J.Jpn. Surg. Soc.. 79(9): 1057-1062, 1978
Report on the annual meeting
SURGICAL TREATMENT FOR PEPTIC ULCER: FROM THE STANDPOINT FOR CONVENTIONAL PARTIAL GASTRECTOMY
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The Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan Masanobu Akagi, Atsunobu Misumi, Yasushi Yagi, Kanetoshi Fujishima, Yoshio Nitta, Kazunori Harada, Sadamu Takano |
The product of the fasting serum gastrin (pg/ml) by the maximal acid concentration after tetragastrin stimulation (mEq/l) may be an useful index for determination of surgical intervention : when it is more than 6000, the ulcer tends to be hard to cure or liable to recur. On the other hand, when it is less than 4000, the ulcer will respond well to medical therapy. The index, however, cannot be applied to the ulcer localized high in the stomach.
930 patients operated on could be followed-up by personal interviews or through questionnaires. 823 had partial gastrectomy, 38 had gastrectomy with vagotomy, and 44 ahd vagotomy alone. Of the patients who underwent conventional partial gastrectomy, 95.7% answered to be satisfied with the operation, and 90.6% were classified to grade I or II by the Visick's index. In the vagotomy group, they were 92.5% and 81.6%, respectively. As for the Visick's classification, satisfaction with operation, quantity of diet, body weight and state of health after surgery, the conventional partial gastrectomy were not inferior to the vagotomy. The period of recovery to work was, however, significantly shorter in vagotomy group than in gastrectomy one.
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