J.Jpn. Surg. Soc.. 79(9): 1069-1072, 1978

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Report on the annual meeting

GASTRECTOMY OR VAGOTOMY FOR THE SURGICAL TREATMENT OF PEPTIC ULCER

The author differs between gastric ulcer and duodenal ulcer on aspect of basal and stimulated acid output, reducing effect of acid secretion after vagotomy, gastric empting time and fluoroscopy, etc. It is seemed that gastric ulcer has lesser dependence of vagus compared with duodenal ulcer. Therefore, the author chiefly elects pylorus preserving gastrectomy or segmental gastrectomy to gastric ulcer and elects selective proximal vagotomy with pyloroplasty (SPV) to duodenal ulcer. But selective vagotomy with antrectomy is done to the hyperacidic cases of duodenal ulcer. Taking a view of acid reducing rate and acid output after operation, although SPV have a little questions, other operative methods to peptic ulcer are satisfactory. I think it is not better to select the wedged resection with SPV on highly located gastric ulcer.

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