Skip to main content
NCBI home page
Gut logoLink to Gut
. 1962 Jun;3(2):97–105. doi: 10.1136/gut.3.2.97

Selective surgery for peptic ulcer: a review

Ian M Orr
PMCID: PMC1413320  PMID: 14482346

Abstract

Peptic ulcer patients do not fall into one secretory pattern and methods are available by which the secretory pattern may be assessed. Provided this assessment is accurate and the operation appropriate to the requirements of the individual patient is carried out, the side-effects are not severe.

The mortality from gastric surgery need not be above 1% and even when resection is involved the technical hazards of the operation are rarely the cause of death in experienced hands.

Further improvement in immediate and long-term results and protection against recurrence may be expected as the principles of selection become better understood and surgical procedures adequate to each requirement become standardized.

Full text

PDF
97

Selected References

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

  1. BROOKES V. S., WATERHOUSE J. A., THORN P. A. Partial gastrectomy for peptic ulcer. Gut. 1960 Jun;1:149–162. doi: 10.1136/gut.1.2.149. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BRUCE J., CARD W. I., MARKS I. N., SIRCUS W. The rationale of selective surgery in the treatment of duodenal ulcer. J R Coll Surg Edinb. 1959 Jan;4(2):85–104. [PubMed] [Google Scholar]
  3. BURGE H. W. Vagotomy in the treatment of peptic ulceration. Postgrad Med J. 1960 Jan;36:2–13. doi: 10.1136/pgmj.36.411.2. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Berg A. A. THE MORTALITY AND LATE RESULTS OF SUBTOTAL GASTRECTOMY FOR THE RADICAL CURE OF GASTRIC AND DUODENAL ULCER. Ann Surg. 1930 Sep;92(3):340–366. doi: 10.1097/00000658-193009000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. CARD W. I., MARKS I. N. The relationship between the acid output of the stomach following "maximal" histamine stimulation and the parietal cell mass. Clin Sci. 1960 Feb;19:147–163. [PubMed] [Google Scholar]
  6. CARPER W. M., BUTLER T. J. A clinical study of the early post-gastrectomy syndrome. Br Med J. 1951 Aug 4;2(4726):265–271. doi: 10.1136/bmj.2.4726.265. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. COX A. J. Stomach size and its relation to chronic peptic ulcer. AMA Arch Pathol. 1952 Nov;54(5):407–422. [PubMed] [Google Scholar]
  8. GILLESPIE I. E., KAY A. W. Effect of medical and surgical vagotomy on the augmented histamine test in man. Br Med J. 1961 Jun 3;1(5239):1557–1560. doi: 10.1136/bmj.1.5239.1557. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. HERRINGTON J. L., Jr, EDWARDS L. W., CLASSEN K. L., CARLSON R. I., EDWARDS W. H., SCOTT H. W., Jr Vagotomy and antral resection in the treatment of duodenal ulcer: results in 514 patients. Ann Surg. 1959 Sep;150:499–516. doi: 10.1097/00000658-195909000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. HOLLENDER L., ADLOFF M., WEISS A. G. [Is it advisable to consider nuances in surgical procedures for gastroduodenal ulcer? First trials based on determinations of gastric acidity]. Arch Mal Appar Dig Mal Nutr. 1960 Nov;49:1469–1480. [PubMed] [Google Scholar]
  11. JOHNSON H. D., ORR I. M. Selective surgery for peptic ulcer. Surg Gynecol Obstet. 1954 Apr;98(4):425–432. [PubMed] [Google Scholar]
  12. JOHNSON H. D. The pathogenesis of peptic ulcers. Lancet. 1957 Sep 14;273(6994):515–517. doi: 10.1016/s0140-6736(57)90824-3. [DOI] [PubMed] [Google Scholar]
  13. KAY A. W. Effect of large doses of histamine on gastric secretion of HCI; an augmented histamine test. Br Med J. 1953 Jul 11;2(4827):77–80. doi: 10.1136/bmj.2.4827.77. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. MARKS I. N., SHAY H. Observations on the pathogenesis of gastric ulcer. Lancet. 1959 May 30;1(7083):1107–1111. doi: 10.1016/s0140-6736(59)90702-0. [DOI] [PubMed] [Google Scholar]
  15. Mann F. C., Williamson C. S. THE EXPERIMENTAL PRODUCTION OF PEPTIC ULCER. Ann Surg. 1923 Apr;77(4):409–422. doi: 10.1097/00000658-192304000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. TANNER N. C. Surgery and peptic ulceration and its complications. Postgrad Med J. 1954 Sep;30(347):448–465. doi: 10.1136/pgmj.30.347.448. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES