
  11. Lawson H. H. Gastritis and gastric ulceration. Br J Surg. 1966 Jun;53(6):493–496. doi: 10.1002/bjs.1800530603. [DOI] [PubMed] [Google Scholar]
  12. Menguy R. Gastric ulcerations. Adv Surg. 1972;6:103–139. [PubMed] [Google Scholar]
  13. Sawyers J. L., Scott H. W., Jr, Graham C. Clinical trial of vagotomy and pyloroplasty in the treatment of benign gastric ulcer. Am J Surg. 1971 Feb;121(2):119–121. doi: 10.1016/0002-9610(71)90087-0. [DOI] [PubMed] [Google Scholar]
  14. Sekine T., Sato T., Maki T., Shiratori T. Pylorus-preserving gastrectomy for gastric ulcer--one- to nine-year follow-up study. Surgery. 1975 Jan;77(1):92–99. [PubMed] [Google Scholar]
  15. VISICK A. H. A study of the failures after gastrectomy. Ann R Coll Surg Engl. 1948 Nov;3(5):266–284. [PMC free article] [PubMed] [Google Scholar]

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