J.Jpn. Surg. Soc.. 79(9): 1052-1056, 1978

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Report on the annual meeting

EVALUATION OF GASTRECTOMY FOR GASTRO-DUODENAL ULCER

Gastrectomy and S.P.V. were compared regarding operative mortality, postoperative recurrence of ulcer, postoperative disturbance and patient's satisfaction. Operative mortality of gastrectomy was 1.1% over-all and that of S.P.V. was 0%, but gastrectomy had no operative deaths either when evaluated in the recent 7 years term. Recurrence of ulcer (anastomotic ulcer) after gastrectomy was seen in 0.4%, while that after S.P.V. was 0.9%. As postoperative disturbance, dumping syndrome was found in 10.1% in gastrectomy and in 8.9% in S.P.V. The most of the patients with this syndrome were of moderate degree and were controllable by dietary care. Food intake after operation did not change in the majority of the cases revealing no essential difference between gastrectomy and S.P.V. Weight loss after operation was slightly more marked in gastrectomy than in S.P.V., but even in gastrectomy patients with weightloss standard weight was maintained in 76.4%. Patients'resumption of job has been always above 90% and their satisfaction from gastrectomy was as good as 97.6%. S.P.V. has been adopted as a more theoretical procedure for duodenal ulcer and its result has been satisfactory, but gastrectomy has also been just as good and, moreover, its merit is that procedure itself is certain and can be practiced without a difficulty.

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