J.Jpn. Surg. Soc.. 83(9): 837-841, 1982

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Report on the annual meeting

SELECTION OF OPERATIVE PROCEDURES FOR CHRONIC GASTRIC AND DUODENAL ULCERS AND ITS RESULTS

Total 1,154 patients have been operated upon for chronic gastric and duodenal ulcers at Niigata University Hospital during the past 21 years. Operative procedures in this series varied. Segmental gastrectomy with or without vagotomy and antrectomy with vagotomy have been performed since 1961 and also selective proximal vagotomy with or without pyloroplasty have been carried out since 1973. Number of the patients with conventional partial gastrectomy －so-called “70% gastric resection”－ was the largest of all operative procedures, because gastric ulcer is quite common in Japan.
In the patients with gastric ulcer, there were three recurrent ulcers after segmental gastrectomy with vagotomy. In the patients with duodenal ulcer, the rate of ulcer recurrence was 15.0, 0.7 and 0% in those who underwent selective proximal vagotomy with or without pyloroplasty, conventional partial gastrectomy and antrectomy with vagotomy respectively. However, postoperative disturbances which contained dumping syndrome, diarrhea and weightloss were fewer in the patients who had selective proximal vagotomy without pyloroplasty. From these results, extended selective proximal vagotomy is now the standard procedure for duodenal ulcer at the Niigata University Hospital.

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